2. Wellbeing and mental health

3. Hard evidence: a mental health case study Heema Shukla Independent Policy Developer Wellbeing and mental health

4. A Mental Health Awareness Case Study Dr Heema Shukla, PhD, FFPH Managing Director and Independent Consultant Global Health Capacity Ltd, UK Associate, PHAST 315/09/16Northampton Healthy Workplace Conference Sept 2016

5. Workshop learning 415/09/16Northampton Healthy Workplace Conference Sept 2016 Why is external evaluation important? What is the value of external evaluation and to whom is it valuable? What value does an external evaluation add to the internal feedback? What are reasonable timeframes for evaluation? What is the key aim and how to achieve it? What do you need to consider when undertaking such an evaluation? What are some key issues in undertaking a large scale evaluation and what solutions are successful? What factors facilitated or hindered the translation of the learning to practice and participants views on how service users/patients responded to this practice. How can workplace facilitate the translation of learning to practice?

6. Project: large scale mental health awareness training programme. Policy context: No Health Without Mental Health The project covered four local authorities in South London. Covering population about 1 million Training was offered to staff from statutory, independent and private organisations within the health and care economy Mental Health Awareness (MHA) Training: The content included the relationship between mental and physical health, how to identify potential mental health needs of individuals, how to raise issues with patients and where to signpost patients and identify local resources for further help. Motivational Interviewing (MI) training: This provided training on motivational interview techniques and skills. “Train the Trainer” (TtT) training: The training aimed to educate staff in how to run peer led training on the impact of Long Term Conditions (LTCs) on mental health in their own organization and tailor the information to the requirements of their organizations and colleagues. Target was to train about 2500 staff 15/09/16Northampton Healthy Workplace Conference Sept 20165

7. Discussion 1: Who was the evaluation for ? 15/09/16Northampton Healthy Workplace Conference Sept 20166 Evaluation Local authorities CCGEmployersFundersParticipantsTrainers Clients/ patients

8. What was the purpose ? Aims and objectives The purpose of the evaluation was to provide the commissioners a report on the quality of the training and its impact on participants’ day to day practice. The objectives of the evaluation were To evaluate if the training met the mental health skills development needs of the workforce as described by the national occupational standards To evaluate how this training is applied by the workforce in their practice 15/09/16Northampton Healthy Workplace Conference Sept 20167

9. Analyses of the internal feedback 15/09/16Northampton Healthy Workplace Conference Sept 20168

10. Discussion 2: How would you meet the objectives? 15/09/16Northampton Healthy Workplace Conference Sept 20169 An e-survey is the best option

11. 15/09/16Northampton Healthy Workplace Conference Sept 201610 Survey representativness

12. Assessment of learning against national occupational standards for MHA 15/09/16Northampton Healthy Workplace Conference Sept 201611

13. Assessment of learning : national occupational standards for behavioural change 15/09/16Northampton Healthy Workplace Conference Sept 201612

14. Was learning applied to practice? 15/09/16Northampton Healthy Workplace Conference Sept 201613

15. Further Learning Needs 15/09/16Northampton Healthy Workplace Conference Sept 201614

16. Key messages from the evaluation MHA training programme was well received by participants improved their knowledge on mental health, the links between mental and physical health on average 80% of the participants had embedded the learning to their day to day practice. The training allowed participants to reflect on the mental health in their personal and professional lives and the impact their actions can have on their service users/patients. Key gap locally was the signposting or referral to appropriate services. Information on all local mental health services, guidelines for referrals, including referring to GP for specialist referrals and pathways were highlighted as an urgent need to embed mental health routinely. As suggested by participants, the three-hour workshop was not long enough to incorporate local pathways, services and guidelines. 15/09/16Northampton Healthy Workplace Conference Sept 201615

17. Further insights from interviews: A theme that emerged from interviews was the culture within the organisation with regards to mental health was not open. The training had made the participants more open to talk about mental health with their service users/patients but were not comfortable to talk about it within their teams or with managers. There was concern about stigmatisation and discrimination. In particular, it was felt that male colleagues and older women did not want to talk about mental health. The introduction of certain policies on sickness and pay deduction were seen as being discriminatory and not conducive to mental health. The suggestion was that staff at the most senior level were not visible as mental health champions who encourage a culture where mental health can be discussed. This would encourage more staff to take up training. 15/09/16Northampton Healthy Workplace Conference Sept 201616

18. Recommendations from the evaluation Three key recommendations are suggested based on the findings of the evaluation and the workforce related actions set out in national mental health policy and NHS 5 year plans. A directory of local mental health services and local pathways and guidelines is made widely available across the Health and Social Care economy through current communication channels A proposal for evaluation of benefits delivered to service users/patients may be the next step to assess tangible impacts on their mental health. A feasibility study to test the success of an online course based on similar format and content should be conducted. Such a course would enhance the sustainability of the project locally. If the results are as positive as the face to face training such course available nationally could contribute to the ambitions in the national mental health policy- No Health Without Mental Health, the prevention ambition in the NHS five year forward plan and the workforce recommendations in the Five Year Forward View for Mental Health 15/09/16Northampton Healthy Workplace Conference Sept 201617

19. Final discussion: What from the presentation did you find was the value of the external evaluation 15/09/16Northampton Healthy Workplace Conference Sept 201618

20. Thank you Contact details heema@globalhealthcapacity.co.uk PHAST Penelope@phast.org.uk 15/09/16Northampton Healthy Workplace Conference Sept 201619

21. Thank you! Any questions?