Connect 5 Participant Notes (Session 1)

Mental Wellbeing in Everyday Practice

Session1

Participant Notes

Connect 5 Session 1

An introduction to...

Connect 5 Session 1

Session 1 (half day) is Brief Mental Wellbeing Advice designed to help you better understand mental
health, mental wellbeing and mental illness. You also learn about local services and resources that enable
people to help themselves. You will become confident to offer wellbeing advice within your everyday
work role.

The purpose of Session 1 is to: Recognise the qualities and attitudes needed
to promote mental health and wellbeing
Develop your skills and confidence to discuss
mental health and wellbeing issues within Identify local mental health and wellbeing
your daily practice resources and services that support your
community
E xplain mental health and wellbeing by
using specific public health models and
self-help principles

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Mental Wellbeing in Everyday Practice

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Welcome

Introduction Housekeeping Ground rules

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Brief wellbeing advice

Recognise the part you can play in promoting mental health and wellbeing
as part of your everyday practice.

After taking part in the course you will be able to:

Develop your skills and confidence to Recognise the qualities and attitudes
discuss mental health and wellbeing issues needed to promote mental health
within your daily practice and wellbeing

Explain mental health and wellbeing by Identify local mental health and wellbeing
using specific public health models and resources and services that support
self-help principles your community

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Mental Wellbeing in Everyday Practice

For each character…

Discuss what seems to be going on for this person
What might be the reason for the person’s troubles and problems?
If they went to see a doctor or health worker, what might they be told?
What might they be offered?

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Meet Steve

Steve is 28 and works as a kitchen fitter. He is from a
white British background. He is single and has a son,
whom he has regular contact with. Steve has always
enjoyed his work, but management restructuring
means that he is working with a new team. He does not
get on with some people in this team. There are also
rumours that redundancies are planned.
He has been off work for two weeks with back pain.
His doctor’s note is about to run out.

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What does Steve say?

I used to like my job, now I can’t I’m finding it hard to
imagine how I can get up in the sleep, I’m waking most days
morning and work all day. at 3am or 4am.

I used to play football I’m snappy with my son and
with my boy now I can’t find my ex has noticed and is
the energy. losing patience.

It’s beginning to feel hard to get out of the house,
especially after last week when I felt like I was
having a heart attack in the supermarket.

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Meet Dolores

Dolores is a 55 year old single mother with
two teenage daughters. She is mixed heritage.
She is very energetic and likes to keep herself active.
She works as an office manager for a local charity.
At the moment she is struggling with debt.
She is finding it hard to concentrate at work.
She is also worried about her general health.

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What does Dolores say?

I’m getting really worried about I feel really guilty because I cant
how I’m going to pay my debts. afford to buy my girls the things
I had a spending spree recently. they want.
I was sure I was going to make
money out of the business idea I’m finding it hard to concentrate
I had but like everyone kept at work and I’m forgetting things
telling me it turned out to and making mistakes.
be totally unrealistic.
I’ve even stopped going to my
I’m feeling ok at the moment but exercise class which I always
know that worrying about money really enjoy.
could lead to other things. I don’t
want it to build up, I don’t want
to go down hill and get into the
place I did last year.

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Meet Rukshana

Rukshana is 65 and of south Asian origin. She has
been married for 40 years and has three children who
have all married and live locally. Rukshana cares for her
husband who had a stroke two years ago, and recently
his health has got worse. She herself has recently been
diagnosed with type 2 diabetes.
She doesn’t see her two young grandchildren as
often as she used to because she doesn’t feel she
can cope with them.

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What does Rukshana say?

I have been going to the doctors Everything seems to take so
for help with my diabetes. long. It takes all day to clean
No matter what they do I don’t the house and I still can’t get
seem to be any better. everything done.

I had a talk with the practice Sometimes things feel so bad I
nurse as I feel so wobbly don’t want to get out of bed.
all the time.

I keep crying and I don’t
know why.

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Summing up the whole person

Things around you Mind-Body partnership Things that
can be noticed
Experiences Ways we shape our world and
(childhood issues, make sense of experience Poor sleep
genetics, abuse, Problem eating
past events) Thoughts Personal resource Irritability
Triggers Beliefs Lack concentration
(loss of relationships Coping styles Lack of energy
and status, trauma/ (self, world & future) Struggle to solve
difficult life events) e.g. problem solving, problems
Sustaining factors help seeking skill Stop doing things
(debt, poverty, Lack of pleasure
loneliness, violence) Mood swings

Kinderman, P. (2005) A psychological model of mental disorder.
Harvard Review of Psychiatry. 13: 206-217

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Mental Health Problems
how common do we think they are?

