Selasa, 27 Agustus 2013

Introducing Tim Skelcher of Hafal

Tim Skelcher is a name familiar to us as he was previously a DIY Futures co-ordinator working here at PAVO. Since May this year Tim has worked for the Powys Seibiant Family Support Service for Hafal in Powys, and we talked to him just as he was about to launch a new carers' group for Newtown.

Tell us about your new role
My new role with Hafal is mostly about supporting carers of people with a mental illness in Powys, through both one to one support and through mutual support through carer groups. The service provides carers with news, information and advice; as well as providing short breaks for carers through providing activity based support for those they care for, along with the opportunity to focus on recovery using goals set with either their Care and Treatment Plan or Hafal’s Recovery Programme. The other aspect of my role is representing Hafal across Powys at events and meetings.

How is it going so far?
I think it’s going well. I’ve been busy introducing myself to people who use the service, as well as to lots of agencies around Powys. I’m also enjoying becoming part of the Hafal team, and learning about what makes them so effective in Wales.

What are your aims for Hafal in Powys?
Broadly my aims are to provide support to people in Powys with mental health issues and their carers, and to help them to have their voices heard. I’d like there to be more carer groups focusing on mental health throughout Powys, as there is only currently one Hafal group which is in Brecon. I will be working towards getting one set up again in Newtown as a priority, and will follow that with other groups. I’m also working towards making the Family Support Service cover Powys more evenly, as historically it was based in south Powys, with more support being given in the south.

What do you bring to your new role from your DIY Futures experience?
DIY Futures was where I learned about Recovery. I gained a strong belief in people who feel stuck being able to take control of their lives, make changes and get the lives they want. I’ve taken this with me to Hafal, where these beliefs are shared.

Tell us about some of the highs and lows working in the field of mental health
For me the highs are mostly about seeing people make changes, that before they only hoped and dreamed were possible. Almost without exception these have been achieved by a series of small steps. Also I think it’s inspiring when people develop services to help themselves and others facing similar issues, or when they influence change in services. The lows are simply when people aren’t listened to, or aren’t valued.

Have you been inside that famous Hafal VW campervan yet and what did you think?
Yes, I was at the Royal Welsh Show with Hafal recently, and the campervan was there. It really worked to draw people to Hafal’s stall, and gave us the chance to talk to people about mental health issues who, without the campervan, we may not have reached.

Thank you Tim! The first Newtown carers' group meeting which Tim referred to takes place on Wednesday 25 September 2013, 2 - 4pm, at Ponthafren, Longbridge Street, Newtown, SY16 2DY.

You can contact Tim for further information about the new group in Newtown, or with any other queries about his new role and the work of Hafal, by ringing 07875 373525 or emailing: powys@hafal.org

Minggu, 25 Agustus 2013

This, That and the Other...



I find facebook a pest and an irritant, but just occasionally I stumble upon interesting stories and individuals. Overwhelmed with work, (but with determination to provide some interesting texture, as well as funding and job opportunities), this week’s blog offers two-such links. Click on the photograph above to discover the work of Jill Peters and her documentation of burneshas, that is females who have lived their lives as men for reasons related to their culture and society. Very interesting and badged up by Peters as Sworn Virgins of Albania and thinking of the reporting around Chelsea Manning this week, it can only be healthy to understand different cultural and political influences on gender, sexuality and equality.




"Artists 'better protected' against dementia" 
Neurologists at St. Michael's Hospital in Toronto found that artists suffering from vascular dementia may still be able to draw spontaneously and from memory, despite being unable to complete simple, everyday tasks. "We discovered that there is a disproportion between the degree that artists lose some of their memory function, their orientation and other day-to-day cognitive functions. But at the same time, some of their art form is preserved," Dr. Luis Fornazzari, a neurological consultant at St. Michael’s Hospital memory clinic and lead author of the paper, told CBC News. You can read more about this research, by clicking on the not-entirely-irrelevant image of Willem de Kooning above.

BRIEF FOR EVALUATION OF CREATIVE COMMUNITIES CONSORTIUM NORFOLK ARTS & WELLBEING PROGRAMME 
June 2013 – November 2015
We are seeking an experienced evaluator or research organisation with a strong track record in both the arts and public health arenas to provide guidance in selecting and managing the internal evaluation and monitoring processes, and to carry out independent analysis of the programme as a whole.  We are looking for robust evidence of the impact of arts approaches in addressing health and social care priorities to provide effective advocacy tools.

The role of the appointed evaluators will be to interrogate the following questions:

· How effective are arts and cultural interventions in addressing health and wellbeing agendas?
· What are the opportunities and challenges presented to organisations working collaboratively in this field?
· What are the benefits (financial, organisational, qualitative) to commissioners of the Creative Communities Consortium model of working?

