Senin, 29 Juli 2013

Powys Mental Health Alliance Open Day 2013


Last Thursday I made a scenic detour around the Royal Welsh Showground at Builth to attend the Powys Mental Health Alliance (PMHA) Open Day at  Bishop Bevan Hall in a beautiful sunny Brecon. The day was attended by individuals and also staff working for the following organisations - Aneurin Bevan Health Board, Brecon & District Contact Association, Hafal, Powys Association of Voluntary Organisations (DIY Futures project, Powys Befrienders' project, and me - the Powys Mental Health Information Service), and Ponthafren Association. People had travelled from further afield than me - including some from Welshpool and also Ystradgynlais.


The first session was an update from the PMHA trustees about recent developments within the organisation. A new logo was presented, and Chair Bryan Douglas-Matthews explained that the charity had gone through a radical overhaul of late. The eight trustees running the charity have recently developed a new vision - "We believe the collective voice of individuals has the power to improve the world of mental health." 


Trustee Lee Watmough was joined by magazine editor Carla Rosenthal to talk about the revamp and relaunch of the PMHA magazine - now called Headspace. The first issue (1,000 copies have been circulated throughout Powys, and an online version is available) has been extremely well-received, and plans are now under way for an Autumn issue. The magazine is more colourful, vibrant and light-hearted than the previous incarnation, and Lee said that he hopes it draws together the collective voices of not just individuals, professionals and carers, but everybody - "everyone is touched in some way by mental health or emotional difficulties." Carla encouraged people to submit articles, poems, photographs and artwork - the deadline is 30 August. "We want to give a platform to your voice. We want to let people who create services change the way they offer them by listening to people who use them."


Lee and Carla also explained that a brand new website is currently being developed - it is viewed as an opportunity to talk about mental health issues in Powys and break down stigma - watch this space for the launch date!

Lee then described some of the future projects the charity hopes to focus on, including Powys Patients' Council in the Community, teaching others how to lobby effectively, reaching out to the rural community including farmers, helping people deliver a message through innovative drama and fundraising with a difference. Events featuring inspirational speakers and debating topics such as medication are also part of the proposed mix.


Before lunch, and our chance to sample trustee Diane Hart's amazing artwork, there was also a long discussion about the disparity between mental health services available in the North and South of the county, with a focus on crisis teams. Whilst there was acknowledgement of the important developments in both areas (we have written previously about the Home Treatment Teams in the North and South), it was clear that there are still gaps in provision out-of-hours which need to be addressed.


Following lunch the main speaker of the day, Reverend Dr Melanie Santorini, outlined the Time to Change Wales campaign - "don't be afraid to talk about mental health." The campaign is jointly run by three mental health charities - Gofal, Hafal and Mind Cymru, and funded by the Big Lottery Fund, Comic Relief and Welsh Government. So far about 150 Welsh champions have been recruited by the campaign to challenge stigma, perhaps by writing a blog post, or talking to the media, or volunteering at events. Locally there is an event on 3 October in Llandrindod Wells to coincide with World Mental Health week and the aim is to boost the number of champions to 200 by the end of the project.

Melanie also spoke about the importance of talking about mental health with family, friends and colleagues, and politely challenging those who stigmatise people experiencing mental distress. The campaign regularly refers to the 1 in 4 people who supposedly experience a "mental health problem" (we posted about this here). However, it was good to hear challenges from the audience at this event - "it's not 1 in 4 it's everyone!" and Melanie herself referred to people who "think they don't have the experience." She told us a personal story of explaining to someone she knew recently - "I have a mental health diagnosis". The man nearly fell off his chair. He then said - "but you look normal!"


