This presentation, given as part of a plenary symposium at the 8th World Congress on Promotion of Mental Health and Prevention of Mental and Behavioural Disorders gives an overview of how one area is trying to develop an approach to public mental health, finding frameworks and tools of use
An invited presentation to the The Compassion and Social Justice Lecture Series on Courageous Leadership in a Crisis
"This event explores the courage required when leading in a crisis and making important decisions without precedence. Given the global impact of COVID, leaders are being tested daily. Hear perspectives from two global leaders and learn from their courageous leadership during the historical HIV/AIDS crisis and the more current COVID pandemic."
Speakers:https://beholdvancouver.org/events/courageous-leadership-in-a-crisis
This is an invited presentation to the Local Government Association/Association of Directors of Public Health 2021 Conference as part of a session on Health Inequalities. It considers lenses and approaches to addressing health inequalities in future and suggests some priorities. It also raises questions about how useful the category of "enduring transmission" may be
An invited presentation to the The Compassion and Social Justice Lecture Series on Courageous Leadership in a Crisis
"This event explores the courage required when leading in a crisis and making important decisions without precedence. Given the global impact of COVID, leaders are being tested daily. Hear perspectives from two global leaders and learn from their courageous leadership during the historical HIV/AIDS crisis and the more current COVID pandemic."
Speakers:https://beholdvancouver.org/events/courageous-leadership-in-a-crisis
This is an invited presentation to the Local Government Association/Association of Directors of Public Health 2021 Conference as part of a session on Health Inequalities. It considers lenses and approaches to addressing health inequalities in future and suggests some priorities. It also raises questions about how useful the category of "enduring transmission" may be
A briefing for Public Health teams on a public mental health approach resilience, trauma and coping beyond the pandemic, and addressing the needs of communities and workplaces
Foundational Learning in Social Determinants of Health for Health Professionals by Dr. Haydee Encarnacion Garcia. Presented at the Emerging Trends in Nursing Conference at Indiana Wesleyan University on June 1, 2017.
A publication for government on pandemic flu and faith communities. Prepared as a sister document to Key Communities, Key Resources, a report for government on faith communities and pandemic preparedness
This is the February 2021 guidance produced by Directors of Public Health in England on how to exit the pandemic phase of SARS-CoV-2 and live with the virus circulating for some time. This document seeks to including epidemiological and behavioural and psychological insights into practical strategies for local Public Health Teams
This document was produced for a Webinar for the Association of Directors of Public Health (ADHP www.adph.org.uk ) on 27th April 2017 in partnership with Public Health England (PHE www.gov.uk/phe) Hertfordshire County Council (www.hertfordshire.gov.uk) and the Health Psychology in Public Health Network (HPPHN www.hppn.org.uk ).
This presentation is about the Healthy Choices program and the Grocery Store initiative
in South Milwaukee. Community and advocacy groups worked together in creating programs to improve the health of the community.
Teaching slides from a University College London Partners and National Co-ordinating Centre for Mental Health Public Mental Health Course in February 2015. This session focuses on building local approaches to public mental health
This presentation seek to approach how one might go about developing a framework for public mental health in a local area, following discussion with DsPH. It was presented at the UCL Partners and Directors of Public Health Meeting on 18th October 2013
A briefing for Public Health teams on a public mental health approach resilience, trauma and coping beyond the pandemic, and addressing the needs of communities and workplaces
Foundational Learning in Social Determinants of Health for Health Professionals by Dr. Haydee Encarnacion Garcia. Presented at the Emerging Trends in Nursing Conference at Indiana Wesleyan University on June 1, 2017.
A publication for government on pandemic flu and faith communities. Prepared as a sister document to Key Communities, Key Resources, a report for government on faith communities and pandemic preparedness
This is the February 2021 guidance produced by Directors of Public Health in England on how to exit the pandemic phase of SARS-CoV-2 and live with the virus circulating for some time. This document seeks to including epidemiological and behavioural and psychological insights into practical strategies for local Public Health Teams
This document was produced for a Webinar for the Association of Directors of Public Health (ADHP www.adph.org.uk ) on 27th April 2017 in partnership with Public Health England (PHE www.gov.uk/phe) Hertfordshire County Council (www.hertfordshire.gov.uk) and the Health Psychology in Public Health Network (HPPHN www.hppn.org.uk ).
