PAGE 2
year.
So plentyof reasons to be a bit more alert about mental health at this time of
This year there is the added pressure of the costs of heating.
sometimes there is a longer wait until the next pay day.
People may be in more debt due to spending during the festive season, and
reflection which isn’t always positive.
time for people without social networks and the end of year often is a time for
lt
. But also the festive season can be a lonely or difficu
n
million people in Britai
affects more than 2
be because of SAD or seasonal affective disorder which
In winter we often see people struggle more than in summer. Some of this can
worried for weeks or even months, it could be a sign of mental health issues.
Everyone has down days, but when someone is feeling low, or have been feeling
a time to be alert!
–
Mental Health in Winter
PAGE 4
schizophrenia andbipolar disorder
Can include anxiety, depression,
year
Affects around 1 in 4 people every
as physical illness
our daily lives and feel just as bad
Can make it difficult to cope with
Poor Mental Health
downs
through periods of ups and
Our mental health can go
▪
daily lives.
we think, feel and act in our
Our mental health affects how
▪
health.
care of it. Just like our physical
and it’s important that we take
Everybody has mental health
▪
What do we mean by mental health?
5.
How many peopleare affected by mental health?
In the West Midlands, 17.7% of people over 16 are estimated to have a common
mental health disorder (2017)
• 1 in 4 people will experience a
mental health problem of
some kind each year in
England [1]
.
• 1 in 6 people report
experiencing a common
mental health problem (like
anxiety and depression) in any
given week in England [2]
.
Suicidal thoughts and self-harm
aren’t mental health diagnoses. But
they are related to mental health.
Over the course of someone’s
lifetime [2]
:
• 1 in 5 people have suicidal
thoughts
• 1 in 14 people self-harm
PAGE 5
6.
• 1 in15 people attempt
suicide.
PAGE 6
.
conscious
-
feeling self
esteem and
-
anxiety, low self
Use of social media is linked to
to report poor mental health.
social media a day are more likely
People who use over 2 hours of
Social media
issues.
national concerns or global
us; for example the weather,
feel, and so can the world around
friendships can impact how we
Family, relationships and
Our environment
.
our mental health
sleep can have huge benefits for
feel. Getting the right amount of
condition, often impacts how we
term
-
temporary or a long
Poor physical health, whether
Physical health
problems.
housing situation, or financial
or relationship, work stress,
health, including the loss of a job
can often affect our mental
Challenges in our every day life
Life challenges
mental health.
overwhelming and impact our
be emotionally
Grieving can
bereavement.
disproportionate amount of
has led to a
19
-
Covid
Bereavement
most of the time.
a 2021 study felt lonely all or
winter months. 7.2% of people in
be particularly difficult during the
19 pandemic and can
-
the Covid
Loneliness has worsened during
Loneliness
What can impact our mental health?
PAGE 9
ache, chronicpain.
such as headache, stomach
unexplained physical complaints
Somatic complaints:
(*)
conditions.
mental health
most common
these are the
and depression,
between anxiety
symptoms
overlap of
There is some
10.
PAGE 10
you go.
followsyou around everywhere
stops you from moving, that
huge weight on top of you that
Depression often feels like a
Emotional signs of depression
circumstances.
than usual to criticism or external
might feel even more sensitive
upset, or tired and lethargic. They
People may feel low and easily
Physical signs of depression
affecting your everyday life.
last a long time or keep returning,
Depression is a low mood that can
Depression
spaced out’ and disconnected.
‘
tense, restless, irritable or
eel
feelings of dread. They may f
uncontrollable worrying and
People may experience frequent,
Emotional signs of anxiety
sweating.
eadache, nausea, dizziness and
h
tight chest, muscle aches,
fast breathing and heartrate, a
Physical symptoms may include
Physical signs of anxiety
and threatening.
things we perceive as dangerous
t’s our bodies’ natural response to
I
situation.
are worried or afraid about a
Anxiety is what we feel when we
Anxiety
Signs of anxiety and depression
Take care ofyour physical health
Talk to someone
Relax & rest even if you can’t sleep
Plan ahead for difficult times
things up’
Keep a diary to avoid ‘bottling
13
PAGE
regularly
active, enjoy the outdoors and eat
Keep
▪
about how you’re feeling
Talk to your peers, family or friends
▪
you can still rest your body and mind
Even if you’re having trouble sleeping,
▪
upcoming difficult period
Plan some recovery time to follow an
▪
feelings in a journal or diary
Write (or type) your thoughts and
▪
g
Top tips to improve your mental wellbein
after your mental health
Looking
14.
PAGE 14
next fewhours.
e
. This includes calming exercises and a tool to get you through th
s
during a crisi
ways to help yourself cope
n
The mental health charity Mind has information o
Coping during a crisis
.
999
If someone is in immediate danger, call
▪
d
Birmingham Min
-
Helpline
service
webchat
or get in contact the
help@birminghammind.org
You can also email
▪
are known to our services or not.
and can be used whether you
available 24 hours, 7 days a week
This line is
▪
for advice and support.
