improving mental health and wellbeing Catherine Richardson Public - - PowerPoint PPT Presentation

Welfare rights: a key driver to improving mental health and wellbeing

Catherine Richardson Public Health

What does Public Mental Health mean in County Durham?

• Adopted the Mental Illness and Mental Health:

The Two Continua Model Across the Lifespan

• This model moves past the concept that

mental health is the absence of mental illness and believes that mental health can be enhanced regardless of a diagnosis of mental illness.

The Mental Health/Illness Continuum

Public Mental Health Strategy

• Based on local needs
• Evidence base
• All age
• Multi agency

partnership

• Endorsed by Joint

Health & Wellbeing Board

• Priority groups

National context

Number of suicides year on year in County Durham

Mosaic- allocation of those taking

• wn life to 7 ‘supergroups’

Mosaic Public Sector Supergroups Your area/file % Comp. % Pen. % Index A Rural and small town inhabitants 17 8.33 42,946 10.65 0.04 78 B Affluent households 3 1.47 23,094 5.73 0.01 26 C Middle income families 19 9.31 60,025 14.89 0.03 63 D Young people starting out 6 2.94 18,017 4.47 0.03 66 E Lower income residents 109 53.43 179,062 44.42 0.06 120 F Elderly occupants 17 8.33 38,263 9.49 0.04 88 G Social housing tenants 33 16.18 41,686 10.34 0.08 156 Total 204 100 403,093 100 0.05 100

Based on postcode; those taking their own life are more likely to be lower income residents and social housing tenants (index value >100)

Mosaic- allocation by ‘group’

Mosaic Public Sector Groups Your area/file % Comp. % Pen. % Index A Residents of isolated rural communities 7 3.43 11,242 2.79 0.06 123 B Residents of small and mid-sized towns with strong local roots 10 4.90 31,704 7.87 0.03 62 C Wealthy people living in the most sought after neighbourhoods 0.00 4,233 1.05 0.00 D Successful professionals living in suburban or semi-rural homes 3 1.47 18,861 4.68 0.02 31 E Middle income families living in moderate suburban semis 10 4.90 38,812 9.63 0.03 51 F Couples with young children in comfortable modern housing 9 4.41 21,213 5.26 0.04 84 G Young, well-educated city dwellers 2 0.98 6,849 1.70 0.03 58 H Couples and young singles in small modern starter homes 4 1.96 11,168 2.77 0.04 71 I Lower income workers in urban terraces in often diverse areas 20 9.80 27,274 6.77 0.07 145 J Owner occupiers in older-style housing in ex-industrial areas 23 11.27 46,853 11.62 0.05 97 K Residents with sufficient incomes in right-to-buy social housing 66 32.35 104,935 26.03 0.06 124 L Active elderly people living in pleasant retirement locations 2 0.98 6,268 1.55 0.03 63 M Elderly people reliant on state support 15 7.35 31,995 7.94 0.05 93 N Young people renting flats in high density social housing 2 0.98 2,714 0.67 0.07 146 O Families in low-rise social housing with high levels of benefit need 31 15.20 38,972 9.67 0.08 157 Total 204 100 403,093 100 0.05 100

Results; 2005-2012 data

• 81% male; age distribution shown below

Age Number

• f

suicides

Trends over time…

Year Number

• f

suicides

Characteristics of those taking their own life

• 62.8% were divorced, separated, single, or widowed
• 32.2% lived alone
• 30% were unemployed
• The most common method was

hanging/strangulation

Characteristics of those taking their own life

• 58.9% were recorded as having a

mental health problem

• 39.2% had a history of self-harm
• 20% had significant alcohol intake

recorded

• 13% were drug users
• 53% had a history of involvement with

Criminal justice system (CJS)

Contact with services

• 44% had contact with their GP in the 3 months before

death

• 37.9% had contact with mental health services in the

12 months before their death, of these;

• 82% unemployed
• 37% lived alone
• 68% single
• 57% contact with CJS
• 37% noted as having alcohol problem
• 18% recorded as drug users

Themes for those where multiple triggers thought to be relevant

Theme Number of cases affected Mental health problems 33 Family/relationship breakdown 33 Ill health 12 Bereavement 29 Alcohol 15 Financial problems 29 Drug use 7 Problems at work 3 Police involvement 5

So, overall, most common triggers are;

Theme Number affected Percentage Mental Health Diagnoses 74 25.9% Family/relationship breakdown 73 25.6% Bereavement 47 16.5% Financial Problems 34 11.9%

Is the economic crisis going to spell more suicides in County Durham?

What is already available in County Durham ?

• Welfare Rights service targeted at those with poor mental

health

• Bereavement
• U Care Share deliver family practical support incl a home

visit

• Cruse deliver bereavement support
• As part of counselling provision; bereavement counselling
• Financial support is currently delivered through CAB
• A county wide relationship support service is available

through ‘Relate’. Couples counselling is offered through IAPT and some volunteer organisations also offer support.

• Community support through CREE (sheds project)

Prevention of Mental Ill-Health

Reduce the suicide and self-harm rate Cree project –Locally based –The ‘Reason’ and Focus –Champions –Training

– Referral/Ongoing Support – Welfare Rights support

Cree project

Thank you

• Catherine.richardson@durham.gov.uk