This presentation is about the Healthy Choices program and the Grocery Store initiative
in South Milwaukee. Community and advocacy groups worked together in creating programs to improve the health of the community.
Teaching slides from a University College London Partners and National Co-ordinating Centre for Mental Health Public Mental Health Course in February 2015. This session focuses on building local approaches to public mental health
This presentation seek to approach how one might go about developing a framework for public mental health in a local area, following discussion with DsPH. It was presented at the UCL Partners and Directors of Public Health Meeting on 18th October 2013
A workshop for community and voluntary agencies on public health priorities for Hertfordshire and how we can build people centred public health together
This presentation on making Hertfordshire County Council a public health organization is designed for our corporate policy and performance workshops (8th October 2013) and looks at how we build on our success, to mainstream public health mindsets and approaches across the Council
The journey to a whole system approach on mental health, slide set by Piers Simey and Jim McManus to introduce a workshop on turning the Mental Health JSNA into action
This presentation to a public health strategy workshop discussed how we could embed behaviour change at population level into our public health strategy
Trying to sketch an agenda for how health psychology and public health can work together. Slides for the discussion workshop at the Division of Health Psychology Conference September 2014.
Community Wellbeing - What has Social Prescribing got to offer Public Health
IPH, Open, Conference, Belfast, Northern, Ireland, Dublin, Titanic, October, 2014, Public, Health
An invited presentation to the AFSA (Asian Fire Service Association) Summer conference on the need to find leadership models which work better for diverse communities and enable people to bring assets an understandings from their cultures to organisational leadership
A presentation to the SABRE Cymru conference (Social and Behavioural Science Rapid Response Network) on lessons for social and behavioural sciences in public health beyond Covid-19. https://sabrecymru.uk/
My presentation to the 175th anniversary conference of the Association of Directors of Public Health on lessons from the past and pointers for the future
A presentation to the National Immunisation Conference on lessons learned for the future of public health response to Monkeypox and other novel infections
This is part 2 of a two part session deliver for a Common Awards (Theology, Ministry and Mission, University of Durham) course on health and the Church. The first part focuses on a theological perspective and the second part focuses on public health perspectives
This is part 1 of a two part session deliver for a Common Awards (Theology, Ministry and Mission, University of Durham) course on health and the Church. The first part focuses on a theological perspective and the second part focuses on public health perspectives
This presentation was given to a webinar on addressing poverty and also contains some suggested waymarkers for response. It is based on local experience and the lessons in the LGA/ADPH Annual Public Health Report 2023
An invited keynote to the St Vincent de Paul Society Conference 2022 on emerging from the Pandemic and tasks for the Church and associated organisations
This was an invited keynote to the Social and Behavioural Sciences Rapid Response Network for Infectious Diseases (SABRE Cymru) symposium on Covid-19 and beyond.
Pastoral care is "that aspect of the ministry of the Church which is concerned with the well-being of
the individual and of the community in general." 2 It is clear that the impact of multiple traumas from
the COVID-19 pandemic creates a major challenge for pastoral care. The purpose of this publication
is to enable faith leaders to get some rapid and concise orientation on the issues of population and
community trauma, resilience, self-care and coping during and beyond the pandemic, so they can
consider strategies both for their congregations and the wider community.
This briefing seeks to provide some frameworks for response to the needs of:
1. Populations and local communities, because there will be multiple and differential impacts
on various sub-populations both by life course stage and by identity, as well as
socioeconomic status. Impacts are multiple, from losing loved, to losing jobs, to having
essential treatment delayed. All of these can be traumatic.
