Forum Workshop 30 th October 2018 Agenda 1. Welcome & - - PowerPoint PPT Presentation

Forum Workshop 30th October 2018

Agenda

1. Welcome & Introductions 2. Sub-group updates;

– Comms & Engagement – Frequently Used Locations

3. Other developments;

– New Ministerial Lead for Suicide Prevention – GP Lead update – NICE Guidance Preventing suicide in community and custodial settings – Talking Suicide campaign – #GlosTacklesStigma

4. Share & Learn;

– WSPD activities – Letters of Hope – Gordon Brown – Sunflowers Suicide Support – Abbie Warren – Stay Alive App – Emma Simpson – Update on Public Mental Health Agenda – Beth Bennett-Britton – Roundtable updates

5. Close

Communications & Engagement

• Feeds into the Action Plan
• GCC website set up including;

– Wellbeing information – Template documents (sample wording) – Social media ‘assets’ – Posters, leaflets – Statistical information – Signposting information – Sensitive language

• Reconvene to plan out targeted campaigns

https://www.gloucestershire.gov.uk/health-and-social-care/public- health/gloucestershire-suicide-prevention-partnership/

Sub-group Updates

Frequently Used Locations

• Car parks and multi-storey buildings meeting – still some

actions outstanding but these are in hand

• Last meeting focussed on railways which covered surveillance

data (including attempts) and announcements made at stations

• Representatives from the British Transport Police and

Network Rail. Local operator GWR were unable to attend

• Actions from meeting have fed into the Action Plan Log
• Next meeting to focus on woodlands/forests and open areas

Sub-group Updates

New Ministerial Lead for Suicide Prevention Jackie Doyle – Price)

• Combine national effort to prevent suicide across national &

local government, suicide and self harm prevention experts, clinicians and those personally affected.

• Explore how latest technology (predictive analysis and

artificial intelligence) can identify those at risk.

• Look at support offered to families bereaved by suicide.
• Help ensure effective suicide prevention plans are in every

local area – national progress report published Spring.

• £2m to Zero Suicide Alliance over 2yrs to improve suicide

awareness & training in NHS & beyond

• £1.8m to Samaritans’ helpline over next 4yrs

Other developments

GP Lead

• New GP Lead is in post – Dr Nicola Pockett
• Working on a presentation/training slide set for GP practices

(particularly reception/admin staff) on suicide awareness and prevention (in collaboration with Sunflowers)

• Collating and summarising national and local guidelines on

risk assessments to disseminate to GP practices

Other developments

NICE Guidance

• Public Health responded on behalf of the GSPP
• https://www.nice.org.uk/guidance/NG105

Other developments

Talking Suicide campaign

• https://www.talkingsuicide.co.uk/ #talkingsuicide
• Over 130 broadcasters, authors, journalists, politicians &

campaigners involved

• Calling on the nation’s editors and producers to lead the way

in changing how the country talks about suicide

• Open letter underlines the fact that

responsible reporting can help prevent suicides

• Add your support!

Other developments

#GlosTacklesStigma

• Tackling Mental Health Stigma Group now on social

media

• Currently managed by GCC, Independence Trust &

Nelson Trust

• @GTacklesStigma
• #GlosTacklesStigma

Other developments

Share & Learn

WSPD Activities

Letter of Hope

Click on this link to watch the video – http://www.zerosuicide.co.uk/blogpost/index.php?permalink=devon-letter-of-hope-film-20160809164207

IN MEMORY OF PETE MORRIS

• In September 2016 the unimaginable

happened. Our beautiful, funny, charismatic younger brother took his

• wn life.
• Pete was 29
• A talented young artist, planning to

pursue a career in teaching.

• Pete was part of a close supportive

family and loved so very dearly.

• Pete’s death came as a huge shock to

his family and friends impacting on so many lives.

• He

became acutely unwell very quickly and as his family, we never dreamed life would take us on this path.

LOST IN THE DARKNESS

• When someone dies by suicide the trauma for those left

behind is immense.

• There are often complex feelings of guilt, anger, and many

unanswered questions.

• Unknowingly; families must undergo inquests at coroners court,

case reviews as well as organising funerals, and legal affairs.

• This can be daunting and confusing on top of grief.
• Our experience was one of very little support with this.
• When this is over, all that is left is a gaping hole. A missing

person, and a whole heap of feelings that can leave grievers feeling totally stuck and unresolved. Resulting in physical and emotional pain, anxiety, sickness, depression and in the worst cases further suicides.

“A sunflower turns toward the rays of the sun…… The sunflower desires to seek light, facing the sunshine rather than the shadows….. The sunflower looks forward to the brightness of tomorrow”.

SUNFLOWERS TWO MAIN AIMS

1.

