Tag: mental health

Report into Mental Health Tribunal for Scotland recommends changes to ensure patients’ voices are heard

Pioneering study heard from patients, named persons, practitioners and tribunal members

An Edinburgh Napier University-led study, funded by the Nuffield Foundation, into stakeholder experiences of the Mental Health Tribunal for Scotland (MHTS) has recommended several ways it could improve its processes and decision-making.

Addressing the influence of clinicians, encouraging participation of patients and offering more support for named persons are among the suggestions put forward in the report.

The MHTS was set up authorise and review compulsory psychiatric measures under the 2003 Mental Health (Care and Treatment) (Scotland) Act 2003 and began operating in October 2005. The legislation is underpinned by human rights-based principles which govern the way that the MHTS makes its decisions about compulsory psychiatric care and treatment.

This study is the first of its kind since the Tribunal’s formation and heard from patients, their named persons, MHTS panel members, lawyers, independent advocates and health and social care professionals.

The timing of the study’s report means that its findings will be used to help inform the Scottish Mental Health Law Review, which is due to publish its recommendations on Scottish mental health, capacity and adult support and protection law this autumn.

Jill Stavert, Professor of Mental Health and Capacity Law at Edinburgh Napier University said: “Our study revealed several areas of agreement across all participant groups on how the Mental Health Tribunal operates and evidence of considerable caring goodwill on the part of the Tribunal and health and social care practitioners.

“However, there were certain areas where the experience and perceptions of patients and Tribunal panel members was not shared, particularly surrounding patient perceptions of their ability to participate during tribunal hearings.

“An important test whether human rights principles are effective is not only whether they are given effect by state authorities, such as tribunals, but also the extent to which they are felt to be given effect by rightsholders such as patients.”

Some of the report’s recommendations include, among others, addressing perceptions of the influence of clinicians and diversity issues, supporting patient participation, and supporting named persons more.

Professor Stavert continued: “Some of these, we consider, should be addressed by the Tribunal itself while others are for other bodies to take up.

“This is very important as human rights requirements increasingly require active respect for the rights of persons with psychosocial, cognitive and intellectual disabilities.”

MHTS-Final-Report-23-8-2022Download

Children’s service providers warn of mental health emergency caused by cost-of-living crisis

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist children’s services, has warned of a child mental health emergency caused by the cost-of-living crisis, driven by increasing energy costs.

With inflation, energy costs and shopping bills now outstripping wage levels, this has replaced Covid and lockdown restrictions as the primary cause of poor mental health for children and young people

The coalition has called for an urgent co-ordinated response by both the Scottish and UK Governments to address the crisis and avoid a potential “lost generation” of children and young people with mental health problems, such as anxiety, depression and self-harm. It has also called for greatly increased investment in mental health services.

Poverty is a major contributor to mental ill health, and children living in low-income households are three times more likely to suffer mental health problems than their more affluent peers. 1 So more young people will experience worse mental health as a result of the current cost-of-living crisis and as families fall behind with their bills, causing increased anxiety.

Even before the pandemic, cases of poor mental health were at unprecedented levels with services in crisis, and there are a growing number of vulnerable children who cannot access adequate support.

The pandemic and cost-of-living crisis have exacerbated this, with more children and young people driven into poverty, with the resulting impact on their mental health. This has led to unprecedented demand and backlogs, with services struggling to keep up.

Figures published by Public Health Scotland in June indicate that over the quarter covering January to March 2022, 9,672 children and young people were referred to CAMHS for treatment, a staggering 22.4 per cent increase in numbers from the same quarter of the previous year when the equivalent figure was 7,902.2 The cost-of-living crisis is set to further worsen this. At the end of March 2022, a staggering total of 1,322 children and young people had been waiting for over a year for treatment.3

A spokesperson for the SCSC commented: “Millions of our children and young are at breaking point, with stress and anxiety reaching alarming levels because of the effect of the cost-of-living crisis.

“Since the pandemic, referrals have increased and the cost-of-living crisis is only going to make it worse, creating a potential lost generation of vulnerable children and young people.

“If we don’t give young people the support they need, when they need it, the consequences can be catastrophic.

“By minimising the drivers of mental health problems – such as poverty – we can reduce the impact on services and we would urge the Scottish Government and UK Government to work together and address this.”

Walking, wheeling and cycling to be offered on prescription in England

  • trials in 11 areas across England to help people’s mental and physical health
  • GPs will issue social prescriptions such as walking, wheeling and cycling, backed by £12.7 million
  • schemes will include cycling and walking groups, cycle training and free bike loans

Social prescriptions, including walking, wheeling and cycling, will be offered by GPs as part of a new trial to improve mental and physical health and reduce disparities across England, the government has announced today (22 August 2022).