We are offering an inclusive fee of £10,000 for this piece of work, plus £500 for the production (design and print) of a final report and are inviting suitable bodies and individuals to submit proposals for how this work would be carried out. Papers relating to the membership criteria and procedures of the consortium and to the tendering process for the arts and wellbeing programme are available on request.

Closing date for submission of proposals to undertake this evaluation work – Thursday 19th September 2013. All enquiries to Abby Gretton abby@creativeartseast.co.uk

British Academy - Small Research Grants 
The British Academy, the UK’s national body for the humanities and social sciences, has announced that it is planning to issue a call for a further round of Small Research Grants on the 4th September 2013. Under the Small Research Grants programme grants of between £500 and £10,000 over two years are available to support primary research in the humanities and social sciences. Funds will be available to:
· Facilitate initial project planning and development
· Support the direct costs of research
· To enable the advancement of research through workshops, or visits by or to partner scholars.  
The closing date for applications will be the 16th October 2013. Read more at:
The Triangle Trust 1949 Fund is currently inviting applications from charity organisations to support projects that support the rehabilitation of offenders and ex-offenders.  The Trust would like to see applicants use these grants to develop sustainable income sources, so that when the grant comes to end the applicant organisation’s income will not be reduced.  Grants are available for up to £40,000 or 50% of the organisation’s current annual income, whichever is lowest, per year for 3 years. The Trust would expect to see the amount requested each year tapering down as applicants develop other income streams to replace the grant income.   The 50% of annual income limit is in place to discourage smaller organisations making an unrealistic step change in income that cannot be sustained when the grant ends. The closing date for applications is the 7th November 2013. Read more at:http://www.triangletrust.org.uk 

Music Grants for Older People 
The registered charity, Concertina which makes grants to charitable bodies which provide musical entertainment and related activities for the elderly has announced that the next deadline for applications is the 31st October 2013. The charity is particular keen to support smaller organisations which might otherwise find it difficult to gain funding. Since its inception in 2004, Concertina has made grants to a wide range of charitable organisations nationwide in England and Wales. These include funds to many care homes for the elderly to provide musical entertainment for their residents. Read more at:http://www.concertinamusic.org.uk/Grants.php

Kamis, 22 Agustus 2013

Antidepressants in the headlines again

For what seems like the whole of August so far! There are features on news sites, blogs everywhere, the radio... and people are asking questions about the continuing rise in the use of these drugs – in Wales, in the UK, in the “developed” world generally...

You can read online articles by a British GP, in The Huffington Post online newspaper and on the Mad in America blog - here by Scottish writer Chrys Muirhead.

Lots of questions are asked and the debate is fast and furious in many cases, particularly where there are comments sections following the articles. Some of the issues which have arisen include:
  • Could it be that the increase in prescription numbers is because people are often on these drugs for many months and even years, so it is the repeat prescriptions which push the stats up?
  • The medicalisation of life’s many stresses and problems may mean that people actually just require time and space, and possibly therapeutic support, to recover, rather than a (supposed) quick fix.
  • But... this leads many who have experienced and struggled with very serious depression to condemn the suggestion that this kind of debilitating distress can just be addressed with a shout to “get out and exercise,” “change your diet”, or “pull yourself together...” when some people cannot even face emerging from their bed or home for weeks.
  • There is the usual debate about “the chemical inbalance” – whether there is one or not ...(evidence being virtually non-existent so far... although we are always encouraged to look to the future and a miracle medical discovery...)
Perhaps one of the most interesting and relevant topics is – would a readily accessible and affordable talking therapy ensure an appropriate and viable alternative to taking antidepressants? Again, there is strong debate around this area – with many people insisting that drugs alone have contributed to their return to everyday life, whilst others are equally convinced that counselling, for example, is what really helped. Others wish to have access to both. And Mark Easton, in a recent BBC news story, pointed out that those areas of the UK with the lowest incidence of antidepressant prescribing do not actually have good provision of talking therapies either... so it’s a complex issue.

Here in Powys it does seem that there are issues around waiting times for counselling, with there being something of a postcode lottery. In recent years expectations have been raised around mental wellbeing, with national surveys, anti-stigma campaigns and generally increased awareness about mental health and wellbeing, with many famous people (comedians in particular, think Ruby Wax and Stephen Fry) speaking out about their distress (or various "diagnoses...").


Last week I was at a meeting of the Primary Care Mental Health team in South Powys, with counsellors and mental health practitioners (previously called mental health nurses) speaking about some of their frustrations. Generally they seem to be struggling to keep up with the increased demand for counselling, and in some areas of Powys there are long waiting lists (up to 6 months) to see a counsellor or take up another form of talking therapy such as Cognitive Behavioural Therapy (we posted about some of the issues here). Couple counselling and counselling for young people are two areas with a particularly growing demand.