To shatter stigma by raising SUICIDE PREVENTION AND MENTAL HEALTH awareness

• Prevention
• Intervention

2. To support individuals living in Gloucestershire who are BEREAVED BY SUICIDE

• Postvention

SUNFLOWERS RAISING AWARENESS: PREVENTION

• I am Listening Campaign

https://www.youtube.com/watch?v=zX5sgfYk82k

• ‘Kindness Rocks’ Campaign
• Hope Notes

Livingworks Registered Trainers Two Day Accredited Workshop Be suicide alert Effectively apply suicide intervention model

Develop a safe plan

SUNFLOWERS RAISING AWARENESS: INTERVENTION

SUICIDE AWARENESS: INTERVENTION

• New Suicide Risk

Assessment Tool in Gloucestershire put in place after Pete’s death

• Developed by Dr A

Smith and 2gether Trust

• Offers Red Flags
• Offers guidance for

safety plan and management

• Provides referral options

SUNFLOWERS SUICIDE LOSS SUPPORT: POSTVENTION

• Services Offering Support

(S.O.S Packs)

• Ray of Sunshine

Memorial Box

• Practical Support
• Storms Walking Group

SUNFLOWERS SUICIDE LOSS SUPPORT: POSTVENTION

EVENTS – we try to include some practical activities to do,

which represent death/grief and remembering/letting go.

Memorial Christmas tree

Memorial Sunflower Garden

Butterfly release

Alternative Christmas Party

SUNFLOWERS SUICIDE LOSS SUPPORT: POSTVENTION

Certified Grief Recovery Specialist Peer Support

Not therapy or counselling

Incomplete recovery from grief can lead to life long negative effect on capacity to happiness Education programme

EXPERIENCING LOSS

• Incomplete recovery can have a lifelong negative effect on

the capacity for happiness

• We are often told to ‘let go’ or ‘move on’……but no one tells

us how

• Unresolved Grief can lead to physical and emotional illness.
• Grief is natural and normal and occurs following all loss, not

just death.

• Grief Recovery Method provides the correct tools to support

emotional resilience.

Grief recovery method 1 to 1 and Group sessions

• Free for those bereaved by

suicide

• Aim to help work through

grief and conflicting emotions that are linked to individual loss

• Delivered over 8 weeks
• Offers specific actions to

help learn to live after loss

2 ELEMENTS THAT WE AT SUNFLOWERS WILL OFFER;

Helping children deal with loss

• For

parents/Professionals/anyon e that works or cares for children

• Paid course
• Delivered over 6 weeks
• Guidance

for helping children develop a life long healthy response to loss

• Offering guidance on what

not to say/what to say to help children deal with loss

PILOT SUPPORT GROUP

• Run by Counselling Psychologist Rachel Graham,

alongside the Sunflowers Team

• Maximum of 15 per group
• A different topic explored each month
• How to tell people (coping with reactions)
• Coping with mixed feelings (anger, guilt, sadness)
• Anxiety/Trauma
• What to do with your loved ones things
• Self care/Mindfulness/relaxation

www.sunflowerssuicidesupport.org.uk

glos.sunflowers@outlook.com 07542 527888 Find us on Facebook, Instagram and Twitter @GlosSunflowers Charity Number: 1177266

Update on the #Stayalive app October 2018

Presentation to Gloucestershire Suicide Prevention Partnership Forum (GSPPF).

Total Number of Downloads

• At the May GSPPF meeting we looked at the functionality of

the app. We had a walk through of the different features of the app and looked at the total number of downloads nationally.

• The total number of downloads was (May 2018) = 57.3k
• Android: 24.7k
• ios: 32.6k

Current Position

The total number of downloads now (October 2018) = 69.75K

• Android: 31.15K
• ios: 38.6K

We now have more detailed metrics which provide a greater insight

• Grassroots started collecting user data in August 2018 using

Google Analytics. This is a snapshot of insights from 1 month

• f app usage on Android devices.
• Using Firebase by Google, the number of 'events' has been

counted from August 23rd to September 23rd 2018. Events can be described as actions or activities through the app, such as: opening the app, a page, a link or using a feature.

Here are some of the key metrics:

• 2478

Users have opened the app

• 53877

Page views

• 145

URL clicks

• 97

Personal Resources added to the app

• 135

Personal Reasons for Living added to the app

• 2610

Fields were added to the Safety Plan

• 399

Wellness plans completed

Grassroots

• Since we last met, Grassroots has been awarded a two year

grant from the Crisis Care Concordat which will enable the roll out of a two-year app development plan. They will be looking for feedback on how the app works, its accessibility and features.

• This will include doing a peer review of the app (an academic

will undertake this).

International Men’s Day – November 19 2018

• Our digital team will focus on the app for the above

awareness day. This will include a re-launch of the app. Plans for social media so far include signposting people to the website where they can find out how to download the app.

• This will include paid and unpaid social media. This could

include links to search terms that people use to find information and tips on suicide on social media.

Other Promotion for International Men’s Day and beyond

• Train stations – staff to have cards which they can hand out

to people. Information stands at stations. Staff trained in mental health first aid.

• A line about the app in What’s New and the equivalent for

Herefordshire (bulletin for GPs).