The government has awarded £12.7 million in multi-year funding to 11 local authority areas in England. The funding will go towards several pilot projects in each location, including:

  • adult cycle training
  • free bike loans
  • walking groups

Other schemes include all-ability cycling taster days where people who may not have cycled before can try to in a friendly environment, or walking and cycling mental health groups where people can connect with their communities as they get active.

The pilots must be delivered alongside improved infrastructure so people feel safe to cycle and walk.

The 11 local authority areas that will trial social prescriptions are:

  • Bath and North East Somerset
  • Bradford
  • Cornwall
  • Cumbria
  • Doncaster
  • Gateshead
  • Leeds
  • Nottingham
  • Plymouth
  • Suffolk
  • Staffordshire

The pilots, a commitment in the government’s Gear Change plan published in 2020, aim to evaluate the impact of cycling and walking on an individual’s health, such as reduced GP appointments and reliance on medication due to more physical activity. For the first time, transport, active travel and health officials will work together towards a whole systems approach to health improvement and tackling health disparities.

Walking and Cycling Minister, Trudy Harrison, said:  ”Walking and cycling has so many benefits – from improving air quality in our communities to reducing congestion on our busiest streets.

“It also has an enormous positive impact on physical and mental health, which is why we have funded these projects which will get people across the country moving and ease the burden on our NHS.”

National Active Travel Commissioner, Chris Boardman, said: “As a nation we need healthier, cheaper and more pleasant ways to get around for everyday trips. Active Travel England’s mission is to ensure millions of people nationwide can do just that – so it’s easier to leave the car at home and to enjoy the benefits that come with it.

“Moving more will lead to a healthier nation, a reduced burden on the NHS, less cancer, heart disease and diabetes, as well as huge cost savings. This trial aims to build on existing evidence to show how bringing transport, active travel and health together can make a positive impact on communities across England.”

The pilots will be delivered between 2022 and 2025 with on-going monitoring and evaluation to support continued learning.

The project is bringing together a range of government departments and agencies including:

  • NHS England
  • Office for Health Improvement and Disparities
  • Sport England
  • National Academy for Social Prescribing
  • Defra
  • Department for Health and Social Care

The Changing Room for young women

The Changing Room for young women delivered in partnership with partners @SAMHtweets at Easter Road Stadium has a new start date later this month.

See above for more info on the latest 12 week courses and for contact details.

Scottish Government announces extra support for mental health at work

Employers given tools to understand and improve mental health of workers

Businesses now have access to a free online platform offering practical ways to boost mental health in the workplace.

Face-to-face training opportunities, clear guidance on the legal duties of businesses, and specialist third-party contacts will be in one place for the first time – making it easier than ever for employers to access the means of creating a culture of support and wellbeing at work.

This initiative comes as research shows the pandemic has had a detrimental impact on the mental health of people up and down the country. As more people continue to return to the workplace, the Scottish Government is encouraging employers to support the mental wellbeing of staff so that businesses can continue to recover from COVID-19.

Recent research shows poor mental health costs Scottish employers over £2 billion every year and that, for every £1 spent on mental health interventions, employers get back £5 in reduced sick days and increased productivity.

Mental Wellbeing Minister Kevin Stewart said: “Happier workforces create successful businesses – it’s a win-win for all involved.

“The pandemic has impacted the mental health of us all and employers need the tools to protect and support the mental health of their staff.

“This platform makes it easier than ever to achieve this, and I encourage companies across Scotland to get involved for the benefit of their staff and productivity.”

Chief Executive of Public Health Scotland Angela Leitch said: “These last few years have been difficult for many people across Scotland and has had an impact on the mental health of many. 

“Returning to our workplaces could also be a further challenge because of changes in personal circumstances. It is widely recognised that being amongst colleagues can be beneficial to our mental health and being back in the workplace can also be a more positive and productive experience.

“This toolkit will therefore be of considerable benefit to employers and to their staff as we move out of the restrictions we’ve lived with for two years.” 

It comes as See Me –Scotland’s national programme to end mental health stigma and discrimination – has launched a complementary digital portal that gives employers access to a one-size-fits-all framework for workplaces. This will help companies make continuous improvements to directly tackle mental health stigma and discrimination.

Wendy Halliday, director of See Me, Scotland’s programme to end mental health stigma and discrimination, said: “Mental health stigma and discrimination in the workplace often comes from a lack of knowledge. People can find that genuine problems are either belittled, or not believed in the first place.

“We’re calling on organisations to be real leaders in creating positive change, making their workplaces the best they can be, by joining the See Me in Work programme.

