Royal Society of Public Health Perspective


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  • Medical Humanities = the study of human nature & the practice of compassionate concern for the welfare of mankind
  • q.v. The Lancet (parks, gardens stress, depression), WHO Green Cities Blue Cities of Europe, AAI book chapter
  • Developed with the DoH = Step 1 towards becoming a Health Trainer
  • Royal Society of Public Health Perspective

    1. 1. MHFA The RSPH Perspective Robin Philipp Consultant Occupational & Public Health Physician
    2. 2. The RSPH : 1 October 2008 <ul><li>RIPH (1886) - RSH (1876) </li></ul><ul><li>Public Health : ‘the science and art of protecting and improving the health of communities through education, promotion of healthy lifestyles, and research for disease and injury prevention” </li></ul><ul><li>Independent & multi-disciplinary , 7,000 associates, licentiates, members & fellows </li></ul><ul><li>Royal Charter , Patronage HM the Queen </li></ul>
    3. 3. Spectrum of Member Interests <ul><li>Health protection </li></ul><ul><li>Environmental health </li></ul><ul><li>Health professions – medicine, dentistry, nursing, PAMs </li></ul><ul><li>Dentistry </li></ul><ul><li>Food hygiene </li></ul><ul><li>Nutrition & dietetics </li></ul><ul><li>Health promotion – Well-being Practitioners, Arts & Health </li></ul><ul><li>Health & safety </li></ul><ul><li>Veterinary science </li></ul><ul><li>Engineering </li></ul><ul><li>Architecture </li></ul><ul><li>Health care management </li></ul><ul><li>Social care </li></ul>
    4. 4. The RSPH Approach <ul><li>Vision, Voice, Practice </li></ul><ul><li>Advocacy, Mediation, Empowerment </li></ul><ul><li>Policy Development </li></ul><ul><li>Education & Training Services </li></ul><ul><li>Scientific Research </li></ul><ul><li>Information Dissemination </li></ul><ul><li>Certification of Products, Training Centres & Processes </li></ul>
    5. 5. RSPH Links <ul><li>Government Depts </li></ul><ul><li>Public Sector Organisations </li></ul><ul><li>Other Charities </li></ul><ul><li>Media </li></ul><ul><li>Commercial Companies </li></ul><ul><li>Consumer Bodies </li></ul><ul><li>Partner University Network (policy, collaborative research bids & dissertation support) </li></ul>
    6. 6. RSPH International Collaboration <ul><li>American Public Health Association </li></ul><ul><li>European Public Health Association </li></ul><ul><li>World Federation of Public Health Agencies </li></ul><ul><li>World Health Organisation </li></ul><ul><li>International Union for Health Promotion & Education </li></ul><ul><li>The People’s University </li></ul>
    7. 7. RSPH Present Priorities <ul><li>Child and Adolescent Health (& Social Justice) </li></ul><ul><li>Food & Nutrition </li></ul><ul><li>Immunisation and Vaccination </li></ul><ul><li>Infection Control </li></ul><ul><li>Sexual Health </li></ul><ul><li>Sustainable Development including needs associated with Mental Health & Emotional Well-being </li></ul>
    8. 8. RSPH-NIMHE-MHFA <ul><li>Public Health : 1D, 2D, 3D Prevention </li></ul><ul><li>WHO defn . ‘Health is a state of complete physical, mental, psychological, social & spiritual well-being & not merely the absence of disease or infirmity </li></ul>
    9. 9. From Mental Illness to Well-being <ul><li>Mental illness : a diagnosable illness that significantly interferes with and individual’s cognitive, emotional or social abilities, e.g. depression, anxiety, schizophrenia’ [] </li></ul><ul><li>Mental well-being : ‘a broad term encompassing areas such as life satisfaction, optimism, self-esteem, mastery & feeling in control, having a purpose in life, and a sense of belonging & support [] </li></ul><ul><li>Health Promotion : The process of enabling people to increase control over & thereby improve their health’ (Nuffield Trust 1999) </li></ul>
