Mental Illness Prevention
How do we prevent the development of mental health problems and get help earlier for children, young people, adults and older adults starting to suffer poor mental wellbeing?  

Ideas (Education, training and future workforce)

Innovation 'Elevator Pitch':
GASP online is a fully moderated, collaborative online learning community for school children. It supports the mental health prevention agenda through access to information, signposting services and encouraging engagement.



 
Overview of Innovation:
GASP online provides a safe online space allowing children, teachers and organisations to learn together. By setting challenges and introducing new topics, it connects children, schools and experts from all over the UK. It takes down the walls of the classroom to brings a whole new dimension to learning.
 
All the content is moderated by a team of educational experts, ensuring that the space is entirely safe for users. As a digital innovation, this offers the opportunity to support to schools to scale their ‘prevention agenda for mental ill health’ enabling earlier intervention(s) at relatively low cost.
 
The child-centred communities enable professionals to host preventative information, deliver solutions, gather opinion and hold conversations in a safe, moderated environment. This integrated, approach provides a one-stop community where any issue which may impact upon a child's mental health can be discussed and advised upon such as housing and finances.
 
The communities give children help and information and signpost to services. Importantly they also give children of all ages a voice and empowerment in an environment that informs, inspires and encourages aspiration to drive confidence and resilience in future generations.



It can significantly widen the reach of NHS services impacting on cost-effectiveness.  GASP online (5-11) allows multiple stakeholders involved in the health and education of a child to work together in a variety of ways. The community offers opportunities to educate and inform users and provide long term preventative solutions.

They also provide healthcare professionals a permanent place to offer support and advice to teachers and support staff who often don’t know where best to turn.

As a STEM (Science, Technology, Engineering and Mathematics) learning platform focussed on aspiration  GASP can also help to tackle the upcoming skills gap in the health sector.
 
Taking a long-term approach, the NHS can attract the talent they will require to address the future clinical skills gap by developing a careers platform, engaging with children from when they start school to when they leave.
 
Developing a NHS skills pathway can create real social change and empower an effective future workforce.
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Wellness and prevention of illness / Education, training and future workforce / Wealth creation / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
At least 10% of children and young people are thought to suffer from anxiety, depression, self-harm, eating disorders or other mental health conditions. The numbers of under-18s seeking and receiving NHS care have soared over the last decade.
 
The government’s plans to tackle the mental health crisis among young people are based on three key elements: a teacher at every school and college becoming its designated lead for mental health; help for schools from new mental health support teams; and the guarantees of help within four weeks. Source: The Guardian
 
In a joint report, the Commons health and social care and education select committees criticise the plans as unambitious and inadequate given the fast-rising need for care and too reliant on already overworked teachers. Source: The Guardian
 
GASP offers opportunities to help to transform a failing mental health system. The projects and topics shared throughout the site encourage children to develop critical and higher order thinking skills. The space allows teachers to share best practice and save time.
 
In supporting the recommendations of the Five Year Forward View for Mental Health (2015)
they enable a true joined up approach to support the future health of millions of children. It enables partnerships between schools, communities and employers. Overwhelmingly the flexibility of the portals underpins the reports’ findings - enabling promotion of resilience, prevention, early intervention, measure engagement and impact.
 
Free at entry point for state schools and home learners there is no barrier to entry.
 
In building a one-stop hub for children, we are creating an environment that empowers young people to participate, innovate and contribute to society. By empowering learners to be self-sufficient we can drive important messages and support directly to learners wherever they live. This allows the NHS to drive targeted information to this audience accessible at any time, in and out of school.

Education, voice and self-awareness lie at the core of our communities - joined up thinking, prevention and proactivity are central to our aims
Initial Review Rating
3.40 (2 ratings)
Benefit to WM population:
Poor mental health costs the region £3,000 per person in the Midlands area. Mental health issues are impacted by poor housing, low socio-economic status. This is combined with Birmingham having the youngest population in Europe. (Eurostat 2018). The Wonder Why Society and Bridgr communities provide a pathway for the NHS to work directly with schools and children throughout compulsory schooling, developing a digital preventative care pathway.
 