Our own Powys Mental Health Information Service receives an increasing number of enquiries from people seeking counselling... Just recently I was told that there is a 6 month waiting list for bereavement counselling with CRUSE in parts of Powys (so what else could we suggest), and there is a cost implication for Relate counselling... Yet all the time people are becoming increasingly aware that they are entitled to source talking therapies through the GP surgery (see the Welsh Government legislation around this – the Mental Health Measure 2010). So... more and more people ask for help, they want it immediately, not 6 months down the line, and the GP prescribes an anti-depressant because a) it really might help and b) it can be prescribed now. Then, as in this recent BBC Wales video, people can spend not just months and years, but sometimes even decades reliant on these medications, with the prospect of painfully weaning themselves off at some point in the future or... staying on them for life, with all the mental and physical complications that this can involve...

What do you think? Are you on antidepressants? Do they work for you? Would you have preferred the option of a talking therapy? Was counselling or CBT offered by your GP, and if so could you start immediately or did you have to wait? We would be really interested to know.


Meanwhile, for a really interesting take on psychiatric medications, it is worth watching a video of consultant psychiatrist Dr Joanna Moncrieff, author of The Myth of the Chemical Cure, speaking earlier this year.

Senin, 19 Agustus 2013

THE DIVIDE: Transgender Mental Health Disparities - why they exist & what we can do…

By Anthony Dobner, Medical Student
Reviewed by Claudia Reardon, M.D.



The Basics…


A transgender individual is someone with the desire to live and be accepted as a member of the opposite sex. This can be accompanied by the wish to make his or her body as congruent as possible with the preferred sex. A transsexual individual is someone who has taken measures, through surgery or hormone therapy, to achieve their desire of living and being accepted as a member of the opposite sex. In general, transgender individuals prefer to be addressed using pronouns and other culture norms that are congruent with their preferred gender identity.




Mental Health Issues Affecting Transgender Individuals…


Lesbian, gay, bisexual, and transgender individuals (LGBT) in general are 2-3 times more likely than the general population to suffer from anxiety and depression. This is probably because anyone who experiences discrimination is more likely to have anxiety or depression.



Almost half of transgender individuals report having
attempted
suicide. Transgender individuals are also more likely to suffer from
substance abuse compared to the general population. Interestingly, transgender
individuals who are
accepted by their families are less likely to abuse
substances. Also, transgender individuals who undertake hormone therapy are
less likely to report depressed mood.




Barriers…


Many LGBT individuals experience unintentional
discrimination from health care professionals. This may be because they use
behavior and language that make assumptions about sexuality. Examples of this
include assuming a lesbian or transgender woman does not need to receive
education on condoms because she will “never have to worry about getting
pregnant.” Research indicates that other barriers include:





  • Homophobia

  • Assumptions of heterosexuality (or homosexuality
    in transgender individuals)

  • Real or perceived lack of confidentiality

  • Lack of training

  • Insurance policies and laws that create
    loopholes for employers that do not provide coverage to domestic partners.




5 Tips for Overcoming Disparities & Receiving Quality Health Care...


SEEK friends and
allies who love and accept you for who you are no matter what. Research shows
that having a strong support system decreases depression and suicidal ideation.




ASK friends and
allies what resources are available in your community. Some communities have
LGBT-specific clinics. Smaller communities may not have these services, but
there may be individual clinicians who have experience working with LGBT
patients.


TALK to your
doctor! He or she should care about you and want you to be happy and healthy but may not know the best way to address your unique needs. Don’t be afraid to
bring up the issue if they don’t. Refer them to this
excellent resource for
clinicians who want to improve the accessibility of their clinics for
transgender individuals.


ENCOURAGE your doctor to use gender neutral language during your visit, and on
surveys, signs, and intake forms.


SUPPORT efforts
in your community to pass laws that change language in
insurance policies that
make it difficult for LGBT individuals to receive quality care.






For more information, check out this great resource for
transgender individuals on a variety of health care issues.


Inequalities, Surviving Stroke, the Arts and so much more...



Inequalities, the Arts and Public Health: Towards an International Conversation 
Some of you may have heard me give a presentation last year called - State of the Arts - not content with letting this work fester in the minds of those people who did, (and with the critical co-authorship of my compadre Mike White) an intelligible reworking is now available to those with refined sensibilities in that most august of publications, Arts & Health: An International Journal for Research, Policy and Practice.

The paper considers how participatory arts informed by thinking in public health can play a significant part internationally in addressing inequalities in health. It looks beyond national overviews of arts and health to consider what would make for meaningful international practice, citing recent initiatives of national networks in English-speaking countries and examples of influential developments in South America and the European Union. In the context of public health thinking on inequalities and social justice, the paper posits what would make for good practice and appropriate research that impacts on policy. As the arts and health movement gathers momentum, the paper urges the arts to describe their potency in the policy-making arena in the most compelling ways to articulate their social, economic and cultural values. In the process, it identifies the reflexive consideration of participatory practice – involving people routinely marginalised from decision-making processes – as a possible avenue into this work.


