Mental Health and Wellbeing

1. Mental Health and Wellbeing Sarah Kessling

2. Welcome

3. Learning Outcomes • To understand a wide range of mental health conditions. • To understand the influences on mental health and wellbeing. • To address and reduce stigma and discrimination around mental health conditions. • To be aware of equality duty in relation to mental health. • To respond appropriately and effectively to patients attending the practice.

4. Quick Quiz Around what percentage of children and adolescents have a mental health condition worldwide?How many people have a mental health condition? Out of every 5 individuals experiencing anxiety or substance misuse how many seek help within the year of onset? How many people with mental health conditions experience stigma and discrimination? 20% 1 in 4 2 out of 5 9 out of 10

5. 3 in 4 Around how many young people fear the reaction of friends when they talk about their mental health condition? What percentage of people suffer from a long-term physical condition and a mental health condition? How many homicides per year are carried out by strangers with a mental health condition? Approximately how many people experience mental health conditions each year? 30% 5 450 million

6. What is mental health? ‘A state of emotional and psychological well-being in which an individual is able to use his or her cognitive and emotional capabilities, function in society, and meet the ordinary demands of everyday life.’

7. Impact of mental health conditions 1 in 4 will experience some kind of mental health problem in the course of a year. 9 out of 10 people with mental health problems experience stigma and discrimination. 1 in 10 people will experience a mental health problem.

8. What the law says… The Equality Act (2010) No Health without Mental Health (2011) Parity of Esteem (2012)

9. What influences mental health and wellbeing? Stigma and discrimination Strands of inequality Physical illness Poverty and deprivation Physical disability Acute life events Environment

10. What we can do to reduce stigma • Know the facts • Be aware of your own attitudes and behaviours • Choose your words carefully • Educate others • Focus on the positives • Support people • Include everyone

11. Mental health and violence

12. Mental Health conditions-Depression ‘An illness that involves the body, mood, and thoughts and that affects the way a person eats, sleeps, feels about himself or herself, and thinks about things’ http://www.medicinenet.com/script/main/art.asp?articlekey=2947

13. Table numbers… 1-5 11-15 Emotions Behaviour 6-10 16-20 Thoughts Physical

14. Symptoms of depression Emotions Sadness, guilt, anger, mood swings, lack of emotional responsiveness, helplessness, hopelessness. Thoughts Frequent self-criticism, blaming oneself, worrying, pessimism, lack of memory and concentration, difficulty making decisions, confusion, tendency to believe that others see you in a negative light, thoughts of death and suicide.

15. Symptoms of depression con’t Behaviour Crying spells, withdrawal from others, neglect of responsibilities, loss of interest in personal appearance, loss of motivation. Physical Chronic fatigue, getting too much or too little sleep, over or under eating, constipation, weight loss or gain, irregular menstrual cycle, loss of libido, unexplained aches or pains.

16. What is an anxiety disorder? The exact cause of anxiety is unknown, however it is becoming more clear that anxiety disorders are caused by a combination of factors including changes to the brain and environmental factors. More severe and lasts longer than normal anxiety. It interferes with day to day life such as work, relationships and social life. It is often undiagnosed and untreated.

17. Types of anxiety Panic disorder Acute stress disorder (ASD) Obsessive compulsive disorder (OCD) Generalised anxiety disorder (GAD) Post traumatic stress disorder (PTSD) Phobias (social, specific)

18. Table numbers… 1-5 11-15 Scenario C Scenario A 6-10 16-20 Scenario B Scenario D

19. Symptoms of anxiety Shortness of breath Feelings of panic, fear or uneasiness Difficulty sleeping Nausea Cold or sweaty hands and/or feet Inability to settle, be still or calm Heart palpitations Dry mouth Muscle tension Numbness or tingling in the hands or feet Dizziness

20. What is psychosis?

21. Wellness and WellbeingNottingham City Adult Mental Health Strategies Promoting mental resilience and preventing mental health conditions. Early detection and intervention. Improving outcomes through effective treatment and relapse prevention. Ensuring adequate treatment and support for all with mental health conditions. Improving the wellbeing and physical health.

22. Responding Attentive Listening Congruence Open questions Patience Empathy Space Positivity Congruence Acceptance

23. What is recovery?

24. What supports recovery? • Good relationships • Seeking specialist advice • Financial security / support • Personal growth • A positive living environment • Developing resilience to possible adversity in the future • Being believed in • Being listened to and understood • Getting explanations for problems or experiences • Having the opportunity to temporarily re assign responsibilities during crisis

25. Action plan What can you do to support someone? What key skill/strategy will you implement to support recovery?

26. Who can help in recovery? • Family and friends • GP’s • Therapists • Social Workers • Managers and Bosses • Specialist services • And most importantly….. The person themselves

27. Signposting GP’s Harmless 111 – Non emergency services Lets talk Wellbeing Wellbeing Plus SMaRT NCS – Nottingham Counselling Service Children and Families Direct BMH Pathway CAMHS Services Childline LifeSIGNS Samaritans Young Minds

28. Thank you For more information, training session details and resources please visit our website: www.harmless.org.uk For further training, email: info@harmless.org.uk If you are worried about a client and need advice please call Harmless for consultancy on 0115 9348445 (please note this number is for professionals only.) Thank you for your time