GASP can be used to support and introduce online learning in any subject. It can be used to set homework, encourage debate, facilitate high level thinking and extend classroom learning. It enhances digital skills, teaches online safety and embeds technology in to the curriculum.
 
We have a partnership with a Prevent agency who provide specialist support via the platforms for children to ask questions about things they might feel are embarrassing, difficult or confusing. We also have resources for teachers to use in the classroom that cover mental health, resilience, spiritual, moral, social and cultural (SMSC) and British Values.
 
Online safety is our number one priority. In order to ensure a safe environment, we comply with all of the recommendations outlined by The UK Council for Child Internet Safety (UKCCIS) and support the Think U Know campaign.
 
Nothing is published on our site until it has been checked by one of our qualified education moderators.
 
Upon joining, children agree to follow our online safety rules. Just by using the site children are naturally learning digital skills, online safety and ‘netiquette’. Anything that is submitted that is against our online safety code or causes any concern will be reported back to the school DSL.
 
GASP online moderating staff have been DBS checked and undertaken safeguarding training. We have a Safeguarding Policy and an appointed Safeguarding Lead.
 
 
Current and planned activity: 
From a mental health perspective, GASP online gives children a safe place, a voice and easy access to information that’s useful to them.
GASP online wishes to introduce measured testing to assess wellbeing, resilience and mental health issues. This will help us to quantify and qualify how we support young users and validate evidence gathered in initial trials.

Aspiration assessment
The platform encourages aspiration. We also seek advice and guidance on how this can be measured.

 
Currently our support service is open Monday to Friday from 9am – 4pm. To provide continuous support to children we wish to create a 24/7 support service and would like to work with regional health stakeholders to explore a potential referral pathway(s) / digital therapies that can be used out of school hours and during school holidays.
 