2. Faith communities, because as the pandemic goes on, and we are now beyond 18 months of
response, the risks of compassion fatigue, burnout and traumatic stress to congregations
increase. Psychological injury to those who are involved in 'frontline' ministry, both as
ministers or as medical and care workers, may be worse than in other parts of the
population because the combination of enduring stress and their own motivation to keep
serving their populations may result in their feeling unwilling or unable to seek help.
This briefing is set within the context of public mental health, which means it intentionally seeks to
consider what can be done at population level (e.g. whole church or workplace), and group level, not
just individual level. The right kind of action aimed at populations is just as important as action
aimed at individuals and should be seen as
complementary. This is especially so where there
are resources and capabilities which churches can
bring to bear for their whole membership, and
which can help them respond to trauma and
become resilient. In this sense, a populationhealth approach sits well with the idea of the Church as a community where healing can occur
An invited presentation as part of the International Association of Catholic Bioethicists series on Ethics and Pandemics. The series of recordings can be found here https://iacb.ca/web-discussions/
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
a pragmatic approach to building a local public mental health progamme
1. Public Mental Health
Building the house while living in the foundations
September 26th 2014
8th World Congress on Promotion of Mental Health and Prevention of Mental
and Behavioural Disorders
Jim McManus
Director of Public Health
Jim.mcmanus@hertfordshire.gov.u
k
www.hertsdirect.org
2. Approaching public mental health as a DPH
• Making sense of a complicated and contested
landscape (various players, various agendas)
• Is it one, several or all of:
– Promotion of mental good health
– Dealing with specific challenges – e.g self harm
– Promotion of resilience? How does that differ from
good mental health?
– Primary and Secondary Prevention of mental ill-health
– Tertiary prevention e.g. Prevention of disability due
to mental ill-health?
– Making sure mental health services work well?
Jim.mcmanus@hertfordshire.gov.u
k
www.hertsdirect.org
3. Seeking orientation
• Speaking to DsPH on public mental health
– “Cinderella” of Public Health
– Language – does anyone know what wellbeing
actually means?
– Laudable policy intent
– Problem with the evidence base – what exactly is it
– A lot of (variable quality) science, any actual practice?
• Some level of confusion over what to do
– ‘ I have a desire to do something but no idea what‘
– ‘I have some idea but no interventions to get there‘
– ‘ I have some idea/ framework but not joined up'.
– I have loads of indicators of how bad it is, but no tools to make it
any better’
www.hertsdirect.org
4. National Context
• Mental health parity of esteem in CCG
guidelines for commissioning strategies
• Under-represented in Better Care Fund
• National Outcomes Frameworks say little on
young peoples’ mental health
www.hertsdirect.org
5. Strategic Opportunism
• We are facing an (avoidable) epidemiological
crisis
• Inadequate policy context
• Needs a systems approach
• There are some big tasks we can be getting on
with, systems thinking can help
• Some quick wins and delivery tools can help us
win politician confidence
• Phasing and Layering across lifecourse
www.hertsdirect.org
6. Systems thinking on public mental health
The wider determinants of Health and Local Government functions
(Must adopt a Lifecourse approach!)