The day was rounded off for me by a question and answer session with two Community Psychiatric Nurses (CPNs) from the Brecon area - Andrew Stephenson (Team Leader) and Dawn Carey. They talked about a variety of issues, including:
  • Working alongside the Home Treatment Team in the South to ensure people have a supported transition from hospital to home, and also to reduce admissions.
  • Outlining the referral process and distinguishing between Primary Care Services (GPs, nurses and counsellors based at health centres) and Secondary Care Services (CPNs, psychiatrists and support staff in Community Mental Health Teams).
  • The impact of the Mental Health Measure on the ability of an individual to self-refer back to a Community Mental Health Team for further treatment.
  • The new Care Treatment Plans which were launched in June 2012 and the role of a Care Co-ordinator (nurse, doctor or social worker for example) in developing them with an individual. Paper and electronic copies are available - and Shropdoc can access these via the Home Treatment Team staff as appropriate.
  • Out-of-hours support as provided by Shropdoc and possible referral to out-of-county 24 hour assessment units.
  • The pros and cons of having three different health boards providing mental health services throughout Powys.
  • The involvement of advocacy services to support inpatients at Bronllys Hospital.
I found this session particularly useful as it is a real luxury to have staff providing mental health services in a specific area to be available to fill in the many gaps in our knowledge in such a complex and ever-changing area.

All in all a really interesting and useful day - and I look forward to the next one that PMHA organise! If you were there - tell us what you thought.

Jumat, 26 Juli 2013

What You Should Know About Binge Eating Disorder: 3 Doctors Discuss


By Arshya Vahabzadeh, M.D. Follow @VahabzadehMD



Holly Peek, M.D., MPH Follow @PsychGumbo



Mona Amini, M.D., MBA Follow @MonAmiMD





What Causes Binge Eating Disorder? 




With up to 4 million Americans having binge eating disorder, it's a significant health issue for our nation.  Binge eating disorder has a wide variety of causes, and sometimes it can be caused by several different reasons, even in the same individual.


To understand why someone develops binge eating disorder, we need to recognize binging triggers. These triggers often result in binging behavior, and they are often negative feelings or thoughts toward body shape, weight, or food. Triggers to binging may also include worry, anxiety, difficult relationships with loved ones, or even boredom. Some people binge eat because it helps them numb these feelings in the short term. But later, they find the binge eating to be harmful to their own self-perception.




Sometimes dieting may be a major factor for binge eating. While dieting tends to happen after binge eating disorder has started, missing meals or not eating enough can lead to binging episodes. If left untreated, binging behaviors become more and more ingrained and harder to control.


Depression has also been linked to binge eating disorder. People who have depression or have been depressed in the past are more at risk. Binge eating is also higher in people who have bipolar disorder or anxiety disorder. Some evidence suggests that it may be more common in people who have addictions to recreational drugs.


Binge eating disorder may be more common in families where the condition is already present. Therefore it seems that our genetics are also an important factor to consider. Researchers continue to explore more scientific explanations on why binge eating disorder happens including studying the neurochemicals and pathways of the brain


How is Binge Eating Disorder Treated? 





The treatment goal for binge eating disorder focuses on binge eating and weight control. Treatment also addresses conditions that commonly occur with binge eating disorder, including depression, difficulty in work or relationships, and distortions in body image.


Treatment outcomes are generally good with psychological treatment often being more helpful than medication based management, although in some cases both are used. There is evidence that cognitive behavioral therapy (CBT), a type of talk therapy, is successful in treating binge eating disorder. Multiple research studies point to benefits with its use. CBT works by disrupting the “binge-diet cycle” by promoting healthy and structured eating patterns, improving body shape and weight concerns, and encouraging healthy weight-control behaviors.


Another type of talk therapy used in treatment is interpersonal psychotherapy (IPT). IPT helps people express and manage their negative feelings without turning to food to cope. Research shows that 20 sessions of CBT and IPT can provide improvements for more than 70% of people with binge eating disorder.


Reading self-help guides like Overcoming Binge Eating by Christopher Fairburn in combination with therapy sessions can also have substantial benefits.


Medications may also be used to ease binge eating disorder symptoms. Serotonin selective reuptake inhibitors (SSRIs), commonly used for anxiety and depression, have been found effective for reducing some binge eating disorder symptoms as well. SSRIs can help with depression often occurring in people with binge eating disorder. Continued research will examine how other medications, including anti-obesity medication and mood stabilizers, may also treat people suffering from binge eating disorder. 



What Should I Say to My Friend / Family Member Who is Suffering?




