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Referral forms and client leaflets

Information Leaflet: Bridging the Gap

Referral form - BTG SELF

Information Leaflet: Health and Work Service

Referral form - HWS SELF

 Referral form - NFFWS SELF
 

Tackling health related worklessness by developing the evidence base and discourse around inequalities in health and work and worklessness.

Rolling out learning from commissioning and delivery of culturally sensitive mental health service provision.

Short Explanation

The project will support the mainstreaming of evidence based culturally sensitive and language competent mental health services into the mental health care pathway. Using a trawl of evidence-based best practice to identify models and examples of good practice. This will include the service commissoned by local CCGs from the Health Work and Wellbeing Group (HWWG) as an addition to mainstream care pathway.

Claimants for mental health conditions are increasing rapidly from 26% of all claimants in 1996 to 41% in 2006. Nationally, depression and anxiety or other neuroses are the main types of mental ill health among IB / SDA claimants. The Sainsbury Centre for Mental Health (SCMH) recommended targeted support, to help individuals from black and minority ethnic (BME) groups into / retention in employment. Although over represented in mental health settings, certain BME groups often do not access traditional mental health or employment support.

The HWWG are commissioned by CCGs to deliver culturally sensitive and language competent mental health services which work in partnership with mainstream Work Programme providers to support the patient not only to improve their mental health, but also their employment outcomes. The service also supports BME patients in work to retain their employment. All patients have at least two protected characteristics.

Although the BME mental health service is commissioned locally by CCGs, currently it is an addition to the mental health pathway and not integrated into it.

The current service operates a biopsychosocial model and therefore addresses the wider social determinants of health which can cause / contirbute to the severity of a patient's mental health problems. Areas the service covers include; relationships, work, addictive behaviours, social networks, responsibilities, managing mental health, physical health and self care, trust / hope, and self-esteem  /identity.

This project supports DH and PHE priorities including mental health parity of esteem, contribution to economic growth, improving the standard of care and PHE healthy people.


Methodology

The methodology used to deliver this project will include:

The use of qualitative and quantitative research methods in order to identify and review other examples of culturally sensitive mental health services to compare best practice.

Using the Partner as a critical friend to review the existing HWWG culturally sensitive and linguistically competent service.

The production of a report on the research findings.

The undertaking of a co-production workshop to be held with Improving Access to Psychological Therapy, CCGs, BME members, BME Wellbeing Advisors, Work Programme providers, employability providers and Fit For Work Service providers, to discuss methods of of improving off flow into employment for BME community members with mental health conditions.

A webinar to share the outcomes of the co-production workshops and research findings.

The Partner and HWWG members utilising the findings to support the development of training for CCGs.


Relevant outputs or anticipated outcomes and impact

The expected outputs for this project will be:

30 case studies for BME patients of working age whom are struggling to retain their employment / move into employment due to mental health issues, who have received culturally sensitive mental health support integrated with employment support.

Literature review of health, work and worklessness in relation to BME community members.

The mapping of best practice mental health models for supporting people from BME communities into recovery and into work / retention in work.

The co-production of a workshop to be held with Improving Access to Psychological Therapy, CCGs, BME members, and BME Wellbeing Advisors in order to ensure the mental health care pathway is culturally sensitive. 

The delivery of 1 webinar to share the outcomes of the co-production workshop with slides and audio available via social media.

The production of a report detailing the research / evaluation findings, including cost benefit analysis.

The production of training materials to support the dissemination by the Partner for dissemination to CCGs.

The outcomes for this project will be:

Developing the evidence base and discourse around inequalities in health and work and worklessness in order to support the tackling of health related worklessness.

To support the reduction in health inequalities which BME communities experience with regard to mental health, work and worklessness.


Why is this project/ activity important and how might it provide value for money?

In general, people from BME groups living in the UK are more likely to be diagnosed with a mental health problem; more likely to be diagnosed and admitted to hospital; more likely to experience a poor outcome from treatment; more likely to disengage from mainstream mental health service, leading to social exclusion and a deterioration in their mental health, and thus more likely to be workless or fall out of work onto benefits.

Local research in Greater Manchester and Cheshire East shows that mental health problems go unreported and untreated because ethnic minority groups are reluctant to engage with mainstream health services. BME community members are therefore likely to suffer greater health inequalities. Being out of work is a major risk to health. It is associated with increased incidence of depression, anxiety, mortality and suicide. Health can deteriorate significantly the longer someone is out of work.

The programme of work seeks to support CCGs and mainstream mental health services to understand how to provide services that are acceptable and accessible to non-white British communities and meet their particular cultural and other needs thus supporting the reduction in equalities, improving the patient experience, and supporting the mental wellbeing of BME community members.

This project supports DH and PHE priorities including mental health parity of esteem, contribution to economic growth, improving the standard of care and PHE healthy people.

This project also targets and addresses health inequalities and the Public Health Outcomes Framework and NHS England outcomes framework around the number of people with mental health issues in work.