MHFA The RSPH Perspective

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MHFAThe RSPH Perspective

• Robin Philipp
• Consultant Occupational Public Health Physician

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The RSPH 1 October 2008

• RIPH (1886) - RSH (1876)
• Public Health the science and art of protecting
  and improving the health of communities through
  education, promotion of healthy lifestyles, and
  research for disease and injury prevention
• Independent multi-disciplinary, 7,000
  associates, licentiates, members fellows
• Royal Charter, Patronage HM the Queen

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Spectrum of Member Interests

• Health protection
• Environmental health
• Health professions medicine, dentistry,
  nursing, PAMs
• Dentistry
• Food hygiene
• Nutrition dietetics
• Health promotion Well-being Practitioners, Arts
  Health
• Health safety
• Veterinary science
• Engineering
• Architecture
• Health care management
• Social care

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The RSPH Approach

• Vision, Voice, Practice
• Advocacy, Mediation, Empowerment
• Policy Development
• Education Training Services
• Scientific Research
• Information Dissemination
• Certification of Products, Training Centres
  Processes

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RSPH Links

• Government Depts
• Public Sector Organisations
• Other Charities
• Media
• Commercial Companies
• Consumer Bodies
• Partner University Network (policy, collaborative
  research bids dissertation support)

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RSPH International Collaboration

• American Public Health Association
• European Public Health Association
• World Federation of Public Health Agencies
• World Health Organisation
• International Union for Health Promotion
  Education
• The Peoples University

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RSPH Present Priorities

• Child and Adolescent Health ( Social Justice)
• Food Nutrition
• Immunisation and Vaccination
• Infection Control
• Sexual Health
• Sustainable Development including needs
  associated with Mental Health Emotional
  Well-being

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RSPH-NIMHE-MHFA

• Public Health 1D, 2D, 3D Prevention
• WHO defn. Health is a state of complete
  physical, mental, psychological, social
  spiritual well-being not merely the absence of
  disease or infirmity

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From Mental Illness to Well-being

• Mental illness a diagnosable illness that
  significantly interferes with and individuals
  cognitive, emotional or social abilities, e.g.
  depression, anxiety, schizophrenia
  www.healthscotland.com
• Mental well-being a broad term encompassing
  areas such as life satisfaction, optimism,
  self-esteem, mastery feeling in control, having
  a purpose in life, and a sense of belonging
  support www.healthscotland.com
• Health Promotion The process of enabling people
  to increase control over thereby improve their
  health (Nuffield Trust 1999)

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The Nuffield Nudge

• Humanities in Medicine Beyond the Millennium
  (1999). Philipp, R., Baum, M., Mawson, A., Calman
  Sir K. Report Series No.10 164pp.
• Arts, Health Well-Being (2002). Philipp, R.,
  Baum, M., Macnaughton, J., Calman Sir K. 114pp.
• CAHHM, Medical Humanities, RCP books,
• Cultural Medicine (DoH Arts Council)

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A Nudge For The Literary Arts

• Survivors Poetry in spite of not because
• Lapidus
• 1.26 millions Annual Prescribing Cost Savings
  SSRIs _at_ 2001 costings
• News Media coverage

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The Media Moved

• GPs to be versed in therapy
• Try the rhythm method
• A poem a day keeps dejection at bay
• Let iambics take the measure of your stress
• Rhyme restores reason
• Exam blues? An ode could ease your load
• From bad to verse

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The Italian Red Cross

• Technology Communication for a New
  Humanitarian Intervention
• Office of International Health Cooperation
  Development 2007 232pp.
• www.choleracafe.com

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MHFA Training Aims

• Preserve life where a person may be a danger to
  themselves or others
• Provide help to prevent the mental health problem
  developing into a more serious state
• Promote recovery of good mental health
• Provide comfort to a person suffering mental
  illness

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Joined Up ThinkingMHFA Training, the RSPH 1D,
2D, 3D Prevention

• Mental health lifestyle are linked
• Self-esteem, personal confidence morale
  influence lifestyle are influenced by it
• Epictetus 100 AD
• Smoking, diet, weight nutrition, alcohol,
  drugs, exercise (NHS LifeCheck)
• Health Emotional Literacy (20 UK - )

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Definitions of Well-Being

• Ataraxia inner peace
• Eudaimonia a feeling that reflects a
  combination of well-being, happiness,
  contentment, pleasure satisfaction of living
  the best life possible
• RCP 2005 a holistic notion of achieving a
  state of health, comfort happiness

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Who Is Doing What ?

