Results for 'wellbeing'
This report explores the evidence base around effective and cost-effective preventative services and the role that they can play in supporting older people’s independence, health and wellbeing. It looks at the available evidence to support the benefits of preventative services in mitigating social inclusion and loneliness and improving physical health. It also highlights evidence on the effectiveness of information, advice and signposting in helping people access preventative services and the benefits of providing practical interventions such as minor housing repairs. It considers a wide range of primary and secondary preventative services, including: health screening, vaccinations, day services, reablement, and care coordination and management. It then outlines two teritary prevention services which aim to prevent imminent admission to acute health settings. These are community based rapid response services and ambulatory emergency care units, which operation within the secondary care environment. The report then highlights gaps in the evidence base and and looks at what is needed to develop preventative services to achieve health and independent ageing by 2013. It looks at the changes needed in service funding and commissioning, the balance between individual responsibility and organisational support, and how preventative services should be implemented.
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.
GOLLINS Tim, et al
This report discusses the need to for social workers in adult social care to change their workforce culture to one that is 'strengths-based' for promoting well-being, early intervention and prevention. It examines the value of this approach in creating better outcomes for people living more actively in their local communities, generating greater satisfaction for people using services and their carers; and creating a motived workforce. The report the sets out the key knowledge and skills the social care workforce needs to apply strengths-based approaches in improving people’s lives. It also considers the emerging business case for how a community-focused strengths-based approach can deliver efficiencies for the sector. Cases study examples from Shropshire, Essex County Council, Hertfordshire and Calderdale show how councils and their health partners are developing new ways of working to deliver an alternative health and social care operating model.
This report details the interim findings of the evaluation of the third phase of the Music in Mind (MiM) project. MiM is a music therapy group run by Manchester Camerata that offers free music therapy sessions for people with dementia (PWD) and their carers. The sessions aim to improve the quality of life and wellbeing of the attendees through music making. The report provides a brief introduction to the MiM project and summarises the findings of a literature review. It then presents the participants’ views of the MiM, as recorded in their diaries or communicated through interviews, and discusses key findings. The key themes that emerge from the evaluation are linked to the mood of the service users: feeling calmer, happier, energised and/or relaxed. Improvements were also noted in PWD’s memory and recollection, confidence levels and relationships with carers. However the extent of other benefits appears to vary greatly depending on the type of dementia the service users’ are living with and the severity of their symptoms. The findings of this evaluation seem to be in line with the literature, suggesting that MIM appears to promote general wellbeing amongst participants and have a positive impact on relationships.
WOOD Suzanne, et al
This report explores the value of people and communities at the heart of health, in support of the NHS Five Year Forward View vision to develop a new relationship with people and communities. It seeks to bring together in one place a wide range of person- and community-centred approaches for health and wellbeing. It provides an overview of the existing evidence base with a particular focus on the potential benefits of adopting these approaches. The report suggests that there is evidence from research and practice to demonstrate the benefits of person- and community-centred approaches, across three dimensions of value: mental and physical health and wellbeing – these approaches have been shown to increase people’s self-efficacy and confidence to manage their health and care, improve health outcomes and experience, to reduce social isolation and loneliness, and build community capacity and resilience, among other outcomes; NHS sustainability – these approaches can impact how people use health and care services and can lead to reduced demand on services, particularly emergency admissions and A&E visits; and wider social outcomes: these approaches can lead to a wide range of social outcomes, from improving employment prospects and school attendance to increasing volunteering. They also can potentially contribute to reducing health inequalities for individuals and communities. The report includes an outline of the ‘Realising the Value’ programme, which is designed to develop the field of person- and community-centred approaches for health and wellbeing by building the evidence base and developing tools, resources and networks to support the spread and increase the impact of key approaches.