It is important to take the approach of talking to your loved one with serious intent. Though some people can overcome eating disorders, seeking professional help usually has more lasting positive results. In seeking the care of a professional, both the patient and his/her family benefit from the information presented by the doctor. The first step to talking to someone you care about who has an eating disorder may feel nearly impossible.



  • Patience is key. Being patient and learning facts about eating disorders will guide you (and your loved one). Due to the complexity of binge-eating disorders, communicating your concerns regarding their eating habits and other behaviors will initiate a cumulative effect.

  • Be prepared for a range of responses. Rejection, denial, anger, and shame are just some of the emotions that your loved one may express when you approach her/him for the first time.

  • Avoid judgment, criticism, and simple solutions to disorder. Instead, you should provide encouragement and compassion regarding their feelings and relationships. Your concern and support may be enough for them to seek professional help but know that this is not guaranteed.

  • Recognize binge eating may be just tip of the iceberg. Understanding that binge eating disorder, or any eating disorder, involves food and weight issues as mere symptoms of a deeper and more complex behavioral problem will help your loved one realize they need to acquire healthier coping tools.

  • Know when to ask for assistance. Don't forget that health professionals can alleviate some of the imminent issues that may need to be treated before full recovery is possible. 












House of Lords special debate on the arts, education, health and emotional well-being


Arts: Contribution to Education, Health and Emotional Well-being
This is an edited version and my reflected highlights on a debate which took place in the House of Lords yesterday afternoon, and not a critique of it. The full transcript is available by clicking on the photograph of a blue cockerel. There is an embedded video further down the page. To get to the debate in the video, move the cursor to approximately 17:13. As I hand over the chair of the National Alliance for Arts, Health and Wellbeing to Kate Gant for the next 6 months, it feels indeed like we are really growing as a movement.

Yesterday, the 25th July, in the House of Lords, Baroness Jones of Whitchurch asked Her Majesty’s Government what is their assessment of the contribution of the arts to the nation’s education, health and emotional well-being.
She began the exchange by recapping an earlier debate in which the case had been made around the, ‘contribution of the creative industries to jobs, growth and tourism,’ which echoed the recent Arts Council report that showed that there was a four-fold return on every pound invested in the arts.
But Baroness Jones wanted ‘to make a different case—the arts for their own sake, for what they provide to our civilisation and the benefits they impart to our well-being as a nation. This should be a sufficient reason to celebrate, to defend and to invest in our arts culture. It is why I share the concern expressed by many arts leaders that Maria Miller’s recent speech focused so heavily on the economic benefits that could accrue from our arts activities.’ 
She spoke eloquently about what she described as ‘flawed thinking. If we invest only in arts that are guaranteed to make a profit, we damage the very innovation and creativity that has generated our reputation for excellence in the first place.’
Talking about the Culture, Health and Wellbeing conference in Bristol and the ongoing work of the National Alliance for Arts, Health and Wellbeing, she framed the debate in a way that critically conjoined educational provision and the health and wellbeing of the whole population - on individuals and society.
Opening up the debate to the House, she concluded that: 

‘it would be a great shame if we had to put a price on all those benefits. Art funding should not just be about economic returns, but also the less tangible advantages: that it raises our quality of life, improves our sense of well-being and contributes to our future success as a nation. Ultimately, none of these issues matters as much as a belief in art and creativity for its own sake. However we choose to express it, art is what makes our nation civilised, it shapes our identity and it informs our heritage. If we are always looking over our shoulder at balance sheets to justify expenditure, we risk losing the essence of what makes the UK such a special place to live.’