To access the journal, click on the lovely green patch of grass above. If you want to ask anything at all about this paper, please don’t hesitate to get in touch! Following the public health focused, Invest to Save: Arts in Health Research Project (2003 - 2007) and since my keynote (The Arts, Popular Culture and Inequalities) at the first international conference in Port Macquarie in 2009, I have been continually developing my thinking around inequalities, culture and the arts. I hope to bring some of this work full-circle this November in a new piece of work, FICTION/NON-FICTION.  

Art and poetry help Mancunian stroke survivors in their recovery
Here in the North West, the Stroke Association has been ploughing the furrow with some great arts based practice. Poet Laureate of the North, Mike Garry, best known for his poems ‘God is a Manc’ has been running a series of poetry workshops with stroke survivors in Greater Manchester aiming to create poetry that reflects their lives and experiences, giving them a platform to share their stories. You can see a short video about this below. Meanwhile students from MMU Design Lab teamed up with people affected by stroke and with Hyper Island’s Jim Ralley to produce a billboard poster for the curated Print and Paste site in central Manchester.


The students took the insights from the session and worked up this clever design in a couple of weeks. Katie Lea was one of the students: “After a four hour discussion with stroke survivors, we came away with a clear direction - life after stroke, particularly seeing things differently. We wanted to create an optical illusion, which draws people in and illustrates this shift in perspective. The poster wording ‘things were right, now they’re left’ also addresses the fact that a stroke in the left side of the brain can affect the right side of the body, and vice versa.”

You can see the poster on Chester Street (just off Oxford Road) up until the end of September. To see a little of the work with Mike Garry, click on the video below.


A stroke is a brain attack which happens when the blood supply to the brain is cut off, caused by a clot or bleeding in the brain. There are around 152,000 strokes every year in the UK and it is the largest cause of complex disability in adults. There are over 1.1 million people in UK living with the effects of stroke. For more information about local stroke services and groups, email northwest@stroke.org.uk or call the stroke helpline on 0303 303 3100.

 11 August 13
Funding for Organisations Tackling Violence Against Women & Children
The European Commission has launched a new call for proposals under the Daphne III Programme 2007 - 13. The overall aim of Daphne III is to contribute to the protection of children, young people and women against all forms of violence including sexual exploitation and trafficking in human beings. The total amount of funding available is €11,404,000.  The EU will finance up to 80% of eligible project costs.  There is no maximum level of grant that can be applied for; however, the minimum grant that can be applied for is €75,000. The closing date for applications is the 30th October 2013. Read more at: http://ec.europa.eu/justice/grants/programmes/daphne/

Hilton in the Community Foundation Grants
Organisations that work with young people have the opportunity to apply for grants through the Hilton Foundation. Organisations such as charities and other not for profit organisations can apply for grants ranging from a few hundred pounds up to £30,000 per year for up to 2 years that meet one of the Foundation's chosen areas of focus, these are:
· Disabled children
· Children in hospital
· Homelessness
· Life-limited children in hospices. 
The next closing date for applications is the 15th October 2013. Read more at:https://www.hilton-foundation.org.uk/apply.html


...and finally, Claire Ford, (who some of you will have seen present her work at networking events) is undertaking some brilliant work connecting people affected by dementia with iPad’s and as part of her iPad engAGE project, is moving on to a second phase. To read more about her work and if you’re feeling generous, support her work, click on the image above.

...and for the sheer hell of it...


Thank you for passing by...C.P.

Jumat, 16 Agustus 2013

Our Chief Exec goes "Back to the Floor"

Carl Cooper, who is our Chief Executive Officer at Powys Association of Voluntary Organisations, writes a guest post about his recent experience going ‘Back to the Floor’ – an initiative where senior managers learn from their experiences of finding out how services are delivered locally on the frontline.

Counting the cost of people's involvement -
Carl settles people's expense claims
"As part of the 'Back to the Floor' initiative of Powys Local Service Board, I was privileged to spend a day with my colleague, Freda Lacey (Mental Health Participation Officer), at a national gathering of service users and carers to consider how best to organise involvement in the Welsh Government's new Mental Health Partnership Board.

The use of language was a constant source of discussion and debate. It was clear that some people identify themselves as carers and feel that this label empowers them to get services, respect and support. However, others completely reject the label insisting that they are not "carers" just because services/society want to define them in this way and challenge the label insisting that they are mothers, husbands, daughters, friends etc. Equally, some people accept the label service user for various reasons and, in fact, fight to ensure this term is kept in common use. Alternately, others completely reject the label insisting that those people that have been forced into contact with mental health services (i.e.sectioned and forcibly medicated) don't see themselves as "service users". Recipients of parking tickets don't say that they are using traffic police services!

