“It Takes Balls to Talk about mental health” – Using Sport to Talk, targeting men and the people who care about them (#2123)

Idea Description
Supplementary Information
Innovation 'Elevator Pitch':
Using Sport to Talk, targeting men by accessing local sporting events, and providing information on why it’s important to reach out about feelings. 
Overview of Innovation:
(On behalf of Marie Nicholls, Coventry and Warwickshire Partnership NHS Trust Lead for Clinical Risk and Suicide Prevention)

Suicide is the biggest killer of men under 35 in the UK. 3/4 suicide fatalities are male.
Suicide is complex and there is not one single cause of it, however evidence shows that men who are traditionally less likely to discuss feelings and concerns may benefit from reaching out, from talking about how they feel.
‘Balls to Talk’ is a project directed at men and the people who care about them, promoting that it is ok for men to reach out, to talk about how they feel, and to be a listening mate via sporting events across Coventry and Warwickshire.
Partners in this scheme include: WASPS rugby League Club; Coventry City Football Club; Coventry Blaze Ice Hockey; and various other local sports teams and clubs.
We are also working with Time to Change, Mind and the Samaritans. Large local employers who have high numbers of male staff including Jaguar – Landover and Unite the Union are also committed to the project.

Press release - https://www.covwarkpt.nhs.uk/our-news/it-takes-balls-to-talk--923 
Stage of Development:
Evaluation stage - Representative model or prototype system developed and can be effectively evaluated
Similar Content1
Innovation 'Elevator Pitch':
A two tiered awareness training aimed at raising awareness of the risk of ligatures and hanging, what to do in ligature scenarios, and raising awareness of suicide risk.
Overview of Innovation:
(On behalf of Marie Nicholls, CWPT Lead for Clinical Risk and Suicide Prevention)

Hanging is the most prevalent suicide method for men and women in the UK. In Coventry & Warwickshire Partnership Trust, ligature related incidents have risen over the past two years.

In response to this, a two fold awareness programme has been developed around ligature/hanging risks. Firstly a basic awareness for all Trust staff (including non-mental health colleagues), which is an overall suicide prevention message; and secondly an enhanced training, which includes a film showing the use of ligature cutters in practice with staff testimonials and advice on supporting staff.

We are hoping to market this programme to other Trusts and health and social care providers. We are currently investigating methods of distribution and delivery, and whether we might be able to get this programme accredited by an organisation such as NICE. 
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 / Education, training and future workforce / Wealth creation / Patient and medicines safety
Benefit to NHS:
Suicide has traumatic effects for everyone, not only for those personally involved, but for professionals as well. Suicide touches the lives of many people, and the impact on the NHS is significant in regard to the cost of trying to prevent suicide, supporting those bereaved, and the NHS' reputation.

Suicide is preventable, and yet investments into programmes to prevent it are not well resourced or popular. This needs to change; it is simply not acceptable that suicide kills more men in the UK under 35 than accident, illness and injury. Hanging is a significant risk and probably the hardest suicide method to restrict.

This is why this awareness programme is hitting this risk head on by telling NHS staff, many of whom don’t work with mental health services, about ligatures and where the risks of ligatures are greatest. It also raises awareness- this programme links into overall suicide prevention. Someone who has the ligature awareness session may just think about a neighbour or friend and recognise that there may be a risk.

The training is split into both basic and enhanced training, so that it can be applicable to as many people as possible. Basic ligature awareness training is now included in Coventry & Warwickshire Partnership NHS Trust’s Statutory and Mandatory training, and will hopefully lead to a point where all staff in the Trust (whether they work in inpatient areas or not) will have a degree of awareness about ligatures, ligature points, and what to do if they suspect a suicide risk or encounter a live ligature emergency, even outside of the Trust.

Prevention is key for NHS services and this project is about just that.
Benefit to WM population:
The training packages will be first delivered to staff within Coventry and Warwickshire Partnership NHS Trust. We are primarily a mental health Trust that operates across Coventry and Warwickshire.

The West Midlands has the third-highest suicide mortality rate across England and Wales at 11.6 deaths per 100,000 population, and the second-highest rate of male suicide, with a rate of 18.5 deaths per 100,000 population. Moreover, the suicide rate had the biggest percentage increase between 2013 and 2014, rising from 9.8 deaths per 100,000 population to 11.6. Over half of all suicides in the UK are by hanging or ligatures.

The Ligature Awareness Training packages we have developed have a clear benefit to the West Midlands population when viewed in light of these figures. Training staff that work with vulnerable people to react appropriately in ligature emergency situations, and to be aware of where ligature cutters are kept and how to use them, will mean that many potentially fatal situations can be avoided in inpatient areas.

The benefit can spread even further- as all staff in Coventry and Warwickshire Partnership NHS Trust will be given the training as part of their Statutory and Mandatory training, the chances of them recognising risks outside of the Trust are greatly increased as well, whether they work in inpatient areas or not.

Currently, there are not many well-resourced or popular programmes to tackle the prevalence of preventable suicide risks. Through this training package and video, we hope to not only raise awareness of ligature risks, feeding into a larger suicide prevention initiative, but also provide an efficient, inexpensive and effective method for health and social care workers to be properly briefed on how to handle situations around ligatures and to mitigate ligature risks. 
Current and planned activity: 
The basic awareness session has been launched and is currently being delivered to 4,500 staff as part of Statutory and Mandatory training.

The enhanced training including the film is about to be shown to around 1,000 appropriate staff.  Evaluation of the basic awareness is good, and this is being collected via the training.

Evaluation of the film will be completed once delivered and will be encompassed in the Trust's commitment to the zero suicide agenda.
What is the intellectual property status of your innovation?:
Training film watermarked. Copyright held on basic awareness training. 
Return on Investment (£ Value): 
Return on Investment (Timescale): 
Ease of scalability: 
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