• Buses (paid ads on the side of buses) and potentially on bus

tickets.

• Focus on motorway bridges, car parks, men’s toilets, sports

clubs, mobile phone shops.

Insights Stay Alive app

https://www.gloucestershire.gov.uk/media/2083696/insights- stay-alive-app-final.pdf

Beth Bennett-Britton Public Health Consultant Public Mental Health and Children & Maternity

Public Mental Health Update on the broader agenda

Overview

• DPH Annual Report, Leading the Way to Wellbeing
• Gloucestershire’s All Age Mental Health and Wellbeing Strategy,

2018-2023

• GloW – Gloucestershire Wellbeing, Gloucestershire’s response to

the PHE Prevention Concordat

Director of Public Health Annual Report 2017/18

Leading the way to wellbeing: the mental wealth of Gloucestershire

https://www.gloucestershire.gov.uk/media/2082967/leading _the_way_to_wellbeing.pdf

This year’s report prioritises…

1. Promoting good mental health and wellbeing from the earliest age 2. Helping people build the Five Ways to Wellbeing into their everyday lives 3. Creating and sustaining the conditions for good mental wellbeing 4. Working in partnership to prevent self-harm and suicide 5. Building mental health-friendly communities and workforces

• Over half of adult

mental health problems begin by 14 and 75% by 18

• Estimated 1 in 10

young people have a diagnosable mental illness = around 7,000 in Gloucestershire

• Most commonly

reported issue to TIC+ is anxiety / worry / stress (85%), followed by family problems (60%)

• 1. Promoting good mental health and wellbeing from

the earliest age

Priorities for the future

• Implementing ACEs

Strategy

• Influencing child friendly

county approach and new Health & Wellbeing Strategy

• Continuing to support

schools to implement early intervention across the whole school community

www.onyourmindglos.nhs.uk Nearly 19,000 visitors in 2017/18

Five Ways to Wellbeing: an evidence based set of actions that anyone can do to improve and sustain their mental wellbeing

• 2. Helping people build the Five Ways to Wellbeing into

their everyday lives

Priorities for the future

• Encourage workplaces,

community groups and

• ther settings – as well as

individuals – to take up the Five Ways challenge and share with us how they’ve lived them everyday

• Focus these efforts where

people are at higher risk

Range of determinants of mental wellbeing:

• education & attainment
• employment & working

conditions

• financial & social status
• housing
• the built and natural

environment

• social networks

Which have a range of influences!

• 3. Creating and sustaining the conditions for good

mental wellbeing

Priorities for the future

• Support the Glos

Moves Active Design workstream

• Work with planners to

influence policy and ensure built environment enables good wellbeing

• Review impact of

Money Advice for Mental Health pilot

Hospital stays for self-harm and deaths by suicide have been higher than England for a number of years

• 4. Working in partnership to prevent self-harm and

suicide

Priorities for the future

• Improve postvention

(bereavement) support

• Appoint a GP Lead to

improve primary care response

• Deliver

communications and engagement plan, including sensitive media coverage

• Deliver our self-harm

pathway review action plan

Stigma, discrimination and lack of understanding can prevent people from seeking help at an early stage. Partners have tackled stigma amongst: men; children and young people; new parents; and the farming community. In 2017/18, GCC equipped 449 people with essential skills through MHFA and ASIST courses.

• 5. Building mental health-friendly communities and

workforces

Priorities for the future

• Work with Patient

Participation Groups (PPGs) to tackle stigma

• Increase involvement
• f experts by

experience

• Continue targeting our

training to increase impact

• Explore how our

training can reach communities

GloW: Gloucestershire Wellbeing

• Launched in July 2018
• Gloucestershire’s response to the PHE Prevention Concordat
• Increasing the focus on all the things that contribute to our

wellbeing, i.e. the determinants.

• Social connections
• Employment/financial security
• Physical health
• Access to green space
• Transport
• Physical Security
• The aim is to promote wellbeing for all and

prevent mental illness Positive Actions for Better Mental Wellbeing

GloW: Gloucestershire Wellbeing

• Created ‘The Gloucestershire Commitment’ highlighting the

importance of focussing on promoting wellbeing for all

• Invited Partners to sign up to this commitment
• Each pledged an action to promote wellbeing by

addressing one or more of the ‘determinants’ with their staff or clients.

• Actions will be monitored by the Health and

Wellbeing board on an annual basis Positive Actions for Better Mental Wellbeing

https://www.gloucestershire.gov.uk/council-and-democracy/gloucestershire- health-and-wellbeing-board/glow-gloucestershire-wellbeing/

GloW: Gloucestershire Wellbeing

• Mapping existing activity (includes voluntary, un-constituted, formally

commissioned etc) across Gloucestershire which is addressing one

• r more of the determinants, i.e. the KYP networks are an example
• f addressing social connection and social support networks.
• Gaps will be identified and opportunities

explored.

• Can you help us identify and link up provision?

Positive Actions for Better Mental Wellbeing

Over to you….