Funding is required to develop the 24/7 support service and we would welcome partners who could submit joint applications to bids / funding competitions.
What is the intellectual property status of your innovation?:
Edrev Ltd . Trademark pending. Copyright automatic. There is a licence between the 2 companies
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
3
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Samantha Fisher 22/05/2018 - 15:13 Archived Login or Register to post comments
Innovation 'Elevator Pitch':
A journey onto the hills and into recovery.
Overview of Innovation:
The Shropshire Wild Teams utilises Shropshire's amazing landscapes to engage with some of the county's most marginalised and isolated people, the majority of whom are experiencing mental health problems and/or have learning disabilities. The project works with statutory mental health services and other health and care agencies, alongside environmental conservation services; to provide holistic health promotion and learning opportunities for participants that is based on research evidence of eco-therapy.
Each week, four separate teams located across the county visit a different location, to carry out conservation tasks for a variety of environmental partners. The teams are active all year round. The work carried out by the teams is exactly the same as that carried out by environmental professionals and has real value for the wide variety of habitats and the people that visit them, and of course the volunteers themselves. As well as conservation work, the teams also learnt bush craft, navigation and map reading skills and wildlife surveys.
The project is co-ordinated by two members of staff; one from an environmental background and the other from a mental health background. The programme is client centred and individual volunteers receive support to develop skills and confidence to achieve their personal goals.
Stage of Development:
Evaluation stage - Representative model or prototype system developed and can be effectively evaluated
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Education, training and future workforce / Person centred care
Benefit to NHS:
NHS mental health service professionals in Shropshire report an absence of healthy living, social networking and vocational opportunities available to their client groups (many of whom live in rural areas);The Shropshire Wild Teams programme provides all of the above. Staff overwhelmingly report on the positive outcomes attributed to engaging in the teams, such as reduction in substance misuse, self harm and social withdrawal. Staff also report on the reduction in home visits required for individuals engaging in the programme and in some cases discharge from services.
Initial Review Rating
3.80 (1 ratings)
Benefit to WM population:
The benefits to the West Midlands population include reduced costs of maintenance and improvement of access to a wide range of countryside parks and reserves, the programme also reduces the societal costs for long term health care of those experiencing severe and chronic mental health problems. The wider community, when visiting these sites will also improve their physical and mental wellbeing.
Current and planned activity: 
We currently engage with community mental health services throughout Shropshire, as well as a number of other health care agencies including those supporting people with learning disabilities. We are also part of the new social prescribing scheme being set up around Shropshire. The planned activity includes increasing exposure to professions and services, to become an integral part of care pathways for NHS teams around the county.
What is the intellectual property status of your innovation?:
Shropshire Council's  Outdoor Partnership Team
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
2
Regional Scalability:
Shropshire Wild Teams continues to expand and embed itself within statutory mental health services and other health care agencies, with a long term goal of rolling out the model county wide as an established care pathway resource.
Measures:
Current outcomes are positive impacts on individual recovery journeys; from a reduction in the need for health care interventions, an increase in social engagement and physical activity, to new opportunities in training and employment. These outcomes are currently being measured through qualitative feedback of participants and supporting health care professionals, as well as adopting relevant measurement categories within the National Social Value Charter.
Adoption target:
The target for adoption would be the evidence of the project's effectiveness in supporting positive recovery outcomes for service users of the county's mental health services. The minimum viability levels would be an established and ongoing referral pathway resourced by all relevant mental health teams. 
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Simon 04/05/2018 - 16:27 Detailed Submission Login or Register to post comments
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Innovation 'Elevator Pitch':
ACT Herefordshire and Worcestershire have secured funding from Skills for Care to support people recovering/experiencing mental ill health into Health and Social Care careers within Herefordshire.
Overview of Innovation:
ACT Herefordshire and Worcestershire have secured funding from Skills for Care to manage a project ' Recruiting for potential from under-represented groups'.
​This project is the first of its kind within Herefordshire and we are 1 of 4 projects running nationally.
With record low levels of unemployment, competition from other sectors for high quality employees and currently unknown implications for the workforce following Brexit, social care and health employers are seeking different ways to widen their pool of applicants and develop new sources of talent - people with the right values, behaviours and attitudes - to meet current and future workforce demands.
​The project not only supports local providers with recruitment and retention but also supports those that face challenges into employment.
​The project includes a 12 week learning programme for beneficaries ( 1 day a week)commencing January 2018. During the learning programme they will acvhievel Level 1 Award in Health and Social Care. During the course, self- esteem, confidence building, motivation and self worth will be a focus for these individuals.An enviroment of openness, honesty and joy will be created.
​We will also be offering workshops to employers who have engaged with the project. These workshops will look at Value based recruitment.
​Beneficaries will also have the opportunity for work placements/ experience in different areas of Health and Social Care, and attend interviews which could lead to permanent employment or voluntary work.
​Challenges faced by people with mental ill health securing emloyment can be difficult.They may often experience poverty, discrimination and / or bullying.
​' Out of the picture' report idenified 18% of those with mental ill health are in work, lowest employment rate of all disabled groups.

​This project is currently at its early stages with milestone 1 achieved. The next step is to work in partnership with local job centres, job clubs and organisations within Hereford that support people experincing mental ill health and offer this exciting oppurtunity.

​ACT has been involved with various projects within Hereford and Worcestershire around recruitment but this is the first of it kind in relation to under- represented groups.
Stage of Development:
Trial stage - Trial stage to prove that the idea actually works as intended
WMAHSN priorities and themes addressed: 
Wellness and prevention of illness / Education, training and future workforce
Benefit to NHS:
Through the project we are hoping to create and support positive well being which will lead to positive outcomes for individuals experiencing mental ill health.
Initial Review Rating
2.20 (1 ratings)
Benefit to WM population:
The success of this project will determine future funding in this area.
Current and planned activity: 
We are currently engaging with NHS facalities within Herefordshire who are supporting the project.
Return on Investment (£ Value): 
N/A
Return on Investment (Timescale): 
N/A
Ease of scalability: 
2
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Melissa Ralphs 24/10/2017 - 10:23 Archived Login or Register to post comments
Innovation 'Elevator Pitch':
Unique evidence-based app that teaches doctors & nurses to manage stress & avoid burnout. Designed specifically for, and with, NHS staff. The efficacy of Working Stress was proved by a Randomised Controlled Trial (RCT) with 227 NHS doctors in 2016.
Overview of Innovation:
Being a doctor or nurse can be extremely challenging and the negative effects of work-related stress are significant. They affect patient safety, sickness absence and job satisfaction. However, staff can learn to manage stress and develop resilience if they are given effective and practical support to acquire these skills.

