Wellbeing Celebration Event

Thank You……………

Running Order

• Dr Mike McHugh - Head of Public Health Leicestershire County Council

• The Worth-it Guide – introduction• Break & Networking• Dr Christian Van Nieuwerburgh – Expert in Coaching Psychology UEL• Liz and Maddy Worth-it Projects Services • You are welcome to stay for our young peoples celebration and meet

the Reps 5pm-7pm

Preventing Mental Health Problems by Improving

Wellbeing - Using Positive Psychology

Dr Mike McHughConsultant in Public Health

21/5/14

What is mental health?

‘..a state of well-being in which every individual realizes his/her own potential, can cope with normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her/ his community……’ WHO 2001

• Absence of mental illness

• Positive mental health

• Mental well-being

Promoting mental health in Wales Lynne.friedli@btopenworld.com Michael.parsonage@scmh.org.uk

Dimensions of mental health

Mental health

(capital)

Emotional resources e.g. coping style,

mood, emotional

intelligence

Cognitive resources e.g. learning style,

knowledge, language, flexibility,

innovation, creativitySocial skills e.g.

listening, relating, communicating, co

operating, accepting

Meaning and purpose e.g.

vision, spiritual growth,

connectedness

If I am not for myself, who will be for me? And if I am only for myself, what am I? If not now,

when?

Mental health builds ‘wellbeing’…What do we mean by Wellbeing?

"The subjective state of being healthy, happy, contented, comfortable and satisfied with one's quality of life. It includes physical, material, social, emotional ('happiness'), and development and activity dimensions.”

DOH, Commissioning Framework for health and wellbeing, 2007 p 99

Positive Psychology

….is the scientific study of human flourishing, and an applied approach to optimal functioning.

It has also been defined as the study of the strengths and virtues that enable individuals, communities and organisations to thrive….

Scale of the problem• Mental health conditions account for almost 1/4 of

burden of ill health in the UK, more than either cancer or heart disease (WHO 2008)

• At any one time, at least one person in six is experiencing a mental health condition (DH)

• Mental ill health costs £105 billion each year in England alone-£21bn in H and SC costs and £29bn in losses to business (Centre for MH, 2010).

A life course perspective (Kim-Cohen 2003; Kessler 2005)

• 50% of lifetime cases of diagnosable mental illnesses begin by age 14

• Approximately three quarters of disorders are estimated to start before the age of 18

• Adult disorders are preceded by their juvenile counterparts – the more serious disorders start earlier in life

• 25- 45% of all adult disorders are preceded by conduct disorders in childhood/ adolescence

• Younger cohorts have higher rates of mental health disorders than older cohorts

• 25%- 50% of adult disorders potentially preventable with treatment during childhood/ adolescence

Rates are rising

• ↑ in times of economic downturn.• Aging population-dementia/depression in old age• Economic downturn with increases in debt,

unemployment, homelessness and fuel poverty – all impact negatively upon mental health with the potential to make the economic situation worse

• Estimates that costs of Rx MH problems will double over the next 20 yrs.

Inter relationship between mental and physical health

• Mental health is a key factor in the adoption and maintenance of unhealthy lifestyles

• Mental health problems increase the risk of premature mortality from diseases such as cardiovascular disease

• Physical health problems can affect mental health

Mental Health

Physical Health

Historically, mental and physical health have been seen as separate and non- interacting domains,

resulting in separate treatment approaches and policies

Separate view of health

PhysicalHealth

Mental Health

In reality, there is considerable overlap and interaction between physical and mental health

Poor mental health is probably a larger contributor to health risk behaviours and poor physical health than the other way round

An integrated view of health

The mental health spectrum

FlourishingModerate

mental health

LanguishingMental

disorder

From: Huppert Ch.12 in Huppert et al.

(Eds) The Science of Well-being

Number of symptoms or risk factors

• Mental health and mental illnesses are determined by multiple and interacting social, psychological, and biological factors, just as health and illness in general.

• Mental illness is consistently associated with deprivation, low income, unemployment, poor education, poorer physical health and increased health-risk behaviour

What causes (1) mental illness? and (2) mental wellbeing/health?

Associated Risk Factors for Poor Mental HealthRisk Factor Degree of Risk (OR) Prevalence

Poor maternal mental healthChild Abuse

5.5/ 5.3 increased rate of emotional/ conduct disorder15.5 increased rate of minor depression as child8.7 suicidal ideation8.1 anxiety7- 8 times increased rate of recurrent depression as adult9.9 PTSD5.4 Substance misuse

Post natal depression - 10% 20% of children report experiencing some form of child abuse in their lifetime (UK)

Looked After Children

6- 8 times conduct disorder4- 5 times suicide attempt

1-2% children are ‘looked after’

Young Offender 18 times increased suicide risk 9,000 young offenders

LGBT 4 times increased risk of suicide 6% of population

More risk factors..