Baroness (Joan) Bakewell described that earlier debate as being, ‘the economic, nuts-and-bolts argument for the arts, and today we deal with the real core, civilising values of the arts in our lives’, asking, ‘What is the price of joy?’ 
Speak of the more ‘profound rewards of the arts’, she described how the ‘arts teach us what it is to be human, to know ourselves and to know others’. 
She described what I have referred to as the numinous experience of exposure to art and design, citing Wordsworth’s attempts to recall how he had been moved by Tintern Abbey when he had been there five years earlier. ,
“with an eye made quiet by the power of harmony … We see into the life of things”.
She used this idea to describe poetically, what exactly it is that the arts, in all their forms, do. ‘We see into the life of things’. 
‘Empathy matters in the lives we live, one with another. Empathy is the understanding of the other. It is the attribute psychopaths lack—the capacity to understand others. Callousness, cruelty and murder follow. That is why, when the arts go into prison, they make a real difference. Acting companies take the plays of Shakespeare to prisoners and then stay to discuss with their audience, the inmates, what are human motives and what are the feelings of other people. That helps the prisoners grow to see their own lives. It helps them to see into the life of things.’
Critically, to me at least, she suggests that the arts and festivals offer, ‘places of ideas, opinions and cultural exchange’ and concluded her case to the Government on celebration, insight, empathy and intellectual exchange: 

‘The arts lead us to see into the life of things. They deserve a higher place in the school curriculum than at present. As we know, dance scarcely figures and music is neglected. We want our children to see into the life of things.’

Lord Cormack reflected that ‘the arts are, in every possible sense, priceless. To equate them with commercial calculations is doing us all a disservice. You cannot quantify it; if you want to start quantifying it—I am sorry I could not take part in the debate of my noble friend Lady Wheatcroft—you can provide a very good justification. After all, the thousands of tourists who are flocking here this year...is to see our fine buildings, to go to our wonderful galleries, and to listen to the music at the Proms and other concerts. The arts bring in to this country enormous sums of money—a fact that no Government of any political persuasion have ever fully recognised.’ 
Lord (Robert) Winston explored the potency of music in humanity, describing it as ‘a basic civilising influence on our population’. Providing the House with a scientific framework for understanding the impact of music on the human brain, Winston disputed the myth that ‘musicians are born and not made, it turns out that this is not the case. Recent evidence in a beautiful German study clearly shows that pretty well anybody who is given enough time and practice can compete with the best opera singers, and that their brain can expand in the areas that are needed.’ His point here, that music education should be available to everyone throughout their lives.
Lord Rea, poignantly reminded us of the WHO definition of health, which considers it to be not only the “absence of disease” but also,
“complete physical, mental and social well-being”—
Citing Sir David Weatherall, when the regius professor of medicine at Oxford University more than a decade ago, explained how scientific medicine, which dominated the last century, changed the emphasis in healthcare from the whole patient and whole organs to diseases of molecules and cells. This caused many to feel that medicine had become reductionist and dehumanising. Although himself a molecular scientist, Professor Weatherall said that,
“we will now start putting the bits … together again … The old skills of clinical practice, the ability to interact with people, will be as vital … as they have been in the past”.
Reflecting on events in Mid Staffs, Lord Rea emphasised the need to see the whole person and focused much of his contribution on the determinants of health and the importance of conjoining the ‘three components of health—physical, mental and social—are not separate entities.’
Importantly, Lord Rea stressed the importance of popular culture as well as the ‘fine’ arts and he placed an emphasis on the importance of design and architecture.
As an artist, the Earl of Clancarty began by suggesting that, ‘artists make and publicise their work as best they can and it is for others to draw conclusions about the wider social effects that work may have.’
He reminded the House of the recent speech by Scottish Culture Secretary, Fiona Hyslop, on 5 June at Edinburgh University, in which she said:
“It is our job … to create the conditions which enable artists to flourish … I don’t need or want the culture or heritage sector to make a new economic or social case to justify public support for their work. I know what these sectors can deliver because I see it in action. I visit hardworking artists and practitioners who are exploring new ways of working; and who are creating dynamic and exciting new ways of enjoying and sharing their work and the work of our ancestors”.
Pivotally, he suggested, that the ‘key thing here is the facilitation of artists, which I believe is a good in itself, whatever the specific effects may be, because the artist’s work is the contribution to society. The Government’s primary job in relation to the arts is—or should be—to do just that and must of course include encouraging the potential for creativity from all classes of society.’ 
Rather powerfully, he suggested that ‘from this, everything else should proceed. Indeed, in the short term, good art may not give a feeling of well-being at all but may be disturbing and highly critical of society, as much of our best post-war drama was. It is a healthy society which allows artists to have their say, encourages that criticism and, all importantly, offers spaces within which that can happen.’
Lord Sawyer used the emblem of Billy Elliot to talk about aspiration and the arts. How a miner’s son became a ballet dancer. Describing the film’s success, he suggested that this illustration of ‘the transforming power of art—in this case, dance—and its ability to bring joy and happiness, which have the power to actually change lives,’ is at the heart of the debate.
Billy Elliott, he suggests, tells us about the power of community, of solidarity and art as activism. Stressing the importance of arts being at the heart of our communities, he warned, 
‘If we slam the doors, we slam them not just on aspiration but also on knowledge, confidence, communication and language—and we are just not prepared to see those doors slammed. We are going to keep them open, and we shall have to fight to do that. That is our job, no matter what the funding issues are, no matter what the trials and tribulations of the Government of the day are. It is incumbent on all of us who care about future generations to keep those doors open and to keep fighting for our arts. We should work to protect the space, and we need to work hard to help people understand the benefits that they bring to all, and to our nation’s education, health and well-being.’
Staunch advocate of arts and health and keynote at the recent international conference in Bristol, Lord Howarth of Newport opened his contribution by suggesting that ‘the greatest contribution that the arts can make to education is to offer young people the opportunity of beauty, and an understanding of it, and to take them into new imaginative realms.’ He spoke of literature and its place in helping us explore how we live our lives and the value of the arts not being measurable; ‘it is over and beyond the utilitarian calculus.’ His speech stressed the importance of imagination, ‘linguistic precision, authenticity and power…(as)...a preparation for their participation in democracy.’
He emphasised the good work across the country and highlighted, the ongoing work of the National Alliance for Arts, Health and Wellbeing and noted the work that is happening further afield internationally. He reflected on the rich research work underway across the field and echoing Lord Rea, expressed concern, ‘that orthodox, specialised medicine, based on clinical science, is insufficient. What he (citing Sir David Weatherall) calls “patch-up medicine” is “reductionist” and “dehumanised”. He also observes that it is prohibitively expensive and fails to address the causes of malaise. He says we should do more to prevent people falling ill through promoting lives of well-being.’
Concluding that ‘the recognition that GDP is not a sufficient measure of national progress and that “getting and spending”, to quote Wordsworth again, is insufficient.’ He acknowledged The Office of National Statistics index of national well-being includes a new category under arts and culture.

