National Prevention Concordat for Better Mental Health (PHE / King’s Fund / LSE PSSRU / UCL / CfMH / British Journal of Psychiatry / BBC News)

Summary

Public Health England (PHE) has released a collection of related documents aimed primarily at local public health workers, designed to help identify cost-effective local mental health interventions. This new “concordat” tool aims to prevent mental health problems (a Five Year Forward View for Mental Health commitment) and promote better mental health.

The cost to the economy arising from mental health problems is estimated to be £105 billion per year.

Full Text Link

Reference

PHE highlights 8 ways for local areas to prevent mental ill-health. [Online]: Public Health England (PHE), August 30th 2017.

This relates to:

Full Text Link

Reference

Prevention concordat for better mental health: consensus statement. [Online]: Public Health England (PHE), August 30th 2017.

This Return on Investment tool (covered in greater detail below), developed in partnership with the London School of Economics and Political Science (LSE), comprises a list of eight interventions.

Overview of Prevention Planning for Local Areas

The following document offers an overview of guidance to local organisations on prevention strategies for improving mental health in the community.

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Reference

Prevention Concordat for Better Mental Health: prevention planning resource – summary. London: Public Health England (PHE), August 2017. PHE Publications Gateway No. 2017209.

The full report provides greater detail:

Full Text Link

Reference

Hartwell, M. Makurah, L. [and] Regan, M. [et al] (2017). Prevention Concordat for Better Mental Health: prevention planning for local areas. London: Public Health England (PHE), August 2017. PHE Publications Gateway No. 2017209.

A King’s Fund “Stocktake” of Transferable Best Practice

A high-level summary of existing work by local areas which incorporates mental health promotion and / or prevention of mental ill-health. This is based on content analysis of planning documents from 35 local areas.

Full Text Link

Reference

Buck, D. Christie, E. [and] Carr, D. [et al] (2017). Stocktake of local strategic planning arrangements for the prevention of mental health problems: summary report. London: King’s Fund [and] Public Health England (PHE), August 2017. PHE Publications Gateway No. 2017209.

Better Mental Health: Joint Strategic Needs Assessment (JSNA) Toolkit

The Mental Health and Wellbeing Joint Strategic Needs Assessment Toolkit Knowledge Guide provides access to nation data on mental health prevalence, risk / protective factors and healthcare services. There are a number of components to this toolkit and different approaches to the data:

Full Text Link

Reference

About the Mental Health and Wellbeing JSNA knowledge guide. [Online]: Public Health England (PHE), August 30th 2017.

On the social and contextual determinants of mental health inequalities:

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Reference

Understanding place. [Online]: Public Health England (PHE), August 30th 2017.

On the identification of different population sub-groups:

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Reference

Understanding people. [Online]: Public Health England (PHE), August 30th 2017.

Perinatal mental health problems may occur in 10 to 20% of women during pregnancy and the first year after having a baby:

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Reference

Perinatal mental health. [Online]: Public Health England (PHE), August 30th 2017.

Concerning the mental health of children and young people:

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Reference

Children and young people. [Online]: Public Health England (PHE), August 30th 2017.

Concerning the mental health needs of the working age population:

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Reference

Working age adults. [Online]: Public Health England (PHE), August 30th 2017.

Perhaps of greatest importance, for readers of this website, are the mental health problems of older people:

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Reference

Living well in older years. [Online]: Public Health England (PHE), August 30th 2017.

Cost-Effective Commissioning of Local Mental Health Services

There are some return-on-investment (ROI) resources to support local commissioners:

Full Text Link

Reference

McDaid, D. Park, A-La. [and] Knapp, M. [et al] (2017). Commissioning cost-effective services for promotion of mental health and wellbeing and prevention of mental Ill-health. London: Public Health England (PHE) / Personal Social Services Research Unit London School of Economics and Political Science, August 2017. PHE Publications Gateway No. 2017209.

The mental health ROI toolkit guide / user manual:

Full Text Link

Reference

McDaid, D. [and] Park, A-La. (2017). Mental health promotion: return on investment tool. London: Public Health England (PHE) / Personal Social Services Research Unit London School of Economics and Political Science, August 2017. PHE Publications Gateway No. 2017209.

A theoretical exploration of the barriers and facilitators in commissioning cost-effective services for improving of mental health and wellbeing:

Full Text Link

Reference

McDaid, D. Wilson, E. [and] Knapp, M. [et al] (2017). Barriers and facilitators to commissioning cost-effective services for promotion of mental health and wellbeing and prevention of mental ill-health. London: Public Health England (PHE) / Personal Social Services Research Unit London School of Economics and Political Science, August 2017. PHE Publications Gateway No. 2017209.