My first impression was of the very high level of knowledge, experience and ability in the room. Participants contributed to the discussions from an informed and articulate perspective. This gave the contributions an authority and an integrity that was almost palpable.

I was a little surprised at the format of the meeting, which was formal and concentrated on papers and documents. We examined terms of reference, job descriptions, person specifications, and organisational structure diagrams. This way of working would not have been out of place in any board meeting or strategic partnership. I was expecting a meeting about engagement to be much less stuffy and much more participative. Were the organisers reverting to type? On the other hand, the commitment from Welsh Government and others to engage people came across as genuine, open and honest.

Because the day focused on processes and structures, there was consideration of reimbursement of expenses and remuneration. It was this element of the day that surprised me and caused me some concern. Everyone agreed that people that participate in engagement mechanisms should not be out of pocket. However, many viewed this role as a job and spoke of the role as 'working for the government'. As such, some felt that remuneration for participants should be akin to that of, for example, public appointments. I came away reflecting that, if not careful, we were in danger of professionalising engagement and creating an industry of 'engaged voices'. If this were to happen, we would lose the 'raw' voice so vital to decision making. Any commitment to co-production would be seriously damaged.

On a practical level, Welsh Government needs to adopt a consistent approach to how it supports people's involvement. For example, mechanisms are already in place with its Citizens Panel for social services. Should not these be applied to other arena? Developing different packages of support will introduce inequality and inconsistency to public engagement.

The afternoon session was not helped by a confusion within the group regarding how the procedures and mechanisms across Wales were meant to operate. Welsh Government officials and others dealt with this effectively, sensitively and with humility. Clearly, this will need to be addressed again when greater clarity brings about a shared understanding of how the process will work.

All in all, I came away from my 'Back to the Floor' experience having learned a lot and having been inspired and challenged by those I was honoured to meet."


We would be interested to know what you think about Welsh Government's engagement with people in contact with services. Do you agree with Carl, or do you have different ideas? Let us know!

Sabtu, 10 Agustus 2013

Unconventional Wisdom? Time To Challenge – Tackling Stigma


As the manager of a mental health voluntary service in Powys that provides a mental health information service, I am asked, in the conditions of our funding contracts, to “tackle mental health stigma”.  The dictionary defines stigma as a mark of disgrace. Goffmen defines stigma as an "attribute that is deeply discrediting".  

The Time To Change Campaign has been running across England since 2008.  It has been responsible for much activity from staff and volunteers across the country, all hoping that their efforts, attempting to tackle stigma, are having a positive impact.  You can look at evaluation reports from their work here.   It was no surprise to me when the Time To Change Campaign moved over the border, to Wales, last year.  The Welsh campaign is led by Mind Cymru, Hafal and Gofal.  


For many in Wales, this hailed a truly positive step forward, Comic Relief, Welsh Government and The National Lottery were willing to invest in mental health and stigma.  We were given a national focus for tackling stigma and surely all of those trying to tackle mental health stigma would get behind this campaign, work and stand together.  The campaigners hope that by tackling this stigma we will ensure that more people will come forward to ask for help.  In our mainstream services that often means getting the “right” diagnosis and then the “right” help based on this.

The easier path for me to take, as a manager of a service tasked to tackle stigma, would be to get in line to champion the campaign across Powys, join forces with others and together surely our efforts would have a positive impact.  However, I can not act in this way, because I do not believe that the main idea that underpins this campaign, and others like it (e.g. Saneline’s Black Dog campaign), is sound. 


So what is the bad idea that I think needs to be challenged?  Simply this, the mainstream idea that mental illness diagnoses are valid.  These campaigns use the terms “mental illness” as if diagnosis is the truth for understanding our behaviours, misbehaviours and distress.  The campaigns aim to see “mental illness” normalised and seen in the same way as physical illness.  This very statement implicitly indicates that the same evidence underpins a mental illness diagnosis as, say, a cancer diagnosis. 


My challenge to the idea of "mental illness" as a valid diagnosis comes in the form of the ideas of Thomas Szasz and his articulation of them.  In my opinion his arguments are based on logic and reason and I can never hope to articulate his ideas better than he.  You can access lots of videos of Thomas Szasz via the Internet, but here are two to get you started, should you be interested. 4 minute video highlighting a series of statements that summarise his position here and secondly a 5 minute video where he shares his opinions of diagnosing children with “mental illness” here.

