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Results for 'public health'

Results 1 - 10 of 26

A new deal for prevention

REFORM
2021

This Reformer Thoughts brings together experts from the scientific research community and the health care sector to discuss the benefits of a preventative approach to public health and the obstacles that stand in the way of its realisation. Conversations around preventative health have come to the fore during the COVID-19 pandemic. A spotlight has been placed on health inequalities and discussions on tackling the social determinants of ill health driven forward. Contents include: prioritising prevention and patient care during the COVID-19 crisis; prevention research – creating a healthier population and reducing health inequalities; we cannot become the victims of our success on HIV testing; how can screening programmes support the prevention and elimination of disease; cancer care, inequalities and prevention; how a world leading deal is helping prevent thousands of deaths from Hepatitis C.

Social determinants of health and the role of local government

LOCAL GOVERNMENT ASSOCIATION
2020

This report explores what local government can do to improve health especially by tackling social determinants. Health improvement has always been a fundamental responsibility of local government and this was emphasised further with the transfer of public health responsibilities in 2013. The report argues that there is little use in simply treating people for a health condition if the cause of that condition is not also addressed. Tackling social determinants includes improvements in housing, education and employment as well as ensuring a health promoting environment. Each of the social determinants of health can be improved to give an overall improvement in the health and wellbeing of communities. The roles that local government undertakes to improve health through tackling social determinants include: civic leadership; as employer and anchor institution; securing services; planning and licensing; as champion of prevention. Local government actions and services are centred around the improvement of wellbeing and the prevention of poor outcomes – this is true for children’s services, adult social care and economic development among many others. Opportunities for health improvement by tackling the social determinants of health have been taken up across the country – the report includes detailed examples and case studies illustrating the opportunities for health improvement and what has already been achieved.

Loneliness, social isolation and COVID-19: practical advice

LOCAL GOVERNMENT ASSOCIATION, ASSOCIATION OF DIRECTORS OF PUBLIC HEALTH
2020

This briefing provides advice for Directors of Public Health and those leading the response to loneliness and social isolation issues arising from the COVID-19 pandemic. The advice highlights the importance in intervening early to tackle loneliness and social isolation to prevent more costly health and care needs from developing, as well as helping community resilience and recovery. This can only be done at the local level through partnerships, with councils playing a role, as they own most of the assets where community action could or should take place, such as parks, libraries and schools. A table summarises the main risk factors of loneliness and social isolation, including those specific to COVID-19. It then briefly sets out councils’ role in working with partners and using community assets to address and help prevent loneliness and social isolation; looks at the steps councils were taking prior to the pandemic; and the changes that may be needed as a result of COVID-19 and opportunities to embed positive changes, such as greater awareness about the impact of personal behaviours on mental wellbeing.

Community exchange and time currencies: a systematic and in-depth thematic review of impact on public health outcomes

LEE C, et al
2020

Objectives: Austerity in government funding, and public service reform, has heightened expectations on UK communities to develop activities and resources supportive of population health and become part of a transformed place-based system of community health and social care. As non-monetary place-based approaches, Community Exchange/Time Currencies could improve social contact and cohesion, and help mobilise families, neighbourhoods, communities and their assets in beneficial ways for health. Despite this interest, the evidence base for health outcomes resulting from such initiatives is underdeveloped. Study design: A systematic review. Methods: A literature review was conducted to identify evidence gaps and advance understanding of the potential of Community Exchange System. Studies were quality assessed, and evidence was synthesised on ‘typology’, population targeted and health-related and wider community outcomes. Results: The overall study quality was low, with few using objective measures of impact on health or well-being, and none reporting costs. Many drew on qualitative accounts of impact on health, well-being and broader community outcomes. Although many studies lacked methodological rigour, there was consistent evidence of positive impacts on key indicators of health and social capital, and the data have potential to inform theory. Conclusions: Methodologies for capturing impacts are often insufficiently robust to inform policy requirements and economic assessment, and there remains a need for objective, systematic evaluation of Community Exchange and Time Currency systems. There is also a strong argument for deeper investigation of ‘programme theories’ underpinning these activities, to better understand what needs to be in place to trigger their potential for generating positive health and well-being outcomes.

Community-centred public health: taking a whole system approach. Briefing of research findings

PUBLIC HEALTH ENGLAND
2020

A summary of research findings into current practice on approaches to community-centred public health, which are important to reducing health inequalities. Community-centred approaches mobilise assets within communities, encourage equity and social connectedness and increase people’s control over their health and lives. The briefing summarises the key elements, core values and principles that are needed to make a shift to whole system approaches to community-centred public health. It provides information on scaling approaches, involving, strengthening and sustaining approaches. The research briefing is one of a suite of resources to help local authority, NHS and voluntary and community sector (VCS) decision makers to implement and embed community-centred approaches to health and wellbeing at scale. Accompanying resources include a slide-deck presentation of main findings, practice examples and a list of alternative whole system frameworks.