The Lives people lead and whether LA functions help or
hinder healthy lifestyles (policy, service quality, access,
behavioural economics, behavioural sciences)
The services people access such as primary care
(high quality, easy access, good follow up,
behavioural and lifestyle pathways wrap around)
Jim.mcmanus@hertfordshire.gov.u
k
www.hertsdirect.org
7. We are facing an (avoidable) epidemiological
crisis
• Prevalence of mental ill-health
• Prevalence of physical conditions associated
with poor mental health
– Chronic disease – poor self management, poor management of
sub-clinical risk, must do better on prevention and early
intervention
– Some sections of our population at very high risk of avoidable
misery and death
– Mental health – intervening too late
– Resilience and Happiness – likewise
www.hertsdirect.org
8. There are some big tasks we can be getting on
with
1. Analyse the system and identify problems
2. Build a system wide approach to deal with it
3. Be clear on roles, responsibilities and
outcomes
4. A more nuanced understanding of mental
health and resilience across lifecourse
5. Commission for pathways around people
www.hertsdirect.org
9. Phasing
• Phasing across the lifecourse and time
www.hertsdirect.org
Working age
Accumulation
Of risk in
Late working
age
Good early
Years
outcomes
For lifetime
Mental
health
10. • Layering levels of action
• Population – resilience – how to thrive
• Sub-Population – self harm work, diversity,
bullying
• Individual – school pastoral care frameworks
(30 secondaries)
www.hertsdirect.org
11. Layering
•Think through what we can do short term
•Start work on the medium term
•Set the policy framework for the long term
•Build this understanding among partners
•Get started and realise
•County, District, Parish, NHS, Business and
Community Sector working together
www.hertsdirect.org
12. Phasing and Layering across Lifecourse
Early
Years
www.hertsdirect.org
Childhood Adolescen
ce
Young
Adults
Older
Adults
Environmen
tal
Structurcal
Social
Behavioural
Biological
13. Phasing and Layering across Lifecourse – Adults
with Complex Needs
Early
Years
www.hertsdirect.org
Childhood Adolescen
ce
Young
Adults
Older
Adults
Environmen
tal •Multi agency
•All commissioners.
•Pathway approach
•“Thrive” focus
•1800 people
Structurcal
Social
Behavioural
Biological
14. Healthier Herts: A Public Health Strategy for Hertfordshire
www.hertsdirect.org
OUR PURPOSE
to work together to improve the health and wellbeing of the people of
Hertfordshire, based on best practice and best evidence
OUR VISION:
A Healthy, Happy Hertfordshire: everyone in Hertfordshire is born healthy, and lives full, healthy and
happy lives. We compare well with England and every area in Hertfordshire compares well against
Hertfordshire
HOW WE WILL WORK TOGETHER
(our strategic priorities: how we do it for
Priority 5:
We
understand
what’s
needed and
we do what
works
our County)
Priority 6: We
make public
health
everybody’s
business and
work together
The
Public
Health
Outcomes
Framework
(the national
PHOF will
Help us measure
Our success)
WHAT WE WILL ACHIEVE WORKING FOR AND WITH OUR
RESIDENTS
(our strategic priorities: what we achieve for our County)
Priority 1:
Our
Populatio
n lives
Longer,
Healthier
Lives
Priority 2:
Our
Population
Starts Life
Healthy
and Stays
Healthy
Priority 3: We
narrow the
gap in life
expectancy
and health
between
most and
least healthy
Priority 4: We
protect our
communities
from harm
(chemical,
biological,
radiological and
environmental)
Building
Blocks
For the
Public Health Family
Strong
Leadership
Capable, Skilled
People
Co-production
with citizens
Effective
Partnerships
Evidence and
Knowledge
Driven
Plan and
Deliver for
Localism
Whole
System
Approaches
Making better use of behavioural sciences at individual, interpersonal, community and service levels
15. Making PMH Opportunities a reality -1
• A Framework for DsPH
– JSNA to Commissioning remains a
challenge
– Domains Model or Prevention Model within
the framework (next slide)
– Menu of interventions likely to work across
domains
– “Plug and play” tools and strategies
http://www.fph.org.uk/better_mental_health_for_all
www.hertsdirect.org
16. Making PMH Opportunities a reality -2
• Frameworks we might use
– Domains of Public Health Model or Prevention Model?
• Health Improvement – layer, scale and phase
• Health Protection – mentally disordered offenders, etc
• Service Quality – CAMHS, MH Pathways etc
– Prevention Model? – 1ry, 2ry, 3ry, Resilience?