Lord Storey added some pertinent reminded us that, ‘the great and the good can go to the opera, visit art galleries and hear symphony orchestras, but how do we make sure that children living in abject poverty on council estates also have the joy and benefits of the arts?’
He told about work in his own city of Liverpool, ‘where every primary school child—not just some, every single primary school child—learns a musical instrument. They form an orchestra, which has performed within the community, with the Royal Liverpool Philharmonic Orchestra and here at the Royal Festival Hall, and when they leave their primary school a second orchestra is formed at secondary school level. That has been hugely significant for those young people.’
Baroness Northover, concluded the debate, responding to the speeches that had been made, reflecting Lady Bakewell’s early comment, that ‘involvement in the arts is quite simply part of what makes us human.’
She commented that, ‘We fully recognise that engagement and participation in the arts generates a range of social benefits to individuals and society. It is not simply what makes us civilised. It goes beyond that; it is, indeed, what makes us human.’  She quoted Arts Council chairman, Sir Peter Bazalgette saying:
“The arts are a demonstrable source of health and happiness, no matter what age we are”.
She acknowledged the importance of mental health, commenting, ‘In addressing physical health, it is important to address mental health and that sense of well-being, which is why we emphasise that healthcare must be person-centered. We have given mental health a new priority, enshrining it in law for the first time as having equal importance with physical health.’
Again, she stressed the ongoing advocacy work of the National Alliance for Arts Health and Wellbeing and the recognition that Public Health England is looking closely at well-being, recognising ‘that arts activities can promote that well-being.’  

This was a highly encouraging debate and I urge those of you interested in the arts and health agenda to take time to read or listen to this contribution to our expanding field and our growing movement. C.P.

Senin, 22 Juli 2013

When was the last time you really listened?