Risk Factor Impact upon Mental Health

Prevalence

Unemployment Economically inactive -up to 5.5 times more at risk

Unemployment rate 6.3% (ONS, Feb 2009)

Debt 3- 4 fold increased likelihood if mental health problem

4% with 3 months in arrears (Bank of England, 2007)

Cold Home/ Fuel Poverty

4 fold increased risk of depression or anxiety

Over 2.9 million people in 2007

Flooding 4 fold increased risk of depression

Up to 40% increased risk (UKCIP/ Pitt Review)

Violence 8.6 increased rate of attempted suicide (dating violence)

1 in ten 16-19 year old females sexually assaulted each year (BCS)

Why improve mental health as early as possible?

• Improving mental health early in life will reduce inequalities, improve physical health, reduce health-risk behaviour and increase life expectancy, economic productivity, social functioning and quality of life.

• The benefits of protecting and promoting mental health are felt across generations and accrue over many years

What is Mental Health Promotion?

• Health Promotion as defined by the WHO is “the process of enabling people to increase control over, and to improve their health”

• The Department of Health defines mental health

promotions as “Any action to enhance the mental wellbeing of individuals, families, organisations or communities”. DH 2001

Mental Health Promotion is about..

• Building on existing strengths, assets, skills, resources, networks, social and community supports, and relationships that enhance our sense of competence and belonging.

• Giving people opportunities to experience personal

mastery through activities that lead to increased self-esteem, quality of life, and social connectedness

Policy Context

• The Foresight Report (2008)• Marmot Review - Fair society, Healthy Lives Marmot

Review (2011)• Healthy Lives, Healthy People (2011)• No Health Without Mental Health (2011)

Foresight Report ‘Mental Capital and Wellbeing: Making the Most of Ourselves in the 21st Century’

• Highlighted the importance of mental capital and wellbeing:

“An individual’s mental capital and mental wellbeing crucially affect their path through life and are vitally important for the healthy functioning of families, communities and society’

‘Five ways to well-being’

Connect...

Be Active...

Take Notice ....

Keep Learning

Give....

Five Ways to Wellbeing

• The Five Ways to Well-being were developed by New Economics Foundation which gathered the latest scientific evidence on mental capital and mental wellbeing for the UK government’s Foresight Project on Mental Capital and Wellbeing (2008).

• http://www.nhs.uk/Conditions/stress-anxiety-depression/Pages/improve-mental-wellbeing.aspx

Cognitive behavioural therapy

• A talking therapy that can help people manage their problems by changing the way they think and behave.

• Cannot remove patient’s problems, but can help patients manage their problems in a more positive way by encouraging individuals to examine how their actions can affect how you think and feel.

Mindfulness

The effect of shifting the mean of the mental health spectrum

Flourishing Moderate mental health Languishing

Mental disorder

From: Huppert Ch.12 in Huppert et al. (Eds) The Science of Well-being

Number of symptoms or risk factors

Benefits of flourishing

Wider Social Benefits• Improved educational attainment• Reduced anti-social behaviour, crime and violence• Fewest missed days off work

Health • Healthiest psychosocial functioning,

i.e. low helplessness, clear goals, high resilience• Lowest cardiovascular disease• Lowest number of physical diseases with age• Fewest health limitations of activities of daily living• Lower health care utilisation

Ensure a positive start in

life

Build resilience & a safe,

secure base

Integrate physical & mental health

& well-being

Developsustainable,

connected communities

Promotemeaning &

purpose

Prevent and reduce impact ofAdverse Childhood Experiences:•Child abuse•Parental mental illness•Parental substance misuse•Parental Domestic Abuse•Household offender•Childhood bereavement

Improve: Parenting & Parental Health•Social and Emotional Literacy in Healthy Schools•Early interventions for conduct & emotional disorders

Reduce Inequalities:•Unemployment •Fuel Poverty•Homelessness•Violence and Abuse•Impact of Climate Change

Promote:•Employment•Benefits Checks•Safe Green Spaces•Insulated & Warm Homes•Partnership Working

Reduce:•Smoking•Alcohol•Drugs•Obesity

Improve:•Physical activity •Healthy Food•Sexual Health•Health Checks

Reduce social exclusion:• Address discrimination and stigma• Target high risk groups

Enhance:•Community engagement•Ecological intelligence and connectedness

Meaning from adversity:•Post traumatic growth•Psychological therapies•Positive reflection

Cultivate purposefulness & fulfilment: •In life, work, education and volunteering•By creativity, coherence and flow•With inclusive beliefs and values

Reducerisk

factors

Promoteprotective

factors

Nurse J2008

Create flourishing, connected

communities

A Public Mental Health Framework

for Developing Well-Being

Thank You

Mike.mchugh@leics.gov.uk

Why we do what we do!