Mental Health Foundation (2016). Fundamental Facts about Mental Slide 12
Health 2016. Mental Health Foundation: London

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Speaking with someone about their
mental health and wellbeing

Consider the purpose of your conversation: Help someone get further advice,
support or treatment to resolve immediate
Acknowledge what’s happening and help problems and build resilience
someone have more insight into their
experience and distress Effectively signpost to local mental health
and wellbeing resources
Help someone work out what they can
do to make things better

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Flourishing wellbeing
Feeling good and doing well

High wellbeing Maximise Wellbeing High wellbeing
and no symptoms and symptoms
of mental illness of mental illness

No symptoms of Manage Stress Many/severe
mental illness symptoms of
mental illness

Low wellbeing Low wellbeing
and no symptoms and symptoms
of mental illness of mental illness

Languishing
mental wellbeing

Keyes C.L.M. (2005). Mental illness and/or mental health? Investigating axioms of the complete
state model of health. Journal of Consulting and Clinical Psychology. 73:539–548

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For Dolores,
Steve and Rukshana…

Applying what we have just learnt
about wellbeing what activities might

help your character to feel better?

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5 ways to
wellbeing

Foresight Mental Capital and Wellbeing Project (2008). Final Project report. The Government Office for Science, London

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What we What we Active
ingredients
FEEL DO of activity

APPS

Achievement
Pleasure
Physical
Social

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Understanding why
we feel like we do

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5 Areas Model and the ‘vicious cycle’

Situation

Thoughts

Physical Behaviour

Feelings

Five Areas™ diagram used under licence from Five Areas Ltd Slide 20
www.fiveareas.com www.llttf.com

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Key communication skills for
mental wellbeing conversations

Using questions: Responding to cues:
open / open directive empathic acknowledgement

How are you? That sounds really difficult
How have you been since I last saw you?
What’s going on for you at the moment? I can hear how upset you are

Negotiation I can see how that would be overwhelming
Could we spend some time talking about
that today?

Egan, G. (2014) The Skilled Helper: 10thedition. Slide 22
California: Brooks / Cole.

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Key communication skills for
mental wellbeing conversations

Reflection
You said it’d been hard since you left work
and you’d been spending time just sitting at
home watching telly.

Summarise
You’ve mentioned three things that are
getting you down: the way that your partner
treats you, your back pain and the pressure
about not having enough money coming in.

Egan, G. (2014) The Skilled Helper: 10thedition.
California: Brooks / Cole.

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Responses to the suffering
and misfortunes of others

Pity Sympathy Empathy Compassion
I pity I care
I identify and I’m motivated
understand to help

Level of engagement

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Stepped-Care Approach

5Complex Service Level Examples Who
and
long-term Highly specialised Specialist psychological and Psychologists, therapists,
multi-systemic therapies. psychiatrists and other
4Severe presentations health professionals with
and disorders specialised training in
psychological therapies.
3Moderate to
Specialist Specific structured therapies Mental health and addiction
severe presentations including CBT, dialectical clinical staff (any profession)
therapy (DBT), psycho-therapy, trained in evidence-based
2Mild to moderate presentation family therapy. therapies.
1Early presentation of problems or distress
High-intensity Evidence based therapies such PHOs, NGOs, primary health
as CBT, interpersonal therapy care, and community
(IPT), acceptance and practitioners.
commitment therapy (ACT),
solution focused therapy.

Low-intensity Brief evidence based therapy Primary health care and
such as guided self-help, community practitioners.
cognitive behaviour therapy
(CBT), e-therapy, motivational GPs and other healthcare
interviewing. professionals who have first
contact with service users.
Front-line public Early identification Breif interventions including
facing workforce of vulnerability active monitoring, education,
information, self-care.

NICE Clinical Guidance (CG123) Common mental health problems:
identification and pathways to care. Clinical guideline. Published: 25 May 2011.

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reading-well.org.uk

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5 ways to
mental wellbeing

Connect...

Connect with the people around you. With family, friends, colleagues and
neighbours. At home, work, school or in your local community.
Think of these as the cornerstones of your life and invest time in developing
them. Building these connections will support and enrich you every day.

Be active...

Go for a walk or run. Step outside. Cycle. Play a game. Garden. Dance.
Exercising makes you feel good. Most importantly, discover a physical
activity you enjoy and one that suits your level of mobility and fitness.

Take notice...

Be curious. Catch sight of the beautiful. Remark on the unusual. Notice the
changing seasons. Savour the moment, whether you are walking to work,
eating lunch or talking to friends. Be aware of the world around you and what
you are feeling. Reflecting on your experiences will help you appreciate what
matters to you.