Last week I went on an audio editing training session with StoryWorks. We learnt how to carry out 10 minute recorded interviews with people, transfer them to computer, and then edit them down to 3 minutes to provide a succinct but memorable digital story which could potentially be uploaded to a website or blog post as a podcast. The training was great – the day flew by – and at the end I left feeling really inspired – with a new skill to add to my toolkit (need to practice more though, once colleagues have bought the kit) – which could, in the future, be of real value to the team and those wishing to tell their stories.

The session also prompted me to think more about listening skills. I have had some training around this in the past, including on the Mental Health First Aid course. I shall always remember the frustration I experienced when sitting telling the amazing story of my other life as a Heritage Seed Library guardian, only to find that the so-called listener was sitting cross-legged, facing in another direction completely, and apparently staring out of the window!

Despite the training, I am incredibly bad at listening properly most of the time. Whether I'm at work, and a colleague wants to talk to me while I’m writing a long and complex email, or I’m at home and family ask me to listen about work stresses, for example, and I would rather, at that moment, just relax and chill out. 

It’s hard – this listening thing! And that’s even before we bring some serious emotional distress into the equation. When we are mentally distressed, one of the first things we often feel a great need to do is talk to someone else. The very act of talking and being genuinely listened to seems to help a great deal.

There are some excellent guidelines out there. You can read about the value of listening skills for mental health nurses in a piece called “Core communication skills in mental health nursing”:
“...many mental health nurses believe they are not doing anything when they are just listening and as a result they underestimate the value of simply listening and more importantly its therapeutic effect.”

And closer to home, the DIY Futures lottery-funded project has recently been holding Listening Skills workshops as part of its Stories Project. Individuals have volunteered to tell their stories of mental distress, whilst others have volunteered to listen. Project Manager, Jane Cook, has been telling me about the workshops which have been really well received. The project sourced useful guidelines from world-wide, including this piece about listening from the Bloemfontein Samaritans in South Africa and a useful online presentation about the Process of listening.  By October there will be a book of DIY Futures stories available – the culmination of all this storytelling and listening that is currently happening - we’ll let you know more nearer the time.

Perhaps if we all listened that little bit more carefully on a regular basis (listening rather than just hearingthen others would gain the benefits of sharing their story/distress. And even if they felt just a tiny bit less distressed as a result – what an impact that might have overall.

What do you think? Do you have any experiences of good and bad listening to share with us?

Minggu, 21 Juli 2013

FICTION/NON-FICTION...

I’m writing a paper around the thorny issue of what constitutes evidence in our field of inquiry, particularly in light of our sometimes-desperate attempts to rigidly align ourselves to science. I am keen to gather insights into just how those notions of ‘evidence’ and ‘the gold-standard’ have been influenced and misused by the free-market and particularly the pharmaceutical industry. If you can direct me to any examples of where evidence has been exposed as being spurious, or even worse shown to be conflated or damaging, I would be very grateful.

I’d also be interested to hear about particular examples of research around the impact of creativity, culture and the arts on health and wellbeing that positively eschew attempts to measure and embraces participatory methodologies and the arts themselves as the significant factor. My final request: cast your net far and wide. I’d like to hear about the diverse and unusual, particularly where it allows us to question notions of authenticity and authority. Please feel free to get in touch about anything and a bog thanks to those of you who already have. Remember, those of you who read this blog in Mexico, in Pakistan, China, Russia, Germany and Belarus last week - I’d be very interested in your thoughts!

         WARNING: Video contains flashing imagery
The UK Arts, Health and Wellbeing Research Network held its first Seminar at the University of Nottingham in March this year. Its focus was on, Existing knowledge, contested approaches and future agendas, and it aimed to map the terrain of existing Arts, Health and Wellbeing research across different disciplines, identify consensus and conceptual tensions and building an academic agenda for cross-disciplinary research for the future. For those of you interested in the research agenda, you can now access the keynotes and extra materials from a dedicated web page, including my own spontaneous and incoherent gibberish. Be warned!

For those of you interested in those thoughts on global approaches to the arts and public health, which I explored at this event, I'm pleased to say that Mike White and I have been working up some of those ideas for a new paper to be published very shortly under the title, Inequalities, the arts and public health: Towards an international conversation. More of that, very soon.