915 9292
0800
or
0121 262 3555
If urgent mental health help is needed you can ring
▪
What to do in a crisis
PAGE 16
continue toimprove the support for citizens
where more help is needed so we can
Feedback to us
people to support through web pages and services
Connect
in your community
about the impact that mental health is having on people
Talk
What is the role of Bolder Healthier Champions?
17.
Talk about theimpact that mental health is having on
people in your community
Bolder Healthier Champions should not:
▪ Provide anything other than approved information
▪ Receive personal information from people
PAGE 17
PAGE 19
colleague?
anxiety fora
stress and
chronic
causing
troubles
Are financial
situation?
their employment
around changing
parent’s decision
costs impacting a
Are childcare
and stigma
and reduce shame
to raise awareness
everybody helps
mental health on
the impact of
Speaking about
chat?
needs a friendly
up and
-
break
a relationship
struggling with
Is a neighbour
situation?
their housing
insecure about
may be feeling
mean someone
costs may
Do rising rent
of their caring role?
isolated as a result
themselves feeling
could find
npaid carer who
u
Do you know an
interests?
outside
finding time for
difficulty
having
school gate
Is a mum at the
loneliness?
feelings of
struggling with
alone and
neighbour living
an older
Is
be available?
support may
what specialist
dad aware of
Is a single
20.
PAGE 20
various ways.
TheirGP may be able to support them in
•
.
s
Mental Health Service
and support gives access t
o
resource
s
Wellbeing
Birmingham City Council
•
available.
help tools
-
has a range of self
NH
S
The
•
resources available.
has an extensive range of self help
The charity for better mental health'
d
Min
•
Act
may help you?
information on services that
Would you like some more
like that?
low, do you know why you feel
You mentioned you are feeling
Assist
recently?
What’s been happening for you
How are you feeling at the moment?
How are you?
As
k
urgent mental health support
-
Use an example: For non
ct model
A
ssist,
A
sk,
A
Use open questions with the
▪
brief intervention
Provide a
▪
How can you provide brief support in everyday interactions?
21.
PAGE 21
s
resource
free andpaid apps and
taught in person, there are a range of
Explain that whilst mindfulness can be
relaxation techniques.
they find relaxing or learn some new
Encourage them to try something that
to help sleeping.
practical tips
Suggest
Act
about mindfulness?
Would you like any information
Are you getting enough rest?
sleeping well?
Do you know why you’re not
Assist
Are you feeling tired?
Are you sleeping okay?
How are you?
As
k
Use an example: For a neighbour who’s looking tired
ct model
A
ssist,
A
sk,
A
Use open questions with the
▪
brief intervention
Provide a
▪
How can you provide brief support in everyday interactions?
22.
PAGE 22
week.”
friendly faceduring the
so it’d be nice to see a
only visit me on weekends
kind of you. My family can
, that’s very
Suky
“Thanks
pop round for a chat.”
most mornings. Just
company, I’m usually in
ever need some
hear about Mary. If you
“Hi John, I’m sorry to
her neighbours are elderly and she knows the gentleman next door recently lost his wife.
sac of bungalows; a lot of
-
de
-
is a Bolder Healthier Community Champion and lives on a cul
Suky
Case study part 1
23.
PAGE 23
might beuseful too.”
got a phone number that
that could help. I think I’ve
suggest some websites
loss. If you’d like, I can
John, I’m so sorry for your
“Thanks for popping in
her.”
seems so quiet without
passed. The house
lonely since Mary
been feeling really
inviting me round. I’ve
, thanks for
Suky
“Hi
welcomes him in and offers him a cup of tea.
Suky
neighbour John, a recent widower, to pop round for a chat. One morning John calls round and
is a Bolder Healthier Community Champion and has extended an open invitation for her
Suky
Case study part 2
Want to learnmore?
▪ Birmingham and Solihull Mental Health
NHS Foundation Trust’s Recovery College
for All offers a range of sessions, which are
open to service users, their carers and
families, members of the Trust and staff.
▪ Mental Health First Aid England offers a
variety of training courses which teaches
people how to identify, understand and
help someone who may be experiencing a
mental health issue.
▪ NHS Health Education England has a
selection of mental health education and
training opportunities and information.
This enables health and care professionals
to have an awareness of mental health
needs and how they may affect their
patients and service users.
▪ elfh is a Health Education England
programme in partnership with the NHS
and professional bodies providing e-
learning to educate and train the health
and care workforce.
PAGE 25
26.
Connect people tosupport through web pages and services
What do if you need some help
• Birmingham and Solihull Mental Health NHS Foundation Trust provide
clinical mental health services and have a 24hr helpline
01212623555 or 08009159292
• Birmingham Mind provide a wide range of local support for people
experiencing and affected by mental health issues.
PAGE 26
27.
• Samaritans havea free to call service 24 hours a day, 365 days a year if
you want to talk to someone in confidence call on 116 123
• The Waiting Room is a local website and app which has a lot of local
support groups and community sector provision not just for mental health.