    10. 10. The Nuffield Nudge <ul><li>Humanities in Medicine: Beyond the Millennium : (1999). Philipp, R., Baum, M., Mawson, A., Calman Sir K. Report Series No.10: 164pp. </li></ul><ul><li>Arts, Health & Well-Being : (2002). Philipp, R., Baum, M., Macnaughton, J., Calman Sir K. 114pp. </li></ul><ul><li>CAHHM, Medical Humanities, RCP books, </li></ul><ul><li>Cultural Medicine (DoH + Arts Council) </li></ul>
    11. 11. A Nudge For The Literary Arts <ul><li>Survivors’ Poetry – in spite of not because </li></ul><ul><li>Lapidus </li></ul><ul><li>£1.26 millions Annual Prescribing Cost Savings SSRI’s @ 2001 costings </li></ul><ul><li>News Media coverage </li></ul>
    12. 12. The Media Moved <ul><li>GPs to be versed in therapy </li></ul><ul><li>Try the rhythm method </li></ul><ul><li>A poem a day keeps dejection at bay </li></ul><ul><li>Let iambics take the measure of your stress </li></ul><ul><li>Rhyme restores reason </li></ul><ul><li>Exam blues? An ode could ease your load </li></ul><ul><li>From bad to verse </li></ul>
    13. 13. The Italian Red Cross <ul><li>“ Technology & Communication for a New Humanitarian Intervention ”: </li></ul><ul><li>Office of International Health Cooperation & Development: 2007; 232pp. </li></ul><ul><li> </li></ul>
    14. 14. MHFA Training Aims <ul><li>Preserve life where a person may be a danger to themselves or others; </li></ul><ul><li>Provide help to prevent the mental health problem developing into a more serious state ; </li></ul><ul><li>Promote recovery of good mental health ; </li></ul><ul><li>Provide comfort to a person suffering mental illness </li></ul>
    15. 15. Joined Up Thinking MHFA Training, the RSPH & 1D, 2D, & 3D Prevention <ul><li>Mental health & lifestyle are linked </li></ul><ul><li>Self-esteem, personal confidence & morale influence lifestyle & are influenced by it </li></ul><ul><li>Epictetus: 100 AD </li></ul><ul><li>Smoking, diet, weight & nutrition, alcohol, drugs, exercise ( NHS LifeCheck ) </li></ul><ul><li>Health & Emotional Literacy (20% UK - ) </li></ul>
    16. 16. Definitions of Well-Being <ul><li>Ataraxia – “inner peace” </li></ul><ul><li>Eudaimonia – “a feeling that reflects a combination of well-being, happiness, contentment, pleasure & satisfaction & of living the best life possible” </li></ul><ul><li>RCP 2005 – “a holistic notion of achieving a state of health, comfort & happiness” </li></ul>
    17. 17. Who Is Doing What ? <ul><li>The Nuffield Trust : arts & humanities * </li></ul><ul><li>FPH Position Statements: mental health & smoking, & with work </li></ul><ul><li>NICE – evidence bases for public health interventions </li></ul><ul><li>RCGP & RCPsych public information leaflets </li></ul><ul><li>Websites : Livinglifetothefull; Beatingtheblues </li></ul><ul><li>NHS Choices (NHS Direct) - LifeStyleCheck </li></ul><ul><li>BMA-AMA-CMA [with RSPH, NIMHE, NHS Plus, NCAS & Postgrad. Deaneries?] </li></ul>
    18. 18. The RSPH & NIMHE Needs For Sustainable Development <ul><li>Values : “a set of principles which are consistent & inform & direct our thought, action & activities” </li></ul><ul><li>Fiscal Capital : “accumulated wealth as used esp. in further production” </li></ul><ul><li>Human Capital : social, cultural, intellectual, emotional, creative, aesthetic, spiritual, moral </li></ul><ul><li>UK Creative Industries : worth £60 billion / year (British Council) </li></ul>
    19. 19. RSPH Support For Human Capital : Training Courses <ul><li>Working together with national learning & support networks designed to disseminate effective practice </li></ul><ul><li>Signposting professionals to toolkits & materials developed by other organisations </li></ul><ul><li>Filling gaps with evidence-based practical tools to help public health practitioners </li></ul>