A date has been set for the next research seminar on September 12th in Bristol. The ESRC (Economic and Social Research Council) are very keen that investment in researchers of the future and with this in mind, 10 places will be allocated for registered Doctoral students specifically studying Arts, Health & Wellbeing topics. So if you are a PhD student and you want to know more, please email cin.kong@nottingham.ac.uk More details about these seminars and the multi-media downloads are available at:

The Small Delights of Turkey
Arts and Health Training...
I am regularly asked, when is Arts for Health running its next 6-week training course for arts/health practitioners, and whilst I’d love to be able to offer these courses more regularly, its just difficult carving the time up to do this. But this week I received an email from colleagues in Sefton, Merseyside who are running something very, very similar. Whilst I can’t vouch for the content as I’ve not participated in it, the people who are running it are great, the project is a good one and I think it will be a really useful arts/health course. Check it out by going to the Creative Alternatives website

Arts & Health Presentation at the National Eisteddfod
An Arts in Health presentation and discussion will be delivered at the National Eisteddfod (Pabell y Cymdeithasau 1) at 2pm on the 6th of August. For more information, contact Robyn Tomos: Robyn@eisteddfod.org.uk 

SPECIAL DEVOLVED PUBLIC-SERVICE FUNDING SECTION
(Where you, the people, can apply to take on the role of police, libraries and so much more whilst nurturing the spirit of competitiveness and market greed in our young entrepreneurs and saving our bankrupt country buckets of cash at the same time.Welcome to the 21st Century world of funding)


Government Announces £4.3 Million Fund for Local Communities to Deliver Services 
The Government has announced that it is making £4.3 million available to help 100 local communities within England to design and deliver local services that focus on local priorities and reduce costs.  The expansion of the ‘Our Place’ programme builds on the success of the Neighbourhood Community Budget Pilots that for the past year have been pioneering new ways to improve local services in 12 areas. The 12 pilots range from inner cities and suburbs, to housing estates and small towns. They have all taken very different approaches, but all of them have seen partners working together to tackle the issues which matter most locally.  For example, In Balsall Heath, Birmingham, police officers and the community are developing fortnightly street patrols with residents, and priority policing actions to reduce crime and anti-social behaviour. Their analysis has shown that at a cost of £35,000 per year, over 5 years, potential benefits of over £500,000 could be produced.  

In Ilfracombe, Devon, “One Ilfracombe” is working with its district council to transfer a £1 million budget, alongside an aligned budget from health, Jobcentre Plus, police, fire, housing and councils to work with the private sector and community to improve the health, economy, and living environment for local people. To express an interest in becoming an Our Place! neighbourhood, email ourplace@communities.gsi.gov.uk or click on the officer of the law, above.


Government Launches Enterprising Libraries Programme 
The Department for Communities and Local Government has announced that Libraries across the country can now bid for additional funding to help budding local entrepreneurs. The funding will help entrepreneurs enter the business world by transforming them into catalysts for local economic growth and social mobility.   Ten libraries will be awarded up to £45,000 under the Enterprising Libraries programme which aims to bring together and develop existing business and intellectual property support. Winning bids will develop their own approach to supporting local enterprise but the range of services could include:
· Free access to business and intellectual property databases and publications
· Market research, company data and information on patents, trademarks, design and copyright
· Provision of dedicated space within the library building
· Advice on funding, setting up and running a business; etc.
The Enterprising Libraries grant programme is the second stage of the £1.3 million Enterprising Libraries project, a partnership between the Department for Communities and Local Government, Arts Council England and the British Library. Applications must be submitted by 5pm on Monday 29 July 2013. Read more by clicking on the shocked reader above!


