Prevention of Mental Ill Health
How do we prevent the development of mental health problems and get help earlier for people starting to suffer poor mental wellbeing?  

Ideas (Education, training and future workforce)

Innovation 'Elevator Pitch':
This is an online toolkit developed specifically for primary care multi-disciplinary teams to assess for potential learning or development in relation to mental health needs of their patients.
Overview of Innovation:
This product identifies confidence levels amongst primary care teams with regard to the recognition, intervention and support of people with mental health wellbeing and illnesses.  Evaluation of the findings will assist in the development of a potential action plan to address learning needs on both an individual and team level.  It can assist in assessing confidence and raising self-awareness of staff skills and knowledge in the overall management of people with mental illness.  The tool can also be used for revalidation, supervision and appraisal purposes.
The tool is designed for all the whole team. For example receptionists, health care assistants, practice nurses, physician associates, advanced nurse practitioners, allied health professionals, pharmacists and general practitioners. 
If embedded within an individuals or team’s learning and development strategy it has the potential to improve the quality of care offered to people to manage their mental health wellbeing and illness. 
The Mental Health Learning Needs Analysis tool is ready to be used for further evaluation and feedback.  
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:
This tool has the potential to assist users in identifying learning and development needs to improve the early recognition and interventions for mental health illnesses.  
Initial Review Rating
4.20 (1 ratings)
Benefit to WM population:
This tool has the potential to impact on the early detection, management and interventions to improve mental health wellbeing and care for primary care populations.
Current and planned activity: 
Health Education England (working with West Midlands) have provided funding to evaluate this tool within a GP practice and with student practice nurses.  
What is the intellectual property status of your innovation?:
Health Education England are the owners of all IP created and the toolkit will be made available on their public use website.
Return on Investment (£ Value): 
medium
Return on Investment (Timescale): 
3 years +
Ease of scalability: 
Simple
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Sue Shortland 14/02/2017 - 13:03 Archived 1 comment
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Innovation 'Elevator Pitch':
Using and testing an IPS model in a secure forensic setting to support service users back into work and ultimately preventing readmission through enhanced support to recovery.
Overview of Innovation:
People with mental health problems often want to be working but don't know how to go about it or need support to make it happen. If they do want to work, then the most effective method of helping them to do so is Individual Placement and Support (IPS).
 
Occupational Psychology consultancy enables the development of capability to ensure placements and outcome data is maximised by optimising the skills assessment and cognitive processing assessments, match to job skill sets required or are dominant features. The preparation phases of developing service is also enhanced through advisory input from the occupational psychology to enhance the team development and skills base in delivering a finely tuned approach to individual skills and talents in the patient population.  The occupational psychology input, would advise on tools in liaison with occupational therapists, who are delivering the pre employment preparation and assessment in the IPS  and IPS+ services, currently.
 
Physiotherapists will screen for long term conditions and physical endurance and functional capability to perform the tasks necessary to working employed roles. Some service users may need conditioning and education in self management of chronic conditions such as COPD, back pain and poor exercise tolerance.
 
Other regions such a as Nottingham have been trialling IPS in secure services, and have published the methodology, however, is yet to report outcomes. Nationally outcomes run at between 28-56% success rate, for people without offending histories and the level of disability and acuity. This enhanced IPS model will give outputs which can be compared to the traditional IPS model from the Nottingham feasibility study located in secure services and ultimately lead to improved outcomes in the West Midlands.

BSMHFT works with other partners such as BITA pathways and APM in delivering this activity, so there are also learning and work pathways, for people who are not ready or able to experience IPS OR IPS+ owing to their level of disability or treatment resistance. Some people will have just too many risks to allow them into the IPS programme, however, it is important that there is something for everyone relative to supporting employment or working in any sense.
 
