Using data and co-production to improve community m ental h ealth

1. Using data and co-production to improve community mental health

2. Ed Davie • Lambeth Council Cabinet Member for Health and Adult Social Care • South London and the Maudsley Governor • Mental Health Foundation Communities Lead • KCL Public Health Masters Student

3. 70 years of research and action to improve mental health

4. Pan-London effort to improve pre-determinants

5. ‘was successful because it incorporated religion, cultural beliefs, and community into the interventions’

7. Thrive LDN: Mental Health Foundation mental health inequalities map

10. Six Thrive LDN aspirations: A city • free from mental health stigma and discrimination • That maximises the potential of children and young people • With a happy, healthy and productive workforce • With services when and where needed • Zero suicide

13. Londoners Said recommendations • Train and support community champions • Communicate effectively what’s available • Support growth of non-clinical crisis centres • Parenting support for underprivileged groups • Mental health curriculum for schools • Invest in after-school clubs/youth provision • Train employers in good mental health practice

14. Mental Health Foundation solutions • Peer Education Project • PRESUME workplace training • Health and Happiness community resilience training • Thrive Thamesview community resilience pilot

15. Early feedback from public health teams on Community Conversation outcomes

16. Barking and Dagenham • Targeted Thrive LDN-led work on Thames Ward • New focus/structure for the borough Mental Health strategy

17. Southwark • 1. A focus on mental health and wellbeing in our new Council Plan • 2. Committed to providing mental health training for key staff and councillors • 3. Revamped our staff health and wellbeing offer to include online courses on mental health and resilience • 4. Are preparing to offer MH training to a number of our key community partners

18. Brent • Helped gather momentum for our local campaign “are we ok, Brent?”. Added credibility to a focus on mental wellbeing rather than solely on mental health services

19. Lewisham • Following on from the community conversation, we have since embarked on a specific piece of work relating to addressing BAME mental health inequalities through our HWBB. Issues around these inequalities were raised at the community conversation and through wider community engagement work in the borough.

20. Enfield • The Conversation certainly fed into a growing awareness of the inadequacy of our current Joint Health and Wellbeing Strategy and it's successor contains specific action plans related to the maintenance of emotional health and wellbeing and the prevention of isolation.

22. Black Caribbean disproportionality • 26% of people in Lambeth identify as Black • But made up 67% of our residents in secure psychiatric units • Black Caribbeans were 7% of the population registered with Lambeth GPs and yet accounted for 17% of people with serious mental illnesses

23. Intersectionality and social determinants • Black Caribbean people are much more likely to live in poverty • in poorer housing • under achieve academically • be excluded from school • be a victim/perpetrator of crime • suffer worse physical ill health • have lower life expectancy

24. When people are not valued or empowered they get ill

25. Lambeth Black Health and Wellbeing Commission • Prevention • Access to appropriate treatment • Improving patient experience • Representative leadership and co-production

26. Prevention • Improve housing - Lambeth Housing Standard) • Education - Attainment of Black Caribbean pupils • Decent jobs and training - Brixton BID, Living Wage • Parenting support - Sure Start and LEAP • Pride - Black Cultural Archive, Windrush Square, Black War Memorial, Mary Seacole • Lifestyle education - risky behaviour

29. Access to appropriate services • Perinatal • CAMHS • Talking therapy • Training of community leaders • Social prescribing –neighbourhood working • More representative staff • Open access Hub • Mosaic Clubhouse • Evening sanctuary

30. Better patient experience • Minimise restraint and coercive practice • Train police and health staff WITH black service-users • Establish community links and control • Co-produce services

33. Lambeth has: • Retained 19 Children’s Centres - 95% of schools are ‘good’ or ‘outstanding’ with exam results in country’s top 10% • Created most affordable homes • Created more jobs and new businesses • Reduced child obesity against trend • London Living Wage employer with 9/1 pay ratio • In pilot reduced adult in-patient MH admissions 60% • Open access Hub has proportionate BME users

34. Keys to improvement • Don’t be afraid of complexity and controversy • Know, listen and empower your population • Make sure they are represented in policy making, commissioning and delivery • Work in partnership • Address the social, environmental and behavourial as well as the healthcare elements

35. Contact • Edward.davie@lambeth.gov.uk • Edavie@lambeth.gov.uk • 07805 942 095 • @eddavie https://www.youtube.com/watch?v=jIdI64WFveQ