This report summarises a series of studies carried out on behalf of the Campaign for Real Ale (CAMRA) on the role that community pubs play in people’s health, happiness and social cohesion. To set the scene, the paper first provides a brief overview of how people create their friendships. It then raises the problem of large scale social cohesion and provides some insights into how social cohesion has been engineered in the past. Finally, it presents the findings from a national poll of pub use and two studies of behaviour in pubs undertaken to assess the social value of small community pubs compared to large city centre pubs. The evidence suggests that while 40 per cent of people in the UK now typically socialise with friends in someone’s home, a third of the population prefer to do so in pubs, and regard pubs as a safe place to meet friends. People who said they have a ‘local’ or those who patronise small community pubs appear to have more close friends on whom they can depend for support, are more satisfied with their lives and feel more embedded in their local communities than those who said they do not have a local pub. The paper makes a number of recommendations for publicans, city planners and policy makers to ensure pubs play a role in people’s health, wellbeing and community cohesion.
UNIVERSITY OF YORK. Centre for Reviews and Dissemination
Summarises the findings of a rapid appraisal of available evidence on the effectiveness of social prescribing. Social prescribing is a way of linking patients in primary care with sources of support within the community, and can be used to improve health and wellbeing. For the review searches were conducted on the databases: DARE, Cochrane Database of Systematic Reviews and NHS EED for relevant systematic reviews and economic evaluations. Additional searches were also carried out on MEDLINE, ASSIA, Social Policy and Practice, NICE, SCIE and NHS. Very little good quality evidence was identified. Most available evidence described evaluations of pilot projects but failed to provide sufficient detail to judge either success or value for money. The briefing calls for better evaluation of new schemes. It recommends that evaluation should be of a comparative design; examine for whom and how well a scheme works; the effect it has and its costs.
DAYKIN Norma, JOSS Tim
Guidance on appropriate ways of documenting the impacts of arts for health and wellbeing, whether through small scale project evaluations or large scale research studies. The document suggests a standard framework for reporting of project activities that will strengthen understanding of what works in specific contexts and enable realistic assessment and appropriate comparisons to be made between programmes. Part one provides background discussion to help make sense of the framework and includes a discussion of evaluation principles and practice, encompassing project planning, the role of advocacy and the importance of consultation and stakeholder involvement. In part two the different types of evaluation are outlined, with suggested tools for arts for health and wellbeing evaluation, including outcomes measurement. Part three captures the key components of project delivery, including the nature of the intervention, the populations engaged, the settings where the project takes place, the resources needed to support it, procedures for quality assurance, and the outcomes that the project is designed to achieve. Evaluation details are also sets out to encourage clear identification of important aspects such as rationale, evaluation questions, evaluation design, sampling, data collection and analysis, process evaluation, ethics and consent, reporting and dissemination, evaluation management and the resources needed to undertake evaluation.
Heywood, Middleton and Rochdale Clinical Commissioning Group
Cartwheel Art's 'Art for Wellbeing' is a three-year programme in Rochdale and Wigan that delivers courses, workshops and projects to improve mental health. Cartwheel’s mental health projects are run by professional artists, and work towards a tangible final outcome—an exhibition or publication. Each course has a dedicated Emotional Support Worker with a therapeutic background who works alongside the artist.
COMMUNITY DEVELOPMENT FOUNDATION
This paper is part of the ‘Tailor-made’ series, which aims to demonstrate the valuable contribution that the community sector makes to people’s lives and society as a whole. Specifically, this paper explores the significant role that community groups play in improving the health and wellbeing of communities. Key points include: the community sector is well placed to support wellness, rather than just treat illness through connecting organisations and supporting people with wider factors that affect health, including poverty, education and social isolation; the community sector has unique qualities that allow it to provide tailor-made support - they are trusted and understand the needs of their community, they can reach people that find it hard to access traditional support and they take a person-centred approach meaning they can support people’s multiple-needs; the community sector contributes significant social and economic value by improving physical and mental health, improving quality of life and reducing health inequalities.