Additionally, the trust has funded part of this innovation by supporting a bid to strengthen the model by funding additional specialist OT input to liaise with employers and support work placements once people are into a work role.
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 / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Education, training and future workforce / Wealth creation / Innovation and adoption / Person centred care
Benefit to NHS:
Employment is an important part of developing normal routines and sense of purpose. It also enables people to experience a wider peer group, preventing isolation and encouraging hope for personal autonomy. The benefits of an enhanced model, rather than the standard model will identify employment choices which will be more sustained, tailoring the skills set and intellectual capability of patients to job roles, if patients feel they have the skills and strengths to deliver in employed roles effectively, will  enable career development and play to their strengths and abilities. Also, after sustained secure residency (generally 1-5 years), some people will decline in their exercise tolerance especially if there are pre existing long term conditions. Enhancing the input to support self management and improved work conditioning, we postulate will enhance the job outcomes.  Ultimately the implementation of this model will lead to the prevention of readmission through enhanced support to recovery.
Initial Review Rating
4.20 (1 ratings)
Benefit to WM population:
Increased economic activity and tax revenue from working populations, can only enhance wealth generation across the region. Also, relapse prevention from forensic service users, will reduce crime and the use of expensive services into the future. Community integration and participation in working roles, will impact on service users having a stake in their communities and having a key part of their on going successful rehabilitation. This will enhance well being and sense of personal autonomy of service users.
Current and planned activity: 
A basic IPS model is being delivered and trialed within the secure services setting and community at the acute end of the service. We require support to expand delivery of a enhanced IPS model, in a medium secure setting, answering the question;  does IPS + model of delivery, enhance the outcomes of sustained employment beyond 26 weeks in a comparable population group, and does it reduce relapse rates compared to the standard IPS model of delivery. Support required includes:
  • Access to an occupational psychologist to design/refine assessment tools and advise on preparation phases- 0.4 WTE for 6 months (consultancy basis)
  • Project manager/coordinator and data analysis research assistant band 8a) 0.5 wte
  • Physiotherapy time ( 0.5 wte band 6)which will enable screening for long term conditions and review functional capability from an endurance and work tolerance perspective. They will also be part of developing self- management and monitoring of long term conditions for service users.
What is the intellectual property status of your innovation?:
This is a proven model globally, and government backed. There is no intellectual property to IPS, however, the enhancement does provide some unique features in overcoming offending histories and enabling employers to be supported in picking up forensic patients into the work place. Employers are frequently anxious about employing offenders, let alone those with mental health problems, the need for employer support, education and outreach is pivotal.
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
Simple
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Sue Coffee 12/10/2016 - 16:51 Archived 1 comment
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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): 
medium
Return on Investment (Timescale): 
N/A
Ease of scalability: 
Simple
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Sam Ingrams 31/08/2016 - 16:09 Sign Posted Login or Register to post comments
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Innovation 'Elevator Pitch':
HeadGym coaching is a one to one flexible service providing innovative self help techniqes for adults and children that enable clients with mental health challenges to develop mental resilience and manage their own mental health. 
Overview of Innovation:
HeadGym services are preventative and for those experiencing crisis; we believe in helping the client to help themselves. Many clients we see have undertaken short term interventions over many years which have been inaffective in the long term, creating a revolving door of services and/or becoming dependent on medication.
We address this issue and provide a long term flexible service built around a goals framework, it is about the client having the ability to take control of their own mind and body and finding the solutions to do so. The coach ensures clients are supported in developing their own goals and steps to achieving them meaning that aspirations are built around what the client wants and not a service providers desired outcomes. The ownership of these goals has shown to make a huge difference in clients motivation and success rates are high, inevitably service providers desired outcomes are met anyway. We provide clients with some simple tools, techniques and strategies based around the findings of neuroplasticy using Neuro Linguistic Programming, Cognitive Behaviour Therapy  and other methods. Areas of progress have been: self esteem, mental health, self confidence, self worth, weight loss, nutrition, exercise, career, addictions, volunteering, coming off benefits and re-engaging with education.  A Coach is encouraging and guiding throughout the process, they highlight the positive achievements in an individual’s progress. HeadGym helps a person to identify strengths and provides long term support to enable people to make positive changes. Appointments can go from fortnightly to 3,6, or 12 monthly or longer with the option for a person to alter the regularity of sessions and return to more frequent appointments should their needs change. Sessions can be held face to face, via email, facetime, Skype, Google hangouts and other platforms, this enables us to reach out to more isolated people and to be very flexible and is particular popular with young people.
Using this mechanism people have progressed to manage their mental health and in turn make progress in other areas of life, such as gaining employment, losing weight, starting volunteer work. We have been monitored by referring agents, case studies have been conducted independetly and WEMWEB self assessments have been completed by clients, all of which validate the HeadGym approach.
Due to the proven success of our project we now want to train more Headgym coaches and reach more people.
 