What to do in a crisis
▪ If urgent mental health help is needed you can ring 0121 262 3555 or 0800 915 9292 for
advice and support from Birmingham & Solihull Mental Health NHS Foundation Trust.
▪ This line is available 24 hours, 7 days a week and can be used whether you are known
to our services or not.
PAGE 27
28.
▪ You canalso email help@birminghammind.org or get in contact the webchat service
Helpline - Birmingham Mind
▪ If someone is in immediate danger, call 999.
Coping during a crisis
The mental health charity Mind has information on ways to help yourself cope during a
crisis. This includes calming exercises and a tool to get you through the next few hours.
PAGE 28
Helplines
Alcohol Change UKfocuses entirely on
reducing alcohol harm, working across
the whole range of serious alcohol harms,
from mental and physical to societal and
economic.
Beat is the UK’s eating disorder charity.
Founded in 1989 as the Eating Disorders
Association, their mission is to end the
pain and suffering caused by eating
disorders.
Campaign Against Living Miserably
(CALM) stands together with everyone
who’s struggling with life, no matter who
they are, where they’re from or what
they’re going through.
Hearing Voices Network supports people
who hear voices, see visions or have
other unusual sensory perceptions - and
all those who support them.
Mental Health Foundation finds
solutions for individuals, those at risk
and for society, in order to improve
everyone’s mental wellbeing.
Mind provides advice and support to
empower anyone experiencing a mental
health problem & campaigns to improve
services, raise awareness and promote
understanding
PAGE 30
31.
National Self HarmNetwork is a forum to
support individuals who self harm to
reduce emotional distress.
Rethink Mental Illness offers practical
help on a wide range of topics such as
community care, welfare benefits and
carers rights.
Samaritans are available day or night, for
anyone who’s struggling to cope, who
needs someone to listen without
judgement or pressure.
PAGE 31
32.
PAGE 32
Bereavement support
0121687 8010
m
Cruse Birmingha
•
Beyond the Horizo
n
•
Local Services:
s
At a Los
•
t
Good Grief Trus
•
t
Cruse Bereavement Suppor
•
National Services:
Bereavement
Loneliness support
Birmingham Min
d
live such as
find peer support groups where you
helps to
Birmingham Mind’s director
y
•
Local Services:
befriending service
telephone
Age UK offer a
•
National Services:
Loneliness
to specific support for loneliness and bereavement
Connect
33.
PAGE 33
support
Practical challenges
CitizensAdvice
Legal issues
www.gov.uk
Redundancy
w
Adviceno
Unemployment
S
ACA
Workplace disputes
Shelter England
Housing
StepChange
Debt
t
Saving Exper
Money
Money
Practical challenges
support
Personal challenges
Age UK
Retirement
Gingerbread
Separation & Divorce
Foundation Years
Parenthood
Pregnancy
-
NHS
Pregnancy
Relate
Relationships
m
Forward Thinking Birmingha
Youth
e
The NHS websit
Health
Personal challenges
to specific support for life challenges
Connect
34.
PAGE 34
Sleep support
helpsleeping
o
t
s
practical tip
and
fight tirednes
s
help tips to
-
self
better visit the NHS’s
help tips to sleep
-
For further self
bedtime to help improve your sleep
intake and screen time close to
moving more or reducing caffeine
If you’re not getting 7 hours sleep, try
Sleep resources
Activity support
Gardening groups
•
Cycling groups
•
Walk and Talk sessions
•
activities across Birmingham including:
accessible peer support groups and
run free,
The Active Wellbeing Society
e.
besides exercis
e
keep physically activ
things you can do to
There are lots of
Activity resources
to specific support for physical health
Connect
35.
PAGE 35
Social mediasupport
e
The Emoji Scal
•
Think before you post
•
Limit your time online
•
Delete social media apps
•
Unfollow or mute accounts
•
s
Social Media Tip
Social media
support
Our environment
Climate emergenc
y
Cost of living suppor
t
Roadworks and closure
s
and service
s
Weather disruptions affecting schools
residents:
helpful information to support its
City Council has lots of
Birmingham
Our environment
to support for our environment and social media
Connect
36.
PAGE 36
have alook at their website?”
night’s sleep; why don’t you
useful tips for getting a good
The NHS has some really
to take some getting used to.
A change in routine is bound
.
Awaale
“That sounds tough,
do is sleep!”
get a day off all I want to
time. Even when I do
work I feel tired all the
increased my hours at
Anton. Ever since I
“Thanks for asking,
seems a bit rushed and doesn’t look like her usual cheerful self so Anton asks what’s wrong.
while at the shops. She
Awaale
Anton is a Bolder Healthier Community Champion and meets his friend
Case study 2
PAGE 38
Thank youfor being a Bolder Healthier Champion!
s
Bolder Healthier Champion
at
programme
involved, they can read more about the
If you know someone else who might like to get
Health awareness training
▪
Tailored resource packs
▪
Monthly themed webinars
▪
your wider community with:
you support yourself, your family, your friends and
information, you can use these messages to help
By volunteering to receive the latest health
the wellbeing of everyone in Birmingham.
together to improve
g
We look forward to workin