Working Stress is a unique evidence-based App that offers this vital support, it teaches individuals to manage stress, grief and avoid burnout. Working Stress was developed specifically for NHS staff by leading psychologists in consultation with practicing doctors. Efficacy of the underlying interventions was proved by a Randomised Controlled Trial (RCT) with 227 NHS doctors in 2016:

Reduces:
  • Psychological symptoms such as anxiety, psychiatric morbidity and emotional exhaustion
  • Physical symptoms such as insomnia and changed eating habits
  • Maladaptive coping mechanisms such as alcohol and drug use
Increases:
  • Positive ways of coping with stress such as emotional support and humour
Working Stress offers clinicians 2 modules
  1. Managing Stress & Burnout – relevant to all clinical staff
  2. Dealing with Patients’ Death – for those particularly affected by the death of patients
A single 15-minute interaction with the App is effective. No other commitment is required. If Effectiveness = Adherence x Efficacy Working Stress is perfect for busy professionals and their employers.

The App works on any mobile device or PC. When offered to all clinical staff in a Trust, it can reduce the incidence of workplace stress across the organisation. Deploying Working Stress in a Trust is fast and efficient and the benefits are realised rapidly. Working Stress is a cost-effective way for the NHS to reduce workplace stress and its consequences. 

The benefits for individual clinicians are clear, the benefits for employers are potentially significant; healthy employees are more productive and provide a better and safer quality of care. Doctors who completed Working Stress in the RCT evaluated their organisation more favourably, saying that they receive the respect they deserve and that salary and work prospects are adequate.

Working Stress is an immediate intervention that teaches individuals to recognise and manage their own stress more effectively. No customisation is required and Working Stress is easy to deploy, easy-to-use, anonymous and cost-effective. It can be used during formal induction programmes for new employees and with existing staff at any time
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Education, training and future workforce / Wealth creation / Clinical trials and evidence / Digital health / Innovation and adoption / Patient and medicines safety / Person centred care
Benefit to NHS:
Work related stress accounted for 43% of all lost working days in 2014/2015 (Buckley, 2015; Beheshtifar & Nazarian, 2013). 37% of National Health Service (NHS) staff reported feeling unwell due to stress and pressure at work (The Picker Institute & National Health Service, 2015). Moreover, Goodwin et al. (2013) meta-analysis revealed a much higher percentage of health care professionals and NHS staff were suffering from a common mental disorder (psychiatric morbidity; 32%) compared with general population (19.1%).

Poor occupational health in the NHS is costly and puts patient safety at risk. For example, Boorman (2009) calculated that better staff health might be associated with up to a million extra working days a year and could save approximately £13.7 million a year to NHS as a whole. The cost of sickness absence alone has been estimated at £2.4 billion a year.

80% of NHS staff admit that their state of health has an impact on a patient’s care (Boorman, 2009). A number of systematic reviews and meta-analyses showed that occupational health is negatively linked to a patient’s care, satisfaction and safety outcomes (Boorman, 2009; Edwards, Burnard, Park, MPhil, & Edwards, 2003; Hall, Johnson, Watt, Tsipa, & O’Connor, 2016; Nahrgang, Morgeson, & Hofmann, 2011), leads to lower job satisfaction, poorer performance, work-life imbalance (Edwards et al., 2003), intention to leave an organisation and earlier retirement (Buckley, 2015; Taylor et al., 2007).

