Improving Physical

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30th April 2007 Centennial
Centre Sharing ideas and approaches Kate
OHara Mental Health Promotion Programme
lead Rachel Heywood Valuing People Regional Advis
er CSIP West Midlands

• Improving Physical
• Health Well-Being

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Setting the Scene one year on!

• Our Health, Our Care, Our Say
• GMS2 Contract
• From Here To Equality - 5 year strategy 2004 -
  2009
• Healthy Body, Healthy Minds guidance
• Choosing Health
• Commissioning Framework Supporting the physical
  health needs of people with severe mental illness
• Disability Rights Commission Investigation

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Equal Treatment Closing the GapA formal
investigation into health inequalities
experienced by people with learning disabilities
and/or mental health problems

• people with learning disabilities and/or mental
  health problems die younger than other citizens.
  They live with poorer health which stops them
  participating in their communities and in the
  economy.

• Primary care practitioners, learning disability
  and mental health teams, can ensure the most
  excluded groups receive the physical health
  attention they need.
• This will help make the service more flexible for
  everyone, raising the quality of patient
  experience, and providing the early intervention
  that prevents greater health problems and crises
  later
• www.drc-gb.org/healthinvestigation

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Equal Treatment Closing the GapA formal
investigation into health inequalities
experienced by people with learning disabilities
and/or mental health problems

• people with learning disabilities and people with
  mental health problems are much more likely than
  other citizens to have significant health risks
  and major health problems.
• for people with learning disabilities, these
  particularly include obesity and respiratory
  disease

• for people with mental health problems, these
  particularly include smoking prevalence, obesity,
  heart disease, high blood pressure, respiratory
  disease, diabetes and stroke
• the investigation also made a new finding that
  people with a diagnosis of schizophrenia are
  almost twice as likely to have bowel cancer than
  other citizens.

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Whats really important!

• If you dont get any help with your physical
  health your mental health goes down. If you
  dont get help with your mental health your
  physical health goes down. Its swings and
  roundabouts all the time.
• Once I got my diagnosis that was all they
  saw. I was just a woman who was depressed and
  anxious any concern about my health was just a
  symptom of my illness or my awkwardness with
  professionals.

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NIMHE Anti-Stigma Discrimination Programme

• From Here To Equality - 5 year strategy 2004 -
  2009
• Resources for Promoting Healthy Living for people
  who experience mental health problems
• Physical Health Project West Midlands Pilots
• Shift programme - we all have mental health
  needs
• www.shift.org.uk

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Future practice

• The thing is, we know whats bad for us,
  whether we have a mental health problem or not.
  The problem is time, money and motivation, rather
  than counting pieces of fruit
• Service User
• The physical health and well-being of the
  people I work with is of concern to them and
  therefore is of concern to me. It will impact on
  their mental health and vice versa and everything
  about my training related to treating the whole
  person. So that is who I intend to work with.
  
• Mental Health Nurse
• Its important to provide people with
  information so that they can make their own
  decisions, their own choices and take
  responsibility for themselves and for their
  health.
• Practice Nurse
• Health promotion services and information
  are not less relevant for people with mental
  health problems.. but more so. We should be
  bending over backwards to make sure people have
  the information they need.
• Psychiatrist

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Other useful resources

• Mental Health Foundation
• Food and Mental Health Campaign - campaign to
  increase awareness and understanding of the links
  between food and mental health
• http//www.mentalhealth.org.uk/page
  .cfm?pagecodePRFM
• Up and Running - Exercise therapy and the
  treatment of mild or moderate depression in
  primary care.
• http//www.mentalhealth.org.uk/html/content/
  up_and_running.pdf
• Rethink/Primhe/Sane/RCN
• Running on Empty Working together to help
  everyone affected by severe mental illness,
  including schizophrenia, to recover a better
  quality of life
• http//www.rethink.org/news2Bcampa
  igns/assets/RoE20Report20FINAL.pdf

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Learning Together

• Valuing People (2001)
• Valuing Health for All
• Approaches to improving peoples physical health
  Health Facilitation models
• Thanks for inviting us to present at your event
  we will be presenting some work done nationally
  and regionally later today!