 
As well as underpinning it's campaign with the idea of "mental illness", Time To Change uses the approach of statistics that tell us things like - 1 in 4 of us are effected by mental health problems.  In Powys, last month, this approach was challenged at an event, as one that in fact increases stigma, by reinforcing otherness.  Melanie Santorini from the Campaign led a discussion in response to this challenge and there seems to have been some agreement there that perhaps a message of “it's not 1 in 4 it's everyone!" would be more useful.  

Whilst I agree that yes potentially “all of us” could find ourselves experiencing mental distress and exhibiting behaviours that could be perceived as symptoms of “mental illness”, I do not think that all of us, or any of us for that matter, could have a "mental illness". 

All of us are living.  All of us will face things in our lives that are challenging to us (e.g. bereavement, sexual abuse, divorce, redundancy, becoming a victim of crime, illness).  Depending on our life experiences to that point, we will respond in different ways to the challenges that we face, and indeed in different ways depending on the timing of these challenges.  For some that response may be hearing voices, for some it is extreme and debilitating sadness, for some it may be behaviours that challenge our place in “normal society”. So I too would challenge the bold “1 in 4” type statements that many of this type of anti-stigma campaign use because I think these statistics are misleading.  They do not challenge us to understand that any of us, at any point in our lives, could find ourselves struggling to cope and that in response to this we may find that our emotions and actions fall outside of our current society’s understanding of normal behaviour.

And of course society's and individuals' understanding of normal behaviour changes all the time.  For example, I wonder whether I would have accepted a diagnosis of “Female Hysteria” as an illness if I had lived 100 years ago and how I would have responded myself to a women exhibiting “symptoms” like "sexual desire" and "a tendency to cause trouble".  Would I too have seen these behaviours as unacceptable, as symptoms of mental illness?  Would I have wanted “to help” this woman behave normally?  Or would I have asked myself whether her response was perfectly valid given her experience and given the constraints within which she had to live? 

Anyway back to tackling stimga.  The option that I perceive to be the easier one and the one that looks to most people, it seems, like the right thing to do (i.e. act in the name of these campaigns), I am afraid is not one I can take.  I have tried here to explain why.  I think that action, effort and good intentions based on underpinning ideas that are wrong, will produce unforeseen bad consequences. Eleanor Longden clearly articulates the consequences she had to face when her experiences where seen through a “mental illness” lens in this 15 minute video.  

So even though this is not the easiest path for me to follow, I can not support this campaign directly.  A close friend of mine often uses the following quote – I hope he is right...

“The truth will set you free, but first it will make you miserable.”  James A. Garfield

So how do you think we should be using our funding to tackle stigma?  What do you think about these campaigns? What do you think we could do to tackle stigma i.e. the disgrace, the badge of shame that we attribute to our mental distress?

There are many people out there, across Powys and indeed across the world,  challenging the medicalisation of distress and the conventional wisdom surrounding mental health, in our society and within our mental health services.  I would love to hear your thoughts and ideas.  You can comment on this blog, follow me on twitter @powysmh, get in touch with me here or keep up-to-date with events we are running on our website.  Why not join us at our free conference on Sept 19th.  Jacqui Dillon is to be our main speaker to help us continue with this debate.  I hope to hear what you think ...

Senin, 05 Agustus 2013

Don't Fear the Dentist - Beating Your Dental Anxiety

The dentists in Pasadena want you to know there is no reason to be afraid of dentist. It seems that many people possess a fear of dentists. The problem is when this fear becomes overpowering and it prevents people from visiting a dentist and maintaining the health of their teeth. The key to having healthy teeth and keep your teeth white is to prevent problems before they begin. People with dental anxiety will not go to the dentist and this results in problems.
Regular cleanings from your Pasadena dentist is the best way to keep your teeth healthy. Regular care will prevent problems like tooth decay and gum disease. When it doesn't prevent a problem, it at least catches problems early while they are still small. This way the problem can be fixed before it escalates into a major problem. This is what happens to anyone with a fear of dentists. They avoid going so when they finally do discover a problem it is already a serious problem and requires a lot of work to repair.
If your anxiety is bad, you can get sedated before any dental procedures. Your dentist will give you a mild sedative, usually by breathing or in an IV. The sedatives will help you relax while letting you be awake to answer questions and talk to your dentist in Pasadena.
One reason people fear the dentist is a result of a bad experience. Any negative experience will cause someone to harbor negative feelings. The emotional scarring can last for years. One bad experience at a dentist can cause a person to think badly of all dentists. So even though most dentists are not bad, people with dental anxiety will think they are.
When a person with a fear of dentist is looking for a dentist, they should be careful and look around for a good dentist that they can trust. This begins by asking family and friends who they use, and recommend. Once you visit a Pasadena dentist don't hesitate to ask him all the questions that come to mind. This will help you feel more relaxed. You are the customer so the dentist should always try to make you feel at ease. The best dentist will do everything they can to establish trust. If you feel intimidated, you should look for another dentist.
You will be going to a dentist in Pasadena at least every six months. It is very important to be able to trust your dentist. the first time you visit your dentist, tell him or her about your fear. They should be willing to talk to you about it and recommend ways to get around it. If you don't think the dentist is going to help you, shop around to another dentist.
This may should backwards to many people, but you should find a dentist with many customers. A busy dentist is more than likely a good dentist. So in this one instance a long waiting list is a good thing. You can also tell this by looking around the facilities. People waiting in the waiting room and a nice office are signs of a great dentist that is well respected. People who are happy with a dentist will keep coming back.
If you have dental anxiety, always let your dentist in Pasadena know before hand. This is so he can work with you to get over your fear of dentists. By establishing a good relationship with your dentist, you will be able to get over your fear. It will take some time, but before you know it your fear will be gone and you will be able to go to the dentist without worrying.