Our academic partners, Dr Caroline Kamau and Asta Medisauskaite, published Prevalence of oncologists in distress: Systematic review and meta‐analysis assessing occupational distress among oncologists. Their analyses showed that:
  • Up to 69% feel stressed at work
  • Up to 51% positive for depression
  • Up to 44% have sleep problems
  • 32% have a high level of burnout
  • 27% have psychiatric morbidity
In response to their own research Kamau & Medisauskaite designed 3 simple online interventions to help reduce levels of occupational distress and burnout. These interventions were tested with a Randomised Control Trial (RCT) Occupational Distress in Doctors: The Effect of an Induction Programme. The participating doctors (n=227) came from a range of specialities and seniority, including consultants. The Working Stress app has been built around these 3 interventions. The potential benefits are clear.
 
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
The impact of occupational health for the wider NHS and its patients have been investigated and documented. The potential benefits of improving occupational health for the wider NHS are clear. It can be assumed that the WM would derive identical benefits if Working Stress were offered to NHS clinical staff in the WM.

A number of systematic reviews and meta-analyses showed that occupational health is negatively linked to a patient’s care, satisfaction and safety outcomes (Boorman, 2009; Edwards, Burnard, Park, MPhil, & Edwards, 2003; Hall, Johnson, Watt, Tsipa, & O’Connor, 2016; Nahrgang, Morgeson, & Hofmann, 2011), leads to lower job satisfaction, poorer performance, work-life imbalance (Edwards et al., 2003), intention to leave an organisation and earlier retirement (Buckley, 2015; Taylor et al., 2007).

Poor occupational health in the NHS is costly. For example, Boorman (2009) calculated that better staff health might be associated with up to a million extra working days a year and could save approximately £13.7 million a year to NHS as a whole. The cost of sickness absence alone has been estimated at £2.4 billion a year.
Current and planned activity: 
Discussions about the Working Stress app are ongoing with NHS England, NHS Innovation, NHS Employers, NHS Resolution, MIND and a growing number of individual NHS trusts.

Working Stress is being offered to the clinical, occupational health and finance leadership within targetted NHS trusts. The intention is to create ongoing commercial relationships with NHS trusts whereby Working Stress is offered to all frontline doctors and nurses in a single programme to address immediate issues. Working Stress would then be added to formal inductions for all new staff members and also for existing staff who are facing a significant change their professional personal circumstances. Long-term sustained cultural change is the objective. 

NHS Practitioner Health Programme has confirmed a formal partnership and is working with Focus Games Ltd to develop a face-to-face group intervention to complement the Working Stress app. This is a board game.
What is the intellectual property status of your innovation?:
Intellectual property is wholly owned by Focus Games Ltd, the developers of Working Stress.
Return on Investment (£ Value): 
medium
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
Regional Scalability:
The app is very scalable. It can be easily deployed anywhere in the world.
Measures:
For individual clinicians the proven benefits of using Working Stress are:

Reduce:
  • Psychological symptoms; anxiety, psychiatric morbidity and emotional exhaustion
  • Physical symptoms; insomnia and changed eating habits
  • Negative coping mechanisms; alcohol and drug use
  • Root causes of Chronic Embitterment
Increase:
  • Positive coping mechanisms; emotional support and humour
  • Improved perception of employer and working conditions
The benefits for NHS employers, and wider society, are reasonably well-documented regarding reduced staff absenteeism, staff turnover and patient safety risks.
 
