Results for 'self care'
Stoke on Trent City Council
Community Team Plus involves multidisciplinary health and care teams supporting people across six Stoke on Trent localities to 'help me to help myself to live well'. They are tasked with being accessible, creative, resourceful and helpful.
BURD Hannah, HALLSWORTH Michael
This report explores the behavioural science theories that suggest new ways of enabling people and communities to take a more active role in managing their own health and provides an accessible introduction to the theories of change. The report is structured around the three areas of capability, opportunity and motivation which researchers have identified as needing to be present for behaviour to occur. It highlights that a multi-faceted approach is needed to enable effective self-care. It identifies five enabling factors that that can influence engagement and self-management behaviours: a growth mindset where people view capabilities as something that can be developed, removing ‘friction costs’, social networks, motivation and goal setting. It also suggests how these factors can be targeted in order to encourage these behaviours. Examples and case studies illustrate the application of the theories. The report is aimed at policymakers, commissioners, service designers and organisations working to promote more person- and community-centred approaches for health and wellbeing.
A brief review of the literature on social prescribing. Social prescribing is a way of linking primary care patients with psycho-social issues, with sources of appropriate, non-medical support in the community. Suitable referrals to social prescribing initiatives are vulnerable and at risk groups such as: people with mild to moderate depression and anxiety; low income single parents; recently bereaved older people; people with long term conditions and frequent attendees in primary and secondary care. The review highlights that prescribed activities have typically included arts and creative activities, physical activity, learning and volunteering opportunities and courses, self-care and support with practical issues such as benefits, housing, debt and employment. The evidence on the impact of social prescribing is currently limited and inconsistent. While some initiatives have shown improved outcomes for patients and potential for cost-savings (in the longer term), few have been subject to economic analysis or the kind of rigorous evaluation which would inform commissioners. The report recommends that any new, local social prescribing initiatives should aim to add to the current evidence base and conduct transparent and thorough.
Peer support can play a critical role in improving the wellbeing, social support and practical coping strategies of older people living with dementia. This paper describes selected findings from the Mental Health Foundation’s evaluation of three peer support groups for people living with dementia in extra-care housing schemes. It highlights the groups as a promising approach for maintaining cognitive faculties, reducing social isolation, increasing social networks and improving overall wellbeing. A mixed-method study design examined the impact of the groups on participants’ wellbeing, managing memory, independent living skills and social support. Participants reported positive impact from taking part in the support groups for wellbeing, social support and practical coping strategies. Participants also reported positive benefits of the groups on communication abilities, managing memory and managing their lives. Peer support groups in extra-care housing schemes address the psychological, social and emotional needs of people with dementia. This evaluation adds to the literature on the effectiveness of these interventions for those with cognitive impairment.
This report explores four big ways that knowledge power and people power will affect the NHS in 2030 and the wider health system, through precision medicine, new forms of health data, people–powered health, and the use of behavioural insights. Section 1, in particular, concentrates on where new kinds of medical information about individuals will come from, as well as how it is interpreted in stratified care. Section 2 moves onto people managing their own health information and new digital platforms for supporting patient–led research and care. Section 3 looks at the possibility of a social movement for health: people being trusted to have a more active role in their own health and to look after others, supported by the NHS, as well as people supporting health services. Section 4 explores how insights into human behaviours can help redesign health services, products and treatments in a way that reflects better how people live their lives and make choices. This is followed by a summary of how these developments will change the function of the NHS. The final sections focus on the challenges involved in getting to the best version of this future and ideas for how these changes can be supported today. Concentrating on the widest gaps between these ideas and current policy, the conclusion includes four proposals that would support new functions in the health system. These are: developing digital platforms and widely agreed protocols for developing new kinds of health knowledge; creating prototypes for health data sharing that concentrate on understanding emerging attitudes to digital privacy; establishing an institution that supports and evaluates people powered health research; and creating a central institution to set standards and mandate processes that will maximise the clinical and research value of large genomic and other data sets as they become available.
This booklet sets out research findings of the benefits of supporting people to self-manage. It also sets out the evidence for the impact of self-management education for patients, proactive telephone and psychosocial support, home-based self-monitoring and simplified dosing strategies and information. Self-management includes all the actions taken by people to recognise, treat and manage their own healthcare independently of or in partnership with the healthcare system. People feel more confident and engaged when they are encouraged to self-manage by professionals, therefore supporting self-management is key to prioritising person-centred care. Drawing on the findings from 228 systematic reviews, the paper concludes that the top three things that might most usefully be invested in are disease specific, generic and on-line self-management courses, proactive telephone support and self monitoring of symptoms and vital signs.
KNAPP Martin, et al
This study provides economic evidence to support the case for investing in effective, recovery-focused services for people with schizophrenia and psychosis. Drawing on a wide range of data, it sets out the evidence for the cost-effectiveness for a range of interventions and service. Those discussed are: Early Detection (ED) services; Early Intervention (EI) teams; Individual Placement and Support (IPS); Family therapy; Criminal justice liaison and diversion; Physical health promotion, including health behaviours; Supported housing; Crisis Resolution and Home Treatment (CRHT) teams; Crisis houses; Peer support; Self-management; Cognitive Behavioural Therapy (CBT); Anti-stigma and discrimination campaigns; Personal Budgets (PBs); and Welfare advice. For each intervention the report provides information on the context, the nature of the intervention, the evidence on effectiveness and cost-effectiveness, and the policy and practice implications. The report finds evidence to suggest that all of the interventions contribute to recovery outcomes, reduced costs and/or better value for money. Examples of the savings incurred through particular interventions are also included. The study was undertaken by a team from the Personal Social Services Research Unit (PSSRU), at the London School of Economics and Political Science (LSE), the Centre for Mental Health, and the Centre for the Economics of Mental and Physical Health (CEMPH) at King’s College London.