Kamis, 01 Agustus 2013

BUMPER SUMMER EDITION

So, the Manchester International Festival might be over, but the best free exhibition in town is still on! Mortality: Death and the Imagination runs at the Holden Gallery until 16th August.



By now, I know a good number of people have had the chance to look at the full transcript of the debate in the House of Lords last Thursday and a lot of you have looked at the video too. (see last weeks blog) These are really interesting times for our field, and whilst we all know that the Government’s austerity measures have a long way to go yet and the cuts we’ve felt are only the tip of the iceberg, it doesn’t seem to be stopping our momentum - not least our belief that our work has never been more relevant.

Having only ever read the political proceedings of debates, after the events in Hansard, the opportunity to witness one in the flesh, albeit as a silent partner, was something of a revelation. Ushered up to a narrow balcony over the chamber, I had a vantage point to take in the debate and a little of the theatricality of parliament. 

The opportunity to attend a debate, whilst it wasn’t a packed chamber (the Commons being in recess and the Lords were about to be), was still deeply compelling. The pr essence of the familiar faces of Joan Bakewell and Robert Winston added something to the sense of occasion, with Bakewell a consistent advocate for the arts and recently, older people - Winston of course, a ubiquitous presence on the small screen - and arguably (alongside that ever-young professor from the boy-band), the ‘face’ of popular science. I was very curious as to their take on the debate. More of that in a moment.

I’d been advised that the way these debates are formatted, adheres to rigid rules and however many people had asked to speak, would dictate the allotted time that would be then equally divided between those people. This meant that each speaker had a nine minute allocation. For some of the speakers, this meant that whilst covering the the themes of emotional well-being in both health and education, there was an inevitable passion to frame their stories in work that they were deeply involved in. 

The commitment and passion of all the speakers was palpable and for me, it was a strange position, not to be able to offer approval, support or even the odd whoop of bravo! After all, I’ve been brought up listening to the bear-baiting fervour of the Commons. All those here-here’s, boos and growls, yet not a sound could I utter. So, in respect of my noble colleagues, I offer these modest reflections, as I too take my ‘summer recess’ of two weeks annual leave. 



First of all, the debate was introduced by Baroness Jones of Whitchurch who not only spoke with a deep understanding of the issues, but judging by her own roles and interests inside and outside of Parliament is someone we should be very interested in. Education, culture and the arts and a strong interest in homelessness, the environment and communities, mark this peer out as a committed and articulate advocate for the field, who alongside Baroness Northover - representing both the DCMS and International Development - topped and tailed this debate.

Following on the heels of Baroness Bakewell who in her recognition of the ‘awesomeness of music,’ extolled the impact of the Proms and in particular the impact of the arts on the lives of people affected by disability, Lord Winston inevitably looked at the impact of the arts in scientific terms and its affects on different parts of the brain. His description of evidence from magnetic image resonance scanning of the brain, whilst interesting, perhaps just adds fuel to the age old debate that we need this kind of scientific magic to know that music can just be wonderful, its impact varied and mysterious, and beyond any need for measurement? Lord Howarth’s suggestion that ‘stimulus to the imagination’ might be what counts, tallies with so much of  your responses to my blogging of last weeks debate.

Over the last couple of weeks, I’ve also been asking for examples of qualitative, or arts-based evaluation, and much intelligent deconstruction of the RCT have ensued! Thank you all for your contributions, which will provide me with much reading over the next couple of weeks. I feel there is much to discuss on this subject which ties into both the debate in the Lords, the rich variety of research being undertaken and of course, the ways in which we continue to advocate for the place of creativity, culture and the arts in wellbeing, health and education.

I’ve gone through the speakers words again in an attempt to distill something of the essence - I offer you a modest ‘anonymised’ cut and paste of the salient points.

         I want 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.

        Celebration, insight, empathy and intellectual exchange.
    The arts lead us to see into the life of things.