Adoption target:
Ideally all employers will recognise the benefits but this will take time. In year 1 we would aim to have 4 medium sized West Midlands Trusts contracted.
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Andy Yeoman 28/09/2017 - 10:13 Detailed Submission Login or Register to post comments
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Innovation 'Elevator Pitch':
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Overview of Innovation:
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Stage of Development:
Trial stage - Trial stage to prove that the idea actually works as intended
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Wellness and prevention of illness / Education, training and future workforce / Digital health / Innovation and adoption
Return on Investment (£ Value): 
N/A
Return on Investment (Timescale): 
N/A
Ease of scalability: 
N/A
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Suzanne Edwards 12/07/2017 - 17:00 Archived Login or Register to post comments
Innovation 'Elevator Pitch':
Our Game Based Learning platform, could be easily deployed to support the WM Mental Health community - parents, carers, teachers, clinical staff, in early recognition, intervention and prevention, especially for early intervention of young people.
Overview of Innovation:
Our Game Based Learning platform has a unique difference over 'other' digital / serious games providers. Our platform provides the ability to easily change, update and amend game experiences, so that any investment in an experience is extended to address an organisations ever changing requirements. Our platform allows a Game Based Learning experience to be developed in under 10 days and can be changed / updated in minutes. The platform is available 'locally' or in the Cloud and can be deployed on Tablets, PCs or via the Internet. We have already successfully worked with and developed a number of games within the Healthcare Industry - namely around the subject of 'Stop the Pressure' - Pressure Ulcer training for Tissue Viability professionals.

We believe that our Game Based Learning platform could be deployed to assist the Mental Health community to drive communication, early intervention and help with prevention of Mental Health - especially within the area of young people, as a Game Based Learning experience is un-intrusive, engaging and enjoyable, thus suiting the demographics for the younger generation.

Game Based Learning, provides an engaging conduit to deliver knowledge in an enjoyable format, games generally result in players relaxing and engaging in the defined subject. This creates a learning platform that is open to all levels of intelligence and education, providing an level playing field for the overall audience.
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Education, training and future workforce / Wealth creation / Digital health / Innovation and adoption / Patient and medicines safety / Person centred care
Benefit to NHS:
The 'Future in Mind' report commissioned by the NHS, clearly discusses the benefits of early intervention relating to mental health, especially for the younger population. To achieve early intervention successfully, the whole 'mental health' community must be involved - peers, parents, teachers, friends, professionals etc. Applio believes that a proof of concepts - Game Based Learning experience, would greatly assist in breaking down the barriers in the 'openness' and 'discussions' relating to this difficult subject. Games have the ability to really engage an audience, provide an enjoyable way to discuss a subject, break down perceived barriers and drive engagement within the younger community - they are after all, already playing digital games!
Initial Review Rating
4.60 (1 ratings)
Benefit to WM population:
Delivering a proof of concepts Games Based learning platform as a trial within the West Midlands Mental Health arena, would provide the West Midlands with the required analytics required to measure the impact of what we are proposing. Should the analytics prove to be beneficial, then the West Midlands would benefit in relation to the whole Mental Health community being able to successfully communicate, provide early intervention and improve prevention in the younger generation of the West Midlands. This could then be showcased to the greater community of the NHS.
We believe that the proof of concepts would only require approximately 20 to 25 days of time from Applio, obviously we would require input from experienced practitioners, which we estimate to be between 3 and 6 days.
Current and planned activity: 
We have already provided Game Based Learning experiences to the NHS in partnership with WMAHSN, we created two experiences relating to 'Stop The Pressure' - Pressure Ulcer training for Tissue Viability professionals. One experience was 'story' based - about a patient called Angela Smith. The other a competitive team vs. team experience that contained numerous questions and scenarios addressing the very technical issues of Pressure Ulcers. The games were played at team meetings and the feedback was excellent:

‘What a great way to learn, really enjoyable and engaging’
‘So much better and engaging that listening to a PowerPoint presentation’

Applio would recommend as next steps that we arrange in partnership with the NHS a 2hr workshop with a relevant Mental Health professional to hold initial discussions that would provide Applio with enough information to develop a 'demo' game experience, this would prove the technology and provide the foundation to drive this initiative forward.
What is the intellectual property status of your innovation?:
Currently Applio is in discussions with an IP specialist firm, which is looking into the applicability of IP for our Games Based Learning platform.
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
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Tony Chamberlain 11/07/2017 - 15:55 Publish Login or Register to post comments
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