Keep learning...

Try something new. Rediscover an old interest. Sign up for that course. Take
on a different responsibility at work. Fix a bike. Learn to play an instrument
or how to cook your favourite food. Set a challenge you will enjoy achieving.
Learning new things will make you more confident as well as being fun.

Give...

Do something nice for a friend, or a stranger. Thank someone. Smile.
Volunteer your time. Join a community group. Look out, as well as in.
Seeing yourself, and your happiness, linked to the wider community can be
incredibly rewarding and creates connections with people around you.

Foresight’s Mental Capital and Wellbeing Project (2008) drew on research from across the world to consider how to improve everyone’s
mental wellbeing through life. The project commissioned the Centre for Wellbeing at the New Economics Foundation to develop ‘five
ways to wellbeing’: a set of evidence based actions to improve personal mental wellbeing.

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5 Areas Model
and the ‘vicious cycle’

Situation

Thoughts

Physical Behaviour

Feelings

Five Areas™ diagram used under licence from Five Areas Ltd
www.fiveareas.com www.llttf.com

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Free online resources

Download the new economics five ways to wellbeing cards
https://issuu.com/neweconomicsfoundation/docs/five_ways_to_well-being

Five steps to mental wellbeing
Evidence suggests there are five steps we can all take to improve our
mental wellbeing.
If you give them a try, you may feel happier, more positive and able to get
the most from life.
www.nhs.uk/Conditions/stress-anxietydepression/Pages/improvemental
wellbeing.aspx

Body. Mind. Spirit. People. Place. Planet. Welcome to the Wheel of Well-
being. If you’re interested in health and happiness - from a personal or a
professional perspective - we hope you’ll find the WoW website a good
place to start, and you’ll come back and visit often.
www.wheelofwellbeing.org/

5 ways to wellbeing self help guide.

www.mhim.org.uk/document_uploads/helpguides/5%20Ways%20to%20
Wellbeing%20January%202016.pdf

Build happiness, resilience, connection and more with research
backed tools.
http://ggia.berkeley.edu/

Some top tactics for implementing the five ways to wellbeing
in your life, right now.
http://mindkit.org.uk/5-ways-towellbeing/

5 ways to wellbeing information and work book.
www.southerntrust.hscni.net/pdf/5_Ways_to_Wellbeing_Booklet.pdf

Action for Happiness helps people take action for a happier and more
caring world.
www.actionforhappiness.org/

Modern life moves fast so we all need a gentle reminder to help us
look after ourselves as nature intended. By reflecting on your daily
habits you can identify what gives you a boost so that you can sustain
your mental wellbeing.
www.happyhealthyapp.com/app

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Free CBT Self-Help booklets

A range of Self Help Guides produced in Manchester.
www.mhim.org.uk/resource_library.html

A range of self-guides produced in Northumberland.
www.ntw.nhs.uk/pic/selfhelp/

Free Online CBT / Life Skills Courses

Free online courses covering low mood and stress and all of the
common linked problems this causes. Work out why you feel as
you do, how to tackle problems, build confidence, get going again,
feel happier, stay calm, tackle upsetting thinking and more.
www.llttf.com/
Free, fun, interactive program consisting of five modules,
which help you to explore:
• Why you feel the way you do
• Changing the way, you think
• Knowing what makes you upset
Assertiveness and interpersonal skills training.
https://moodgym.anu.edu.au/welcome

7 step self-help course.
www.getselfhelp.co.uk/step1.htm

This website covers practical ways to start dealing with stress.
http://www.stepsforstress.org/

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Connect 5© 2018 Rochdale Borough
Council on behalf of Public Health
England (PHE), Health Education
England, The Royal Society of Public
Health (RSPH) and the Greater
Manchester Authorities of Stockport,
Manchester and Bolton.

Acknowledgement to the following
partners and stakeholders who have
collaborated in the development
of this community resource;

Stockport Together
(Stockport council); Buzz Manchester
Health and Wellbeing Service; Bolton
Council Public Mental Health Team

The Royal Society of Public Health

The North West Psychological
Professions Network

Elysabeth Williams
National Connect 5 lead
& Public Mental Health advisor

Jackie Kilbane
Alliance Manchester Business School,
University of Manchester

Clare Baguley
Mental Health Lead Health Education
England - North

Martin Powell
Principle Educational Psychologist
Stockport Council

Graphic Design www.greg-whitehead.com
Illustration www.mistermunro.co.uk

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Mental Wellbeing in Everyday Practice