People Powered Recovery Social Action and Complex Needs

Findings from a call for evidence 22nd January 2018

#PeoplePoweredRecovery @APPGComplexNeed

A call for evidence

• Call for evidence: 1. How can social action improve the lives of people with

complex needs? 2. What are the challenges and barriers? 3. What economic evaluation evidence exists? 4. What are the critical enablers to grow social action in this

area? • Social action: Practical action in the service of others

– Peer support – Mutual aid – Employing people with lived experience

Benefits

1. Recovery 2. Improved employment prospects 3. Reducing stigma 4. Services that better meet people’s needs 5. Better use of resources

• Confidence and self-worth • Having a voice • Routine and structure • Living proof that change is possible • Counter to loneliness • Motivation and responsibility

Recovery

• Developing skills in a supportive environment • Paid roles enable people to take the next step

in a supportive environment and recognise unique contribution

• Progress towards the labour market but social action is also an end in itself

Employment

Stigma

• Peer led approaches - everyone’s been through it

• Valuing people’s insight • Breaking down barriers between staff and

clients

Better services

• Improved take-up and drop out rates • Alternative sources of support • Improved working practices

Cost effectiveness

• Quantifiable evidence of impact on health and wellbeing

• Better use of resources: – Freeing up professionals time – Bridging gaps between services

BUT • An ‘evidence trap’ of under-investment in

research into person and community centered approaches is leading to an immature evidence base that is in turn holding back implementation NESTA

Challenges

• Often reliant on key individuals • Take time to set up – short term funding • Additional costs of employing people with

lived experience • Prejudice • Risk of relapse / becoming unwell • A system wide focus on ‘hard outcomes’

Growing social action

• Leadership • Developing a stronger evidence base • Commissioning – social action embedded

within service specifications • Better use of the Social Value Act

"Our mission is to be an organisation of excellence with an ever changing and diverse range of activities and services that promote psychological and physical wellbeing, stimulate recovery and lead to social inclusion within mainstream society’’

‘Rochdale borough is the 25th most deprived borough in England, with significantly ageing and young communities which are ethnically diverse. Many of the characteristics of life within the borough have negative implications for health and this puts the promotion of better health and the reduction of health inequalities at the heart of all we do.’ Rochdale, Heywood, Middleton CCG

World Health Organisation 2014

Mental health is defined as a state of well-being in which every individual realises his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community

Recovery republic community assets are the citizens of the recovery republic. They are made up of volunteers who learn new skills, share their stories, their abilities , their beliefs and values whilst developing social skills and making friends. The Recovery republic challenge: Austerity, Poverty, Debt, Poor housing, Poor physical ill health, Mental ill health, Addictions, Family breakdown, and Worklessness.

Social prescribing in action – where there is a problem put in a solution that works

RECOVERY REPUBLIC OFFER: • Emotional wellbeing • Money management • Housing • Employment • Lifestyle behaviour change • Smoking cessation • Work related health support • Self help programmes • Targeted support groups • Education and Research

FLOURISHING • Asking the group as a whole what

they want to learn to enable them to take their next step to recovery

• A flexible course that evolves from week 1

• Timetable and content dictated by the technical experts NOT by the professionals

Outcomes • Increase in positive wellbeing

(WEMWBS) • Friendships and peer support

developed • Sharing of knowledge and skills

• CONTENT REQUESTED • What is mental illness? • Evolution of medication for

psychiatric illness and pain and how each medication works – Why was I prescribed this?

• Healthy eating food, mood • How to get heard by the

professionals, especially my GP, Community Psychiatric Nurse and psychiatrist

• How to listen to each other • Practical tips to calm down,

get better sleep and gain confidence

The Future Education RCGP accredited practical diploma in primary care mental health Managing complexity Learning Disabilities and Mental Health Wellbeing in the workplace Cultural competence Technical commissioning Social Prescribing

• Research • Social Prescribing and its impact • Experiences of people in primary

care • Research tools • Warwick and Edinburgh Measure

Wellbeing Score • Service-user Recovery Evaluation

(SeRvE) scale

www.mentalhealthdiplomas.com mb.cmk.taylor@gmail.com

THE DIFFERENCE BETWEEN INVOLVEMENT AND

COMMITMENT IS LIKE A HAM AND EGGS

BREAKFAST. THE CHICKEN WAS

INVOLVED. THE PIG WAS COMMITTED.

KENSINGTON AND CHELSEA EALING

HAMMERSMITH & FULHAM NEWHAM

HILLINGDON HARROW

We currently provide peer-run

Mutual Aid Projects in

IF EVERYTHING SEEMS UNDER TOTAL

CONTROL YOU’RE JUST NOT

GOING FAST ENOUGH.

We have had almost two thousand service user volunteers in our short

history. In one peer run service we have more

than 700 individuals accessing between 14 – 15,000 times a year.

ANYTIME YOU SEE A TURTLE ON TOP OF A FENCE POST

YOU KNOW HE HAD HELP!

We follow no specific model of addiction or

recovery. We believe all are

equally valid.

WHEN WE TALK TO GOD WE ARE PRAYING.

WHEN HE TALKS TO US

WE ARE SCHIZOPHRENIC.

We have only ever employed our service managers from within our volunteer team.

50% of them have never worked before.

All are over 40 years old.

IT TAKES CONSIDERABLE

KNOWLEDGE TO RECOGNISE THE

EXTENT OF YOUR OWN IGNORANCE.