Psychosocial Pathways and Mental / Physical Health Outcomes

The following report provides a conceptual framework for understanding the many determinants (socio-economic, environmental, psychological and psychobiological etc.) behind mental – and related physical – health outcomes and inequalities.

Full Text Link

Reference

Bell, R. (2017). Psychosocial pathways and health outcomes: informing action on health inequalities. London: Public Health England (PHE) / University College London Institute of Health Equity, September 2017. PHE Publications Gateway No. 2017209.

The Prevention Concordat for Better Mental Health consensus statement is co-produced by:

  • Association of Mental Health Providers.
  • Association of Directors of Public Health UK.
  • Children and Young Peoples Mental Health Coalition.
  • Centre for Mental Health.
  • Department of Health.
  • Faculty of Public Health.
  • Local Government Association.
  • Mental Health Foundation.
  • Mental Health Commissioners Network of NHS Clinical Commissioners.
  • National Survivor User Network.
  • NHS England.
  • Public Health England.

The Business Costs of Mental Health Problems at Work

A Centre for Mental Health report indicates that mental health problems in the UK workforce may cost employers around £35 billion per year. This is estimated to arise from (i) reduced productivity among people who are at work and unwell, so-called “presenteeism” (£21.2 billion per year), (ii) sickness absence (£10.6 billion per year), and (iii) staff turnover (£3.1 billion per year).

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Reference

Mental health problems at work cost UK economy £34.9bn last year, says Centre for Mental Health. London: Centre for Mental Health, September 5th 2017.

This relates to:

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Reference

Parsonage, M. [and] Saini, G. (2017). Mental health at work: the business costs ten years on. London: Centre for Mental Health, September 2017.

Improving Life Expectancy in People With Serious Mental Illness: the Potential of Primary Prevention

The authors of the following article propose placing more emphasis primary prevention strategies for improving cardiovascular disease etc. in persons with serious mental ill-health. The interventions suggested / recommended – in addition to regular physical health monitoring – include smoking cessation, improving diet, increasing levels of physical exercise and reducing inappropriate prescribing of antipsychotics (which are known to be associated with adverse metabolic effects and reduced life expectancy).

Full Text Link

Reference

Ilyas, A. Chesney, E. [and] Patel, R. (2017). Improving life expectancy in people with serious mental illness: should we place more emphasis on primary prevention? British Journal of Psychiatry. September 7th 2017. [Epub ahead of print].

Background Interest

The number of fit notes relating to anxiety and stress increased by (a possibly incredible) 14% between 2015-16 and 2016-17. Around one-third of fit notes (previously called “sick notes”) issued by GPs were for mental health related problems:

Full Text Link

Reference

Silver, K. (2017). One in three ‘sick notes’ for mental health, says NHS. London: BBC Health News, September 1st 2017.

NHS Mental Health Staff Have Own Issues?

BBC freedom of information requests have revealed that the number of NHS mental health staff taking sick leave for their own mental health issues has risen by 22% over the past five years; with staff taking long-term leave of a month or more rising from 7,580 in 2012-13 to 9,285 in 2016-17.

Full Text Link

Reference

Greenwood, G. (2017). Mental health staff on long-term stress leave up 22%. London: BBC Health News, September 22nd 2017.

BBC Radio 5 Live Investigates has discovered that there were at least 42,000 reported attacks on staff in mental health trusts in 2016-17:

Full Text Link

Reference

Robinson, B. [and] Grant, P. (2017). Assaults on mental health staff up 25% in four years. London: BBC Health News (BBC 5 Live), October 8th 2017.

Mental Health: Epidemiology and Statistics

NHS Digital estimates that around one sixth of the population in England, aged 16 to 64, have a mental health problem. Ten broad-brush statistical charts:

Full Text Link

Reference

Brown, D. [and] Triggle, N. (2017). Mental health: 10 charts on the scale of the problem. London: BBC Health News, September 30th 2017.

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About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Commissioning, Community Care, Depression, For Doctors (mostly), For Researchers (mostly), For Social Workers (mostly), Guidelines, In the News, Integrated Care, King's Fund, Local Interest, Management of Condition, Mental Health, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Public Health England, Quick Insights, Standards, Statistics, UK, Universal Interest and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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