Public mental health: evidence, practice and commissioning

CAMPION Jonathan
2019

Based on a review of recent literature, this report summarises evidence around public mental health practice. Public mental health practice takes a population approach to mental health which includes three levels of mental disorder prevention and mental wellbeing promotion. The review covers: the impact of mental health problems and of mental wellbeing; risk factors for mental disorder and protective factors for mental wellbeing; groups at higher risk of poor mental health; effective interventions to treat mental disorder and to prevent associated impacts, preventing mental disorder from arising and promoting mental wellbeing; and economic savings of different public mental health interventions. It finds that despite the existence of cost-effective public mental health interventions, only a minority of people with a mental condition in England receive any treatment, receive interventions to prevent associated impacts or receive intervention to prevent mental conditions or promote mental wellbeing. It sets out a number of actions to improve coverage of evidence based interventions to reduce the population impact of mental disorder and promote population mental wellbeing. The report has been endorsed by the Association of Directors of Public Health, Faculty of Public Health, Health Education England, Local Government Association, Royal College of General Practitioners, Royal College of Psychiatrists and RSPH (Royal Society of Public Health).

The lives we want to lead: the LGA green paper for adult social care and wellbeing

LOCAL GOVERNMENT ASSOCIATION
2018

A consultation paper from the Local Government Association, which seeks views on the future of care and support for adults and their unpaid carers. The paper puts forward options to secure the immediate and long-term funding for adult social care, and makes the case for a shift towards preventative, community-based personalised care, which helps maximise people's health, wellbeing and independence. It also considers the importance of housing, public health, other council services, in supporting wellbeing and prevention. Sections cover: differing views about the future of long-term funding for social care; the wider changes needed across care and health to bring out a greater focus on community-based and person-centred prevention; the role of public health and wider council services in supporting and improving wellbeing; and the nature of the relationship between social care and health, integration, accountability and how the new NHS funding could be used for maximum impact. Thirty consultation questions are included throughout the report. The consultation will run until 26 September 2018.

Resilience: understanding the interdependence between individuals and communities

DAVIES Alisha R., et al
2019

Drawing on the results of a literature review, this report brings together evidence on individual and community resilience, and the interdependence between the two. It draws on examples of programmes to strengthen resilience across the life course and in communities, and looks at approaches to measuring change in resilience. The report highlights how people’s sense of wellbeing, how well they cope emotionally, and how they engage socially are the key factors for resilience, which in turn contribute to wider community resilience. Resilient communities can draw on the assets within people, place and wider economic factors. It also finds that resilience is not fixed but changes at different points in peoples' lives. The report highlights a range of activities that improve community and individual resilience, including: encouraging good relationships and connections with others; establishing a healthy family environment and early positive parent-child relationships; promoting good health and mental wellbeing in adulthood, including developing positive relationships and social capital through engaging with the community; and enhancing the resilience of older people though building positive relationships, strengthening social connections and meaningful engagement, alongside enhancing autonomy and independence. It concludes with a summary of the key messages.

Health 2020 priority area four: creating supportive environments and resilient communities: a compendium of inspirational examples


2018

Brings together innovative examples of actions taken in 13 countries to strengthen resilience and build supportive environments for population health and well-being. The examples show how building resilience can be achieved by developing and sustaining partnerships between institutions and communities; by community action and bottom-up efforts; at system level, both nationally and locally. The examples, primarily gathered from community initiatives, are linked to the four types of resilience capacities: adaptive, absorptive, anticipatory and transformative. Topics covered include the role of resilience building in addressing human rights, health inequities, environmental hazards, and health-related topics such as communicable and noncommunicable diseases. Examples from the UK include: Promoting social connections and community networks for older people through Better in Sheffield; Supporting local systems to tackle the social determinants of health inequalities; Strengthening resilience through the early intervention and prevention: breaking the generational cycle of crime project; and A social movement for health and resilience in Blackburn with Darwen. Each example attempts to describe: the action undertaken; the resilience-related issue that the action aimed to address; and the impact and lessons learnt in the process of strengthening resilience.

Health matters: community-centred approaches for health and wellbeing

PUBLIC HEALTH ENGLAND
2018

This resource focuses on the concept and practice of community-centred approaches for health and wellbeing and outlines how to create the conditions for community assets to thrive. It looks at the benefits of working with communities, in terms of improved outcomes and potential savings. It also outlines the range of community-centred approaches that can be used to improve community health and wellbeing. These include initiatives to strengthen communities; volunteering and peer support; collaborations and partnerships; and access to community resources. It highlights evidence, key policy documents and includes links to resources and case studies.

Results 1 - 10 of 26

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News

Moving Memory

Moving Memory Practice example about how the Moving Memory Dance Theatre Company is challenging perceived notions of age and ageing.

Chatty Cafe Scheme

Chatty Cafe Scheme Practice example about how the Chatty Cafe Scheme is helping to tackle loneliness by bringing people of all ages together

Oomph! Wellness

Oomph! Wellness Practice example about how Oomph! Wellness is supporting staff to get older adults active and combat growing levels of social isolation

KOMP

KOMP Practice example about how KOMP, designed by No Isolation is helping older people stay connected with their families

LAUGH research project

LAUGH research project Practice example about a research project to develop highly personalised, playful objects for people with advanced dementia
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