2014 Build on Belief Impact Evaluation (154 Service Users Interviewed)

Average ‘friendliness’ rating for BoB services = 9/10

Average rating for supportiveness of the BoB volunteers =

8.8/10

Average rating for ‘feeling better’ on leaving BoB services = 8.6/10

Average safety rating for BoB services = 8.8/10

I’m a idealist. I don’t know where I’m going, but I’m

on my way.

We have MUSIC WORKSHOPS!

THE BEST THINGS IN LIFE

ARE NOT THINGS

Our Musician’s perform concerts!

FIRST THEY IGNORE YOU. THEN THEY LAUGH AT

YOU. THEN THEY FIGHT YOU.

THEN YOU WIN.

We undertake sponsored cycle rides to fund our

sporting activities!

NEVER DOUBT THAT A SMALL GROUP OF THOUGHTFUL,

COMMITTED CITIZENS CAN CHANGE THE WORLD.

INDEED IT IS THE ONLY THING

THAT EVER HAS.

We provide Yoga Classes!

THE WORLD IS MOVING SO FAST THESE DAYS THAT THE MAN WHO

SAYS IT CAN’T BE DONE IS USUALLY OVERTAKEN BY SOMEONE DOING IT!

We arrange picnics and social gatherings.

BEING ON THE TIGHT ROPE IS

LIVING EVERYTHING ELSE

IS WAITING

We believe recovery should be fun!

NEVER BE AFRAID TO TRY SOMETHING NEW.

REMEMBER AMATEURS BUILT

THE ARK.

PROFESSIONALS BUILT THE TITANIC.

We know a group hug can solve many

problems!

PEOPLE WHO DON’T TAKE RISKS GENERALLY MAKE

ABOUT TWO BIG MISTAKES A YEAR.

PEOPLE WHO DO TAKE RISKS

GENERALLY MAKE ABOUT TWO BIG MISTAKES A YEAR.

We create safe and social environments for

people in recovery.

ACT AS IF WHAT YOU DO MAKES A

DIFFERENCE.

IT DOES.

We have Art Workshops . . .

THE CURE FOR BOREDOM IS CURIOSITY.

THERE IS NO CURE FOR

CURIOSITY.

. . . and put on Art

Exhibitions!

TO SUCCEED IN LIFE YOU NEED THREE BONES.

A WISHBONE. A BACKBONE.

A FUNNY BONE.

We decorate entire buildings to hosts

service user parties!

LIFE IS LIKE A TEN SPEED BICYCLE.

MOST OF US HAVE

GEARS WE NEVER USE.

We believe in healthy eating . . . . and cake!

DON’T GO AROUND SAYING THE WORLD OWES YOU A

LIVING.

THE WORLD OWES YOU NOTHING.

IT WAS HERE FIRST.

We started off very small thirteen years

ago . . . .

LIFE IS LIKE A COIN.

YOU CAN SPEND IT ANY WAY YOU WANT.

BUT YOU CAN ONLY SPEND

IT ONCE.

. . . but we have got bigger!

PRESSURE

MAKES

DIAMONDS

We provide shiatsu at the weekend

FLYING IS SIMPLE.

YOU JUST THROW YOURSELF AT THE

GROUND AND MISS.

We work in partnership to open new services

THE MIND IS LIKE A PARACHUTE.

IT DOESN’T WORK UNLESS IT IS OPEN.

We provide baking classes . . .

. . . And eat the results while they’re hot!

AIM FOR THE MOON.

EVEN IF YOU MISS YOU WILL LAND AMONG

THE STARS.

We fall in love and have BoB babies!

I KEEP MY WORDS SOFT AND SWEET IN CASE I HAVE TO

EAT THEM.

We believe building strong family ties aids

recovery.

IF YOU WANT TO TRULY UNDERSTAND

SOMETHING TRY AND CHANGE IT.

We provide haircuts because self-esteem is

important!

IF YOU ONLY DO WHAT YOU KNOW YOU CAN

DO

YOU WILL NEVER DO VERY MUCH

We believe creativity can make all the

difference in recovery

IF YOU THINK YOU ARE TOO SMALL TO BE

EFFECTIVE YOU HAVE NEVER

BEEN IN BED WITH A MOSQUITO!

Not with BoB they aren’t!

SOME PEOPLE CHANGE WHEN THEY SEE THE

LIGHT

OTHERS WHEN THEY FEEL THE HEAT

A place in a community = successful recovery

THE DIFFERENCE BETWEEN A HELPING

HAND AND AN OUTSTRETCHED PALM

IS A TWIST OF THE WRIST

We build gardens

and grow our own

food

Don’t let yesterday take up too much of

today

We work as a team

but we live as a family

We are still masters of our fate.

We are still Captains of our souls.

We’ll take happiness

over a dress code any day!

You cannot plough a field by turning it over in your own mind.

We provide all of our volunteers with a wide range

of free training workshops

A society that gets rid of all its

troublemakers goes down hill.

We believe Recovery means ‘getting a life!’

IF OPPORTUNITY DOESN’T KNOCK

BUILD A

DOOR

We believe that no one is beyond help!

YOU CAN’T HAVE EVERYTHING.

WHERE WOULD YOU

PUT IT?

Website: www.buildonbelief.org.uk

Head Office 69 Warwick Road,

Earls Court, London SW5 9HB

E-mail: bob@buildonbelief.org.uk

AND ONE LAST

THING . . .

This is a pound coin.

A pound can buy you these in Waitrose.

Or a pound can provide this individual with support, encouragement, advice, a

cup of tea and a slice of toast and a place to turn their life around with the help of

their peers.

BUILD ON BELIEF WE MAKE A POUND

SHOP LOOK EXPENSIVE