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 / Innovation and adoption
Benefit to NHS:
Due to our long term more flexible approach we have seen that as HeadGym begin appointments other service provider interventions drop off; this varies from client to client, however the lessening dependency upon other services clearly has a benefit to the NHS in terms of cost and time. Clients are no longer repeating short term interventions over and over and start to make progress in all areas of their life, for example relationships, family, work, education and physical health.
Some of the outcomes that we have seen are improved diet, less GP appointments, reduction of dependencies (prescribed medication, alcohol, drugs etc) and therfore reduces the cost of future interventions and treatments.
Psycological interventions for issues such as suicide attempts, self harm, eating disorders are also avoided as clients build mental resiliance. Our approach also recognises the impact on the whole family and potential future generational problems, we have developed techniques for all age groups from age 3 upwards, this negates future requirement for intervention across whole families and generations. The cost saving is difficult to measure and potentialy could be huge not just for the NHS but also for social services, police, probation, courts, schools etc. 

Please see the link to a video of a client explaining her experience of HeadGym the sound quality is poor but the content is useful https://www.youtube.com/watch?v=J9AeJ7dCuYI
Online Discussion Rating
5.76 (33 ratings)
Initial Review Rating
3.00 (1 ratings)
Benefit to WM population:
The benefits to the WM population will be huge, we intend to roll out the HeadGym programme across the whole of the WM as an 'accessible to all' service by a variety of platforms using SKYPE, Google, email and welcome any innovative future platforms that may come along making access easier.

We recognise that mental health difficulties are not exclusive to people claiming benefits, we also recognise that many of the existing short term services are provided in the day when people may be working and are free only to benefits claimants. HeadGym want our service open to all. We are also advocates of a well being at work policy and provide mental health awareness training days for professional organisations, as well as 'in work' coaching for those experiencing mental health difficulties. This would also be encouraged across organisations, companies and statutory bodies throughout the WM area.

The HeadGym philosophy is to work with body and mind as one; therefore as people improve mental health they improve physical health and visa versa. This has an impact on the people around them and creates positive role models within families and for future parents.

Using the HeadGym goals process people using our existing service have made progress with education, volunteer work career development and peer support, in turn this has helped improve self esteem, confidence and creates a sense of purpose within the local area. I believe that replicating our success on a larger scale will have a positive impact upon the WM population. 
Current and planned activity: 
HeadGym currently work closely with the local authority, also  many of our clients have attended CAMHS support or psycological services provided by Hillcrest Hospital, we are in discussion with the CCG and will be providing HeadGym through the new well being hub.

We have integrated a webinar into our website to provide online training and discussions for coaches and are developing a series of  quick and easy videos to help clients. (see link)https://www.youtube.com/watch?v=S9PtKDN9Z24

We have a young persons peer support group in the early stages of development, which will also have a online group.

All HeadGym coaches have professional support/supervison and feedback sessions to evaluate and improve the service.
At present we are using WEMWEB and case studies to evaluate the service and would welcome any alternative evaluation tools. 
We would benefit from:
Financial investment to set up and create a sustainable business model.
Assistance with evaluation on social return.
What is the intellectual property status of your innovation?:
HeadGym does not have intellectual property status or trademark, we operate as a limited company.
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
1 year
Ease of scalability: 
2
Regional Scalability:
We intend to scale up in the same way we have done in Redditch and Bromsgrove. With our licensing model and online service we feel we could expand one area at a time taking care to retain quality of service. The model we have developed is a sustainable business model which ensures that income is generated from licensing training and ongoing coaching and expansion of existing income streams as previously mentioned.
Measures:
We will ensure that we are following the NICE guidelines as well as following the policies and procedures we have already adopted such as safeguarding CPD and DBS. With funding we will engage an independent evaluation and research agency who will provide full ongoing evaluation of the economic impact we are making and ensure a high quality of service in line with NICE guidance. We aim to have a sustainable business model that continues to achieve the outcomes we have made in the past and improve on them having independent evaluations and case studies.
Adoption target:
We aim to take a phased approach by licensing to operate our service one area at a time, rolling out across the West Midlands over the next 3 years, until fully adopted. We feel that retaining the quality of service is paramount to the success  therefore a well structured phased approach will enable thorough monitoring and evaluation.
Rejection Reason:
Further development required
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Neil 07/03/2016 - 19:39 Rejected 27 comments
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