– Levels of Public Health (Dettels et al,2009)
• Biological, behavioural, social, structural, policy, environmental
– An Evidence Base
http://www.fph.org.uk/better_mental_health_for_all
www.hertsdirect.org
17. The domains model applied to public mental health
(a first, partial start at an illustration)
Health Improvement Health Protection Service Quality (often
www.hertsdirect.org
called service public health)
Good JSNA and Equity Audit as a foundational step
Lifecourse approach to
building resilience
Protecting people from
vulnerability factors
(workplace stress)
Best possible evidence
Early intervention Drugs and alcohol work Best possible
implementation
Physical activity, social
connectedness as well as
drugs and therapy
Mentally disorderered
offenders work
Best possible evaluation
and audit
Tiered approach (severity)
Layering across the 6 layers of public health: biological, behavioural, social,
political, environmental, structural (Dettels et al 2009)
18. Strategic opportunism in Hertfordshire
• Layering levels of action
• Population – resilience – how to thrive
• Population – Lifestyle Partnership
• Sub-Population – self harm work, diversity,
bullying
• Individual – school pastoral care frameworks
(30 secondaries)
www.hertsdirect.org
19. An attempt at a Hertfordshire framework
• Phasing – Lifecourse
• Layering of PMH intereventions (the 6 layers)
– Resilience – how to thrive, carers, lgbt, bullying,
community interventions,– physical activity, 5 ways
to wellbeing, bibliotherapy, financial stress etc,
building social movements and norms
– Prevention – menu of interventions, pathway
– Tiering of services – scale, pace, quality,
commissioning, pathways
Jim.mcmanus@hertfordshire.gov.u
k
www.hertsdirect.org
20. Contributions on Mental Health 1
Third sector
contributions
www.hertsdirect.org
Working together PH, NHS, LA
contributions
•Activities which improve
self esteem and self worth,
key skills – recovery,
prevention and resilience
agenda
•Do more to encourage and
enable volunteering –
commissioning of services
but no funding for volunteer
centres. Cost of volunteer
centres needs to be
considered if volunteering
is a proper strategy. Echo
this for any frontline org
with minimum staffing. Cost
of keeping volunteer
centres going versus return
it brings – if volunteering is
an outcome, the
infrastructure to support it
(vol mgt) needs supporting
•Training front line workers
to understand and signpost
better
•Evidence for funding
(support vcs on getting
funding)
21. Contributions on Mental Health 2
Third sector
contributions
www.hertsdirect.org
Working together PH, NHS, LA
contributions
•CAB transition services are a
really good example of third
sector working together
•CAB transitions service
looking at how we do a referral
process and have an activity
plan. Sharing data on a small
scale.
•Easy to connect with and
access especially where there
is a fear of accessing services
•Reducing isolation (flexible),
trust in the sector, local
knowledge, - third sector could
promote itself more
•People expect too much from
services – people need to be
more resilience generally.
Services need to promote
resilience and taking
responsibility for oneself
•Making every contact count is
good
•Dealing with alcohol use for
self medication – investment
has happened but could do
more
•Lifestyle prescriptions
•Clearer pathways and being
able to move from formal
statutory into third sector and
less red tape
•Education – get into young
people
•A piece of work to support the
vol sector demontrate return on
investment for their work.
•Commissioners to explain
clearly and consistently what
they are looking for in return on
investment and how vcs reports
ROI
•Training offered
•Services are reactive, not
flexible enough – need to look
at preventive agenda more
widely
22. Some examples of strategic opportunism in Herts
Population Wide Sub-Populations Individuals
•How to thrive
•Workplace MH
Champions
•School Pastoral
Care
•£2m investment
in Districts
•Lifestyle
Partnership
www.hertsdirect.org
•Anti-Bullying
•Self harm
•Older bereaved
•Adults with
complex needs
programme
•Health
Psychologist
working with
primary care
23. Further examples of strategic opportunism in
Herts
Population Wide Sub-Populations Individuals
•Lifestyle
partnership
–Leisure offer
–Connection
•Welwyn Hatfield
5 Ways
•Health Walks
•Year of Cycling
www.hertsdirect.org
•LGBT Bullying
•Faith
communities and
low level
interventions
•Extremism and
mental health
Working with IAPT
on long term
conditions and
resilience
Suicide and self
harm