Tycoon in Schools Competition Launched 
The Peter Jones Foundation has announced that the Tycoon In Schools 2013 Competition is open for entries. Launched in 2012, the aim of the competition is to support schools in England to run their own business.  In addition to the funding provided by  the Foundation, the competition has received backing from the Department for Business, Innovation and Skills, with a funding injection of £50,000 to help roll out the campaign and encourage more school children to take part.  Secondary schools are now being invited to register their interest in taking part. Pupils will pitch their business ideas to their tutors, who will submit the best business plans to the Peter Jones Foundation in the hope of being granted seed funding to launch the ventures. Trading kicks off on Monday 4th November for a four-week period, with the overall Tycoon in Schools winner being announced in January 2014.  Over 500 children and 100 teams competed last year with business concepts ranging from a cure for arthritis in horses, to solar panelled phone socks for charging mobile phones. The closing date for entries is 5pm on the 9th September 2013. Read more by clicking on the tycoon above.


Goodbye for now and thanks for dropping by...C.P. 

Selasa, 16 Juli 2013

Jacqui Dillon heads to Mid Wales

I’ve just finished reading a brilliant book called – "Agnes’s Jacket" by Gail A. Hornstein, Professor of Psychology at Holyoke College in the USA. It’s about Gail’s investigation into people’s experiences of mental distress, and at times it reads more like a detective story than an academic piece as with as open a mind as it is possible to have she enters and explores “a vibrant underground network of ‘psychiatric survivor groups’ all over the world.”

Jacqui Dillon features prominently in the book as the Chair of England’s Hearing Voices Network – Gail’s enquiries take her to many of the HVN meetings and events. At one Jacqui says: “I have come to view hearing voices as an adaptive and creative strategy, an example of the persistence of the human spirit to survive in the most extreme circumstances..... My hearing voices was a perfectly natural response to the sadistic torment I experienced. Psychiatrists should stop asking, what’s wrong with you? And start asking, what’s happened to you? That’s what we do in HVN support groups.”

I’d come across Jacqui online before, as she features regularly on a favourite website of mine - Mad in America – but search online for any information about hearing voices and her name soon crops up. Jacqui is “a respected campaigner, writer, international speaker and trainer specialising in hearing voices, ‘psychosis’, dissociation, trauma, abuse, healing and recovery.” And her own website is not just an excellent resource for anyone wishing to find out more about the hearing voices movement, but tells a powerful personal story – “of surviving childhood abuse and subsequently using psychiatric services (to) inform her work.... she is an outspoken advocate and campaigner for humane, trauma-informed approaches to madness and distress.” 


So I was delighted to discover that Laura had booked Jacqui as the keynote speaker at the Mid Wales national Stronger in Partnership event (“Shaping Services”) on 19 September in Llandrindod Wells. This event is one of three organised by our Powys Mental Health team here at PAVO and funded by Welsh Government and Public Health Wales. Individuals, carers and staff are invited to share their experiences and views about services, and find out more about what is proposed nationally. (Last year’s event was in May 2012 in Newtown - Eleanor Longden spoke inspirationally - you can read more about the day here).


Laura tells me that this year’s themes are:


  • All age participation – to fit with the national and local mental health strategies.
  • Children and young people feeling more confident to support each other through mental distress (for example, self harm, hearing voices, sadness, and anxiety).
  • Welfare Reform – how are the changes affecting people in contact with mental health services and those close to them? What can we do to make a positive difference to improve their experiences?
  • National and Local Mental Health Partnership Board Strategy, Implementation and Participation. 
You can find out more about the conference here. So many interesting issues and topics to discuss, AND Jacqui’s keynote talk….

And so, back to Jacqui… The Hearing Voices Network has joined the debate which has been active on here lately -
about the medicalisation of mental distress. Jacqui writes, as Chair, that “psychiatric diagnoses are both scientifically unsound and can have damaging consequences..... People who use services are the true experts on how those services could be developed and delivered; they are the ones that know exactly what they need, what works well and what improvements need to be made. This is not just an academic or professional issue – it’s one that affects our lives.”

So, for anyone interested in pursuing this debate – make sure you book your place at the event as soon as you can - BOOKING NOW OPEN HERE – a quick reminder of the date as I can hear the rustle of paper diaries and clicking onto online calendars….., that’s Thursday 19 September, The Pavilion, Llandrindod Wells, and we really hope to see you there!


Any queries, just get back to us – as always – by commenting below or emailing:
pamhinfo@pavo.org.uk, or ringing 01597 822191 or 01686 628300.