Results for 'environment'
COLLEY Kathryn, et al
Scottish research study to examine the barriers preventing older people, including older people with long-term health conditions and disabilities, from accessing outdoor recreation opportunities. The research involved two stages: an investigation of the spatial distribution of older people using small-scale geographical units and semi-structured interviews with 27 older people across three case study sites of varying levels of urbanity and access to different types of green/blue natural resources. Results from the spatial distribution analysis found that remote areas and isolated small towns had higher concentrations of older people and older people with health problems or disabilities. It also identifies that the negative impacts on the well-being and resilience of local communities are also likely to be stronger in remote areas, with challenges in accessing medical and care facilities. The case study work found the barriers to participation in outdoor recreation by older people are multiple and inter-related. Key categories of barriers identified in the interviews were: poor health and (im)mobility; lack of or reduced social connections; fragility and vulnerability; lack of motivation and time commitments; safety; and weather and season. Key implications for policy and practice identified from the research include: for interventions to address the multiple and interrelated barriers preventing older people from participating in outdoor recreation, using integrated and holistic approaches involving different organisations; for ‘green prescribing’ by doctors and medical professionals to be integrated with existing initiatives (eg walking groups) which offer opportunities for overcoming social and motivational barriers; and for interventions to identify ways of providing transport access to outdoor spaces to older people.
FACULTY OF PUBLIC HEALTH, MENTAL HEALTH FOUNDATION
This report looks at what can be done individually and collectively to improve the mental health of individuals, families and communities and prevent mental health problems using a public health approach. The report aims to encourage proportionate use of universal services with a focus on the promotion of mental wellbeing and on high level support for those at risk of poor mental health and mental health problems, complementing recovery and prevention approaches. Section one maps out why mental health is an important, highlights its economic and social costs and examines why it is often overlooked. Section two outlines the risk and protective factors through the life course from the early years, to adulthood and later-life. It also looks at the risk and protective factors across communities, for example in the home, education and work settings, and the effects of the built environment and neighbourhoods. Section three addresses approaches and interventions to improve mental health at different stages of the life course and in different settings. Section four offers a practical guide to enable practitioners to support their own mental wellbeing. Case studies of innovative public mental health programmes and projects being run across the UK are included throughout. Annex A includes a list of initiatives received as entries for the Faculty of Public Health public mental health award, 10 of which are included in the report as case examples.
This study examines the benefits, commonality and outcomes of three green care approaches, to help raise awareness, understanding and value placed on these services by mental health commissioners, thereby helping to increase the number of projects commissioned. Although the three approaches of social and therapeutic horticulture (STH), care farming and environmental conservation as an intervention are contextually different, in practice the approaches often feature similar activities and have a similar ethos. The paper examines their scale across the UK and the current commissioning routes for green care to help inform potential new nature-based service providers. An estimated 8,400 people with mental health problems receive STH services per week and at least 5,865 service users on 173 care farms receive services for mental ill-health per week. Available anecdotal evidence suggests there is growing interest and demand for these services though overall referrals from clinical commissioning groups or from GPs for green care services remains patchy and relatively uncommon. As a consequence there is significant unused capacity across all three green care services. This research seeks to explore these issues and set out the steps required to enable a greater number of nature-based interventions to be commissioned in mental health care.
This guide evaluates the experience of involving older people in a research study that explored the age-friendliness of three areas of Manchester. It offers practical tips and critical reflections to help rethink how older people can be involved in research and social action to improve the physical and social environment of their neighbourhood. For the project a group 18 older residents were recruited and trained in designing interview questions, interviewing, data collection, and sharing the findings. The guide outlines the aims of the study, the methodology of the research and a summary of research activities undertaken. It then covers: what 'age-friendly means'; the co-researchers' motivations to participate in the study; the advantages and challenges of involving older residents; skills and knowledge acquired through the project; key findings; and suggested improvements to the age-friendliness of neighbourhoods. The guide includes contributions from older co-interviewers and representatives of community organisations who were involved in the project. The guide concludes by suggesting three principles for developing age-friendly neighbourhoods: that they should empower older people and enable social participation; they are a reminder about the rights of all citizens to full use of resources in their neighbourhood; and the importance of recognising both the social and physical dimensions which make up age-friendly communities.
LOCAL GOVERNMENT ASSOCIATION, INNOVATIONS IN DEMENTIA
This guidance looks at current best practice and learning in the creation of dementia friendly communities, how it fits within the broader policy landscape, and what actions councils can take, and are already taking in supporting people with dementia by creating local dementia friendly communities. It illustrates how simple changes to existing services, and awareness raising for those who come into day-to-day contact with people with dementia such as staff working in libraries or in leisure centres, can help people with dementia feel more confident and welcome in using council services. The guide looks at what a dementia friendly community is, why dementia is a key issue for councils and the role councils can play. It then presents a framework to help develop to plan, develop and assess the dementia friendliness of any community, organisation or process. The framework covers five domains: the voices of people with dementia and their supporters, the place, the people, resources, and networks. For each domain information is included on: the background to the issue, key actions that councils can take to make this happen, and examples or case studies of existing practice. The guide for those who have a role in leading, planning, commissioning and delivering public services; including health and wellbeing boards, and those responsible for health and social care services.
There is strong evidence that people with dementia in care homes and hospital wards do not go outside and that, if there is outdoor space, it is not usually dementia friendly. This article reviews the evidence which shows that being outside is essential for mental and physical health and well-being. Vitamin D deficiency is due mainly to a lack of exposure to sunshine, and has been shown to be associated with falls and with a low mood and cognitive impairment. Physical exercise is also important for health and can reduce the risk of falls. Going outside and keeping active have been shown to: improve general health; reduce risk of depression; reduce cognitive decline; provide older people with a sense of freedom; improve sleeping patterns; improve appetite; reduce incontinence; and reduce aggressive behaviour. The article argues that the benefits of being outside, of being exposed to light, and taking part in exercise can lead to a reduction in the use of drugs. Savings in the cost of care can be used in the creation of therapeutic outdoor spaces. A second article will cover the key design features that can enable the use of outside space.
This article discusses how to successfully mainstream telecare to transform service delivery and provide more preventative and personalised care for people of all ages and abilities. Based on experiences from the city of Wakefield, a metropolitan district of West Yorkshire, England, the article explores the use of technology and support systems, such as door sensors, smoke detectors or flood sensors, to assist vulnerable people by improving and improving well-being and maintaining independence, enabling individuals to live safely and securely at home for as long as possible. Alongside the management of adults and older people, telecare has also had a positive impact on the support of people with learning disabilities. The article concludes that to successfully integrate and mainstream telecare, there needs to be adequate training and assessment for all staff involved in the implementation in order to deliver a sustainable and deliverable telecare service. Overall, the cost efficiencies were crucial when considering the future of telecare and, with significant cost savings made over a relatively short period, the potential for future investments was a significant factor for the continuing delivery of services.