1 in 51/3 Every 20

minutes

£105 Billion

75%£15

Our Approach

“We are award winning providers of positive psychology coaching , training and programmes

that specialise in the improvement of mental wellbeing for vulnerable young people”

Training, One to One Coaching and Group Work Programmes

230 young people referred to our services

80% engaged in our support

15 workshops

in schools

250 Young

People

Professional'sTrained 92 since

Nov 2013

Social Impact

Delivered 27 FIRST programmes

Pilot Trained 10 parents and 16 Young people in coaching skillsImproved symptoms

of depression & anxiety to below

clinical levels.

Improved positive coping

strategies & reduced self

harm

Improved engagement,

communication skills and confidence

Worth-it Reps• Young people who have used

our services• Collaborate on design and

improvement of our services• Ideas to support other young

people to improve mental wellbeing

• Improve awareness of services

Break time & Networking

Using coaching to unleash the potential of young people

Dr Christian van Nieuwerburgh

Senior Lecturer in

Coaching Psychology

What is powerful about coaching?

Is there any evidence that coaching works?

One-to-one conversation…

builds on a person’s strengths

leads to better outcomes

is forward-focused

can make a real difference to people’s lives

“Unlocking a person’s potential to maximise

their own performance”

Sir John Whitmore

(Whitmore 2002)

(Whitmore 2002)

Is there any evidence that coaching works?

Impact of coaching: Young people

Personal coaching for students led to “significant increases in levels of cognitive hardiness and hope…” Green, Grant & Rynsaardt, 2007

Impact of coaching: Young people

A research project in the UK has shown that “coaching can contribute to student performance” (academically) Passmore & Brown, 2009

Impact of coaching: Young people

High school students who were coached met or exceeded their academic targets.

van Nieuwerburgh, Zacharia, Luckham, Prebble & Browne, 2012

Impact of coaching: Young people

Training high school students to become coaches can lead to better study skills, increased emotional intelligence and improved communication skills.

van Nieuwerburgh & Tong, 2013

Impact of coaching: Young People

Final thought“The way to get people to build a ship is not to teach them carpentry, assign them tasks, and give them schedules to meet; but to inspire them to long for the infinite immensity of the sea.”

Antoine de Saint-Exupéry

Ongoing discussion

email: chrisvn@uel.ac.uk

@ChristianvN

ReferencesGreen, S., Grant, A. & Rynsaardt, J. (2007). Evidence-based life coaching for

senior high school students: Building hardiness and hope. International Coaching Psychology Review, 2(1), 24-32.

Passmore, J. & Brown, A. (2009). Coaching non-adult students for enhanced examination performance: a longitudinal study. Coaching: An

International Journal of Theory, Practice and Research, 2(1), 54-64.

van Nieuwerburgh, C., & Tong, C. (2013). Exploring the benefits of being a student coach in educational settings: a mixed-method study. Coaching: An

International Journal of Theory, Practice and Research, 6(1), 5-24.

van Nieuwerburgh, C., Zacharia, C., Luckham, E., Prebble, G., & Browne, L. (2012). Coaching students in a secondary school: A case study. In C. van Nieuwerburgh (Ed.), Coaching in education: Getting better results for students, educators, and parents (pp. 191-198). London: Karnac.

Whitmore, J. (2002). Coaching for Performance (3rd edition). London: Nicholas Brealey.

Our Services

Our Services

Young people’s projects• FIRST• FIRST for work• FIRST Xtra• FIRST Futures• Young Carers coaching• LEAP• Coaching Outreach

Training

• Coaching Skills for Parents• 1 day Coaching Skills toolkit• 2 Day skills for coaching at risk

teens• Mental wellbeing awareness

Make a Referral or Get in Touch

• Call us on 01530 835155• Email info@worth-itprojects.co.uk• Go to our website

www.worth-itprojects.co.uk• Like our Facebook page Worth-it Projects• Follow us on Twitter @Worthitprojects.• We hope to work with you soon