• The Nuffield Trust arts humanities
• FPH Position Statements mental health smoking,
  with work
• NICE evidence bases for public health
  interventions
• RCGP RCPsych public information leaflets
• Websites Livinglifetothefull Beatingtheblues
• NHS Choices (NHS Direct) - LifeStyleCheck
• BMA-AMA-CMA with RSPH, NIMHE, NHS Plus, NCAS
  Postgrad. Deaneries?

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The RSPH NIMHENeeds For Sustainable Development

• Values a set of principles which are consistent
  inform direct our thought, action
  activities
• Fiscal Capital accumulated wealth as used esp.
  in further production
• Human Capital social, cultural,
  intellectual, emotional, creative,
  aesthetic, spiritual, moral
• UK Creative Industries worth 60 billion / year
  (British Council)

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RSPH Support For Human CapitalTraining Courses

• Working together with national learning support
  networks designed to disseminate effective
  practice
• Signposting professionals to toolkits materials
  developed by other organisations
• Filling gaps with evidence-based practical tools
  to help public health practitioners

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The RSPH Establishing Competencies, Benchmarking
Compliance

• 7 levels of Generic Outcomes of Understanding
• National Qualifications Framework (NQF)
• National Qualifications Credits Framework
  (NQCF) new
• Public Health National Occupational Standards of
  the Sector Skills Council
• MHFA Instructors Course Level 3

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The RSPH Portfolio of Qualifications

• 40 qualifications
• 100,000 students qualify each year
• Accreditation by OfQual (the Govt. Regulator)

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Other RSPH Stand Alone Awards of Relevance to
MHFAIs

• Health Awareness Level 1
• Understanding Health Improvement Level 2
• Recognising Responding to Substance Misuse
  Level 2 under development
• Certificate in Health Promotion Level 2

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Relevance of these Awards to MHFAIs

• First 3 all recognise competency to
• Identify signs and / or symptoms
• Assess the immediate risk what help is
  required
• Ensure self-care

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The Most Relevant Award

• Understanding Health Improvement
• UK Govt. White Paper Choosing Health Making
  Healthier Choices Easier
• Identified need for the NHS Health Trainer
• Role advise, motivate support individuals
• 1st step towards becoming a fully qualified NHS
  Health Trainer

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Understanding Health ImprovementAward

• Accredited training for workplace Health
  Champions relevance for PCTs Health, Work
  Well-being Coordinators Lord Darzi, Dame Carol
  Black
• Health promotion role within the workforce
• Losing weight keeping it off
• Eating more healthily
• Quitting smoking
• Drinking wisely
• Managing the response to stress pressure

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Interest in Understanding Health Improvement

• Microsoft
• British Dental Association
• Airbus
• Primary care Trusts
• Royal Mail
• British Army
• Carphone warehouse
• Marks Spencer
• Cadbury Schweppes
• Prison Service
• Training Life Coaches Counsellors

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The RSPH Approach Applying the WHO Healthy
Settings Model

• WHO Health Promoting Hospitals
• Healthy Schools
• Prisons
• Airports
• WHO Healthy Cities
• WHO Green Cities Blue Cities of Europe
• UK Healthcare Commission PH Stds

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Professionalism

• Ensuring ones own mental health, emotional
  resilience coping skills
• Working together for standards
• Improving what we do how we go about it
• Towards a common aim the evidence base
• The public health.
• www.rsph.org.uk
• www.artsaccessinternational.org
• www.lapidus.org.uk

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MHFA Evidence That It Works

• RCT (Kitchener B.A., Jorm A.F. BMC Psychiatry
  2004 Vol.4 23).
• Workplace 301 Public Servants
• _____________________________
• Improved knowledge
• Less stigmatizing attitudes
• Increased confidence in helping others
• Increase in amount of actual help
• Improved personal mental health

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Relevant RSPH Divisions

• Development Heather Davison
• Qualifications Wendy Moore
• Accreditation - Anna Zilnyk (with HD)
• MHFAIs Competency Clusters CPD Career
  development