1. Wellness in Mind Nottingham City Mental Health and Wellbeing Strategy Homelessness Strategy Group Nov 2014 Liz Pierce, Public Health, Nottingham City Council

2. Mental Health is a strategic priority for Nottingham

4. Nottingham has high levels of risk factors for poor mental health High unemployment Low educational attainment High levels of deprivation Physical health problems Children in care Violence Homelessness

5. We measure wellbeing each year in Nottingham as part of the Citizens Survey using WEMWBS ONS measures of personal wellbeing: fewer people score highly on life satisfaction and feeling worthwhile than in the UK ?? How is wellbeing measured in the homeless/ vulnerably housed population of Nottingham. Mental wellbeing in Nottingham

6. Up to 1 in 2 of the citizens of Nottingham will have problems with their mental health at some point in their life Most families will be affected Estimate over 51,000 adults and 3,400 school age children affected at any time in Nottingham Half of out of work disability benefits are due to mental health problems Mental health problems are very common

7. Long term mental health problems A cause as well as a consequence of inequality Stigma/ discrimination is an important factor There can be economic, relationships, housing impact Carers / family and friends issues Recovery approach. ‘hope, control and opportunity’

8. Links between mental health and physical health King’s Fund, Centre for Mental Health

9. Death rates of people known to mental health services compared to the wider population Local calculations show death rates approximately 3.5 times higher than the wider population. Majority of deaths respiratory, circulatory and cancer

10. The Health and Wellbeing Board has agreed to: ‘Parity of Esteem’ valuing mental health equally with physical health Mental health champions in all member organisations to steer the strategy All board papers need to include reference to the mental health aspects

11. Wellness in Mind The Mental Health and Wellbeing Strategy Approved by the Health and Wellbeing Board in August 2014

12. Priority 5 – Improving the wellbeing and physical health of those with mental health problems Priority 1 – Promoting mental resilience and preventing mental health problems Priority 2 – Identifying problems early and supporting effective interventions Priority 3 – Improving outcomes through effective treatment and relapse prevention Priority 4 – Ensuring adequate support for those with mental health problems Priorities for Nottingham

13. Ensuring adequate support for those with mental health problems, including promoting physical health and wellbeing. Improving outcomes through effective treatment and relapse prevention Early detection and interventions Promoting mental resilience and preventing mental health problems Nottingham Mental Health Strategy Strategic priorities Whole community approach People with mental health problems Higher risk groups People with long term mental health problems

14. Mental Health and Wellbeing Steering Group Wellness in Mind Prevention and Improvement Group (Priorities 1 and 2) Mental Health Joint Commissioning Group (Priorities 3 and 4) Wellness in Mind Physical Health Group (Priority 5 (Priority 5) Existing strategic groups working on the wider determinants eg housing and employment Health and Wellbeing Board Nottingham Mental Health and Wellbeing Network Suicide Prevention Strategy

15. Housing and homelessness as a cross cutting theme. ‘Home’ as part of building resilience Homelessness can be a cause and consequence of mental health problems How do housing and homelessness services –promote mental wellbeing? –measure mental wellbeing? –Link with primary and secondary mental health services? –challenge stigma? –Promote social inclusion? –Promote physical health of those with mental health problems?

16. Further information Liz.pierce@nottinghamcity.gov.uk 0115 8763807 Thank you