“The new digital portal supports employers to take action to tackle mental health stigma and discrimination at work and create workplaces that are open in talking about mental health and where discriminatory behaviour is challenged.”

Supporting a mentally healthy workplace is the new online platform.

New Chill social club at Fet Lor

Starts this THURSDAY 4th AUGUST

New club!

We have a new club starting up this week with Edinburgh Chill Youth Club.

If you are aged between 16-25 and have difficulty with speech, language and communication then this club is for you!

If you would like to sign up or find out more info contact Judith on 07507 535587.

Knitting has incredible benefits on brain health

Whether players want to improve their brain health and memory after sustaining a head injury or purely want to test their cognitive skills, memory activities are a great way to stimulate mental fitness and improve brain health.

Experts at SolitaireBliss have revealed a top 5 list of brain training and memory improvement activities that offer players a wide range of cognitive benefits.

  1. Jigsaw puzzles

The benefit of puzzles is that they are available for all ages; whether you’re five or fifty-five, there are plenty of puzzles and jigsaw games on the market that will test your brain cells and improve mental speed.

Both physical and online puzzles are mentally stimulating and can also help increase concentration and attention levels whilst working to enhance positive moods.

Puzzles are also an incredible way to eliminate stress and reduce anxiety, so they are a perfect option for those suffering from these problems.

  1. Card games

Card games might seem like an obvious option but are often forgotten about. Card games are the perfect way to work on improving problem-solving and strategy building.

Alongside delaying and preventing memory decline like puzzles, card games are also great for people who may struggle with social anxiety. They keep you socially active as many games require more than one player and help improve basic maths skills.

  1. Knitting

Contrary to popular belief, knitting is not only for the elderly! Knitting is a great way to keep all brain parts active and engaged. The calming act of knitting helps reduce anxiety, has fantastic benefits like eliminating emotional stress, and is a great way to distract from pain.

Not only does knitting allow a great sense of achievement when the project is finished, but it’s also a great way to increase dopamine and serotonin, which promote the body’s happy hormones.

  1. Chess  

Chess is the perfect way to challenge the mind and keep critical thinking at the forefront of the brain. The ancient game helps to develop pattern recognition, analytical thinking, exercise logic and improve memory.

For centuries chess has been an impressive game to master, which is why the beloved game has seen many world champions over the years. Albert Einstein was known to be an expert at the game, just like his best friend Emanuel Lasker, who held the world title for 27 years, the longest reign of any world champion.

  1. Online apps/websites

In this day and age where we are glued to technology and our phones, it is common for our minds to stay inactive and unengaged with all our hours of mindless scrolling, which is why brain training apps are perfect for everyday use by their ease of accessibility.

Many apps and websites are available for Android and Apple users, so finding one that suits you will be easy. Some of the most popular ones for brain training are SolitaireBliss, Lumosity, Elevate, CogniFit and NeuroNation.

A spokesperson for SolitaireBliss commented: “Not only are all these braining training activities beneficial by engaging cognitive skills, but they can help to prevent the early onset and reduce progression rates of Alzheimer’s, dementia and other memory-affecting diseases.

The benefits of taking part in any of these activities will keep your brain happy, healthy and engaged and give you the opportunity to learn a new skill and increase your social skills simultaneously!”

Staying Inn: pub set up in care home

With COVID restrictions easing, a care home in Giffnock has opened its very own pub, bringing joy to the residents and the staff.

The team at Eastwood Court Care Home, on the outskirts of Glasgow, worked with an occupational therapist to look at ways of improving residents’ quality of life and provide a sense of purpose for those living in the facility.

The ‘Staying Inn’ pub opened in April and the bar has proven to be a huge success, with residents enjoying the odd sweet sherry, a quick half or even just some sparking water, improving both the mental and physical health of the bar’s patrons along the way.

Fiona Gibson, Care Home Liaison Occupational Therapist at East Renfrewshire Health and Social Care Partnership, said that since working with the home ​to increase resident engagement, they have been able to reduce patients’ medication, stress and distress in residents with dementia and increase their food and fluid intake.

She said: “The opening day was brilliant and one of the staff said it was the best day they had experienced since COVID and lockdown. Residents can put their nice clothes on, have a drink, enjoy a pub quiz and during things like the Euros or the Platinum Jubilee, we had the bunting up.

“More than that, when loved ones come to visit, they can visit ​a place that has some meaning for residents and not just be in a room with a bed. 

“They can choose if they want a beer, or a wee sherry or some chips and pub grub. Living life to the fullest doesn’t end because you’re in a care home and what we know is that when we can provide an occupation focused service for people, the ​overall mental health and wellbeing outcomes for residents improve. Everything that occupies your time is so important to your continued wellbeing and prevention of mental and physical health decline.”