   The arts are, in every possible sense, priceless. To equate them with commercial calculations is doing us all a disservice. 
                You cannot quantify it...

      One of the great things about music is that it expresses all 
         humanity. It expresses longing, sadness, anger and humour, it 
    looks at joy, it looks at sadness and at love and {...} hope as well. 
          It is a basic civilising influence on our population.

                        Lifestyles are not simply a matter of individual choice, they are a product of economic and social pressures. 

          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.

               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...

             The value of that kind of experience is not measurable; it 
    is over and beyond the utilitarian calculus {…} or, all too often, of the 
         Department for Education and of the DCMS, with the Treasury lurking behind them. {…} 
               Poetry, drama and the novel offer insight into human nature, and a moral education—the best kind of moral education, 
           because it is not dogmatic. 
        
      Matthew Arnold was professor of poetry at the University of Oxford, and 
                 also Chief Inspector of Schools—what a good appointment that was
        by the Govt of the day. He said that the study of literature helps one to
     answer the great question: “How to live?” 
           
      The study of literature teaches people—to use a term that has lost too
                   many of its positive connotations—discrimination. It teaches them
                   to make moral distinctions, to recognise integrity 
  and quality.

As the House adjourned, I had the opportunity to walk with Lord Howarth along some of those corridors, mulling over what happens next. Clearly we have staunch allies in the Upper House - allies and advocates who see beyond simple reductionism and the value of culture and the arts beyond the miserablist bean-counters. Let us keep this momentum and let us keep our passion and vision. 

...and my final thoughts on that debate? Well actually, I’d like to restate one particular passage of the Earl of Clancarty who for me, hits the nail on the head: 


“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. {...} 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.”


My sincere thanks to Alan Howarth for his personal and unwavering committment to the arts and his belief in their impact on wellbeing, and for the time he made to share some of the hidden spaces within Westminster. 
                           <>
MTV Staying Alive Foundation Grant 

The MTV Staying Alive Foundation has announced that its grants programme is currently open for applications. Through its grants programme, organisations led by young people (aged between 15 and 27) that work in HIV prevention can apply for support, which includes a small amount of funding as well as training and development, etc.  The maximum level of funding available is $12,000 per year.  The application process works in two stages. The first stage is a short online form.  If successful at this stage, applicants will be required to fill in a longer form with more details about the applicants organisation and the project for which you they are seeking funding.  The closing date for applications is the 12th August 2013. Read more at http://stayingalivefoundation.org/grants/apply/ 



Clore Poetry & Literature Awards 
The Clore Duffield Foundation has announced that the sixth funding round under its £1 million programme to fund poetry and literature initiatives for children and young people across the UK is now open for applications. Through the programme, schools, FE colleges, community groups, libraries and other arts/cultural organisations can apply for grants of between £1,000 and £10,000 to support participatory learning projects and programmes focused on literature, poetry and creative writing for under 19s. Previous projects that received funding include:
·         Action Transport Theatre, which received a grant of £7,725 to develop primary school children’s appreciation of creative reading and writing through an exploration of traditional European fairy tales, using the power of live theatre performance.
·         Barnet Libraries LONDON Little Listeners: Big Readers project which received a grant of £9,761 to work with children aged 3-4 and targets 36 families where there is no regular reading habit. As well as library-led workshops in schools, volunteers will support targeted families to involve them in regular reading and library visits. 
The closing date for applications is the 7th March 2014. Read more at: http://www.cloreduffield.org.uk/page_sub.php?id=331&parent=35 

Nominet Trust ‘Social Tech, Social Change’ Fund 
The Nominet Trust, a UK charity that invests in digital technology to improve lives, has teamed up with the Founders Forum for Good (FFFG) community of entrepreneurs to offer approximately 20 technology and digital startups the opportunity at getting a share of £1 million of funding.The funding is being made available through the ‘Social Tech, Social Change’ fund and is being made available to startups in the hope that they can be turned into profitable – and critically, scalable – businesses that use technology to tackle social challenges. This can be anything ranging from tackling child poverty to climate change. The fund is available to organisations such as Charities; Not-for-profits Community groups; Schools, PTAs, universities or other educational establishments; and Statutory bodies e.g. local authorities Commercially-run organisations that act as social enterprises; etc.  The next closing date for stage 1 applications is the 4th September 2013.  Those applicants successful at this stage will be asked to submit a fuller stage 2 application. Read more at:



Arts Council England Announce 2015 to 2018 
investment plans

A new application process for organisations wishing to apply for Arts Council National Portfolio Funding  
http://www.artscouncil.org.uk/funding/our-investment/funding-programmes/national-portfolio-funding-programme/ 

Thank you as ever and normal service will be resumed as soon as possible...C.P.