    20. 20. The RSPH: Establishing Competencies, Benchmarking & Compliance <ul><li>7 levels of Generic Outcomes of Understanding </li></ul><ul><li>National Qualifications Framework (NQF) </li></ul><ul><li>National Qualifications & Credits Framework (NQCF) [new] </li></ul><ul><li>Public Health National Occupational Standards of the Sector Skills Council </li></ul><ul><li>MHFA Instructors’ Course [ Level 3 ] </li></ul>
    21. 21. The RSPH Portfolio of Qualifications <ul><li>40+ qualifications </li></ul><ul><li>100,000 students qualify each year </li></ul><ul><li>Accreditation by OfQual (the Govt. Regulator) </li></ul>
    22. 22. Other RSPH Stand Alone Awards of Relevance to MHFAIs <ul><li>Health Awareness [ Level 1 ] </li></ul><ul><li>Understanding Health Improvement [ Level 2 ] * </li></ul><ul><li>Recognising & Responding to Substance Misuse [ Level 2 – under development] </li></ul><ul><li>Certificate in Health Promotion [ Level 2 ] </li></ul>
    23. 23. Relevance of these Awards to MHFAIs <ul><li>First 3 all recognise competency to: </li></ul><ul><li>Identify signs and / or symptoms; </li></ul><ul><li>Assess the immediate risk & what help is required; </li></ul><ul><li>Ensure self-care </li></ul>
    24. 24. The Most Relevant Award <ul><li>Understanding Health Improvement </li></ul><ul><li>UK Govt. White Paper: ‘ Choosing Health: Making Healthier Choices Easier’ </li></ul><ul><li>Identified need for the NHS Health Trainer </li></ul><ul><li>Role – advise, motivate & support individuals </li></ul><ul><li>1st step towards becoming a fully qualified NHS Health Trainer </li></ul>
    25. 25. Understanding Health Improvement Award <ul><li>Accredited training for workplace ‘ Health Champions’ – relevance for PCTs “Health, Work & Well-being Coordinators” – Lord Darzi, Dame Carol Black </li></ul><ul><li>Health promotion role within the workforce: </li></ul><ul><li>Losing weight & keeping it off; </li></ul><ul><li>Eating more healthily; </li></ul><ul><li>Quitting smoking </li></ul><ul><li>Drinking wisely </li></ul><ul><li>Managing the response to stress & pressure </li></ul>
    26. 26. Interest in Understanding Health Improvement <ul><li>Microsoft </li></ul><ul><li>British Dental Association </li></ul><ul><li>Airbus </li></ul><ul><li>Primary care Trusts </li></ul><ul><li>Royal Mail </li></ul><ul><li>British Army </li></ul><ul><li>Carphone warehouse </li></ul><ul><li>Marks & Spencer </li></ul><ul><li>Cadbury Schweppes </li></ul><ul><li>Prison Service </li></ul><ul><li>Training Life Coaches & Counsellors </li></ul>
    27. 27. The RSPH Approach : Applying the WHO Healthy Settings Model <ul><li>WHO Health Promoting Hospitals </li></ul><ul><li>Healthy Schools </li></ul><ul><li>Prisons </li></ul><ul><li>Airports </li></ul><ul><li>WHO Healthy Cities </li></ul><ul><li>WHO Green Cities: Blue Cities of Europe </li></ul><ul><li>UK Healthcare Commission & PH Stds </li></ul>
    28. 28. Professionalism <ul><li>Ensuring one’s own mental health, emotional resilience & coping skills; </li></ul><ul><li>Working together for standards ; </li></ul><ul><li>Improving what we do & how we go about it; </li></ul><ul><li>Towards a common aim & the evidence base ; </li></ul><ul><li>The public health. </li></ul><ul><li> </li></ul><ul><li> </li></ul><ul><li> </li></ul>
    29. 29. MHFA: Evidence That It Works <ul><li>RCT (Kitchener B.A., & Jorm A.F. BMC Psychiatry 2004: Vol.4: 23). </li></ul><ul><li>Workplace: 301 Public Servants </li></ul><ul><li>_____________________________ </li></ul><ul><li>Improved knowledge </li></ul><ul><li>Less stigmatizing attitudes </li></ul><ul><li>Increased confidence in helping others </li></ul><ul><li>Increase in amount of actual help </li></ul><ul><li>Improved personal mental health </li></ul>
    30. 30. Relevant RSPH Divisions <ul><li>Development – Heather Davison </li></ul><ul><li>Qualifications – Wendy Moore </li></ul><ul><li>Accreditation - Anna Zilnyk (with HD) </li></ul><ul><li>MHFAIs : Competency Clusters – CPD – Career development </li></ul>