Fiona worked with the Elizabeth Casson Trust to secure a grant to establish the bar, with donations from local businesses helping to kit it out, creating a purposeful space that residents value and enjoy.

Eastwood Court’s Activity Co-ordinator, Catherine McAllister, said: “We have regular pub quizzes, domino and musical afternoons, as well as the odd darts tournament. We’ve made mocktails and held a “forget-me-not” fundraiser in aid of the Alzheimer’s Society.

Catherine and activity co-ordinator colleagues, Lesley Brown and Jennifer Duffy, worked hard to bring the bar to life.

She added: “We have a TV in our bar which allows residents to an alternative programme to our lounge, offering choice.  The Staying Inn provides a relaxing and calm environment for our residents.

It’s a perfect environment for everyone, with a wide choice of drinks to choose from our dementia friendly menu, which are served with snacks. Our residents are really enjoying our new pub and we hope they will continue to do so.”

Fiona also paid tribute to the care home staff. She added: “The team have brought the Staying Inn to life, working really hard to turn it into a reality and with our guidance and support, it really is a place that brings joy to everyone who uses it.”

The bar brings additional health benefits, combatting loneliness and isolation and, in some cases, bringing a renewed sense of purpose.

Emma Walker, Lead Occupational Therapist for Mental Health and Recovery Services in East Renfrewhire added: “It’s about improving quality of life and making sure people are functioning and engaging at their best.

“When you are in a care home, people’s functions can deteriorate quite quickly because other people are doing things for them, which can mean people lose all sense of purpose. That can lead to an increase in stress and distress and it can become a vicious cycle where physical and mental health decline.

“We’re trying to reverse some of that through tailored, holistic interventions to help people to reach their potential, even if that’s just basic things like getting their own shoes on to go to our wee pub.

“One resident was telling me about what she liked when going to the pub and her favourite tipple was a wee Babycham mixed with all sorts. There’s a lot of life to be had in a care home, no-one is calling last orders yet!”

Pictured: Residents and staff enjoy some time together at the Staying Inn pub.

Tackling dementia, depression and loneliness through the power of sport

Sporting Memories Foundation Scotland in partnership with Edinburgh Leisure will be running a weekly club, supporting older adults to stay active, connected within their local community, and build amazing friendships through their common love of sport. 

Starting on Tuesday, 16th August 2022, the weekly, free drop-in sessions will take place every Tuesday, from 10.30am to 12.00 at the Royal Commonwealth Pool.   The sessions are the perfect forum to reminisce about local sporting heroes, share stories about past playing days and show off your knowledge over a quiz or fun game. Everyone is welcome and a cuppa will be available too.

Donna Mackey, Partnership Manager, SMFS, “We are really excited to launch our newest Sporting Memories partnership at the Royal Commonwealth Pool, a venue at the real heart of Edinburgh’s sporting heritage. 

“We believe there are lots of older adults in the area who have a passion for talking about sport and who will benefit from attending a weekly group with like-minded people.  The clubs are a great opportunity to build new friendships and become more active by taking part in some of our indoor games. We can’t wait to get started.”

Sam Scott, Health Development Officer (Dementia) at Edinburgh Leisure said: “These sessions were originally due to start in April 2020 but for obvious reasons, they had to be put on hold.  

“However, Edinburgh Leisure’s partnership with Sporting Memories Foundation Scotland makes perfect sense, as does hosting these clubs at the Royal Commonwealth Pool, a building steeped in its own sporting history.  These clubs will support the work we are already doing working with people living with dementia through our Movement for Memories programme.

“Using the rich history and heritage of sport, the Sporting Memories clubs are open to older adults who enjoy reminiscing about their experiences of watching or playing it. We just want anyone, with a love of sport, to come along and refreshments are provided.”

The clubs are run by trained by Sporting Memories volunteers who use a wide range of Sporting Memories reminiscence resources developed specifically to help prompt conversation and discussion. There is always great fun and laughter, friendships are forged, and some remarkable sporting stories often emerge.

Sporting Memories has developed an innovative and engaging approach to tackling the challenges of our ageing society.  Their work focuses on:  reducing loneliness and isolation; getting older people physically active; and helping people to live well with dementia.

Edinburgh Leisure’s Active Communities team launched Movement for Memories in September 2018. This programme supports people living with dementia and their carers to become or remain physically active in Edinburgh.

This work is supported with funding from the Life Changes Trust.  The Trust is funded by the Big Lottery.

For further information, contact Donna Mackey donna@thesmf.co.uk