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Reaching out And co-Producing mental health resources for Underserved People

To work with local influencers that have successfully engaged with young, underrepresented communities to improve understanding of community mental health services, and to help reduce the need for acute care.

Read comments 15
  • Proposal
  • 2023

Meet the team

Also:

  • Lavelle Daley (Singer)
  • Melissa Simmonds (Race Equity Community Lead, Autism Consultant & Activist)
  • Teresa Clayton (Head of Experience)
  • Henry Harrison (Strategy & Quality Performance Manager )

What is the challenge your project is going to address and how does it connect to the theme of 'How can improvement be used to reduce delays accessing health and care services'?

Like many areas of the UK, residents of Sheffield encounter issues and barriers to accessing community mental health and disability services in a timely manner. These issues are disproportionately worse for certain groups – including young people from ethnic minorities. Despite this group being under-represented on caseload lists for community support, they are over-represented in crisis and inpatient settings and are more likely to be detained under the Mental Health Act.

Being less likely to seek or receive appropriate support early on can lead to poorer outcomes, including an increased risk of suicide.

We want to change the system to change the experience of this marginalised group. We believe that QI could be used to improve awareness of the problem, and to improve understanding of mental health issues and the support available for these groups. This can only be done with proper co-production and partnership, including with the voluntary sector

What does your project aim to achieve?

By working alongside local community influencers (e.g. rappers / singers) this project aims to engage with young people from ethnically diverse backgrounds and develop their understanding of mental health, learning disability and support available. We aim to develop a network of mental health champions in the communities to support this work and provide developmental opportunities for people from underrepresented communities to work within our Trust. We will partner with local voluntary sector organisations that have good relationships with underrepresented groups, they will be our support mechanism to work better with these groups.

Throughout the project we will evaluate the understanding of the community’s awareness of mental health conditions, disabilities and the services available to support them.

Ultimately, we aim to see better representation within community mental health support services, and less in crisis or inpatient settings – though as the impact of this will take time, various process measures will be monitored.

How will the project be delivered?

To start this project, a Big Conversation event will be held – bringing together healthcare professionals, voluntary sector colleagues, service users, carers and local influencers as partners to share the aim of the project and formulate ideas for change that can be tested. All partners will be reimbursed for their time and contributions. Communications about this event will be shared through a range of platforms including social media accounts and posters at local community centres and shops.

Prior to this, 4 teams within the Trust will be identified. Each team will receive a QI coach and funding and support for developing ideas generated from the Big Conversation.

Shared Learning Sessions will be held throughout the 12-month period, where teams will come together to learn more about the issues, develop QI skills and share their progress. Between learning sessions, coaches will support the teams to develop materials to engage with communities.

How is your project going to share learning?

The project uses an “all teach all learn” approach. The project is about empowering people from marginalised groups to understand mental health and learning disability issues, and how and when to access support. This is of paramount importance in terms of widening access to services. All materials will be available to everyone – including Q members.

New social media accounts will be developed as necessary, though we will also access social media accounts already developed for the purpose of sharing knowledge about mental health and learning disabilities. For example, one of the expert consultants that we will be working with is Lavelle, a local singer who was formerly part of Miss Treats (semi-finalist of Britain’s Got Talent). Lavelle has been developing TikTok videos about neurodiversity, specifically for underrepresented groups and the project would allow experienced healthcare professionals and service users to support her with this.

An interview study will be undertaken.

How you can contribute

  • This project is a very different project that will rely on trust and transparency to ensure co-production is meaningfully. We would really welcome all suggestions from other Q members, especially those who have done similar work or who have had lived experience that can help us to engage with people well.
  • The most popular Influencer Marketing platforms in the last years have been Instagram and Tiktok, Have you used these platforms to share healthcare advice and guidance? Do you have any learning you can share with us?

Plan timeline

16 Jul 2023 Develop contracts with partners including influencers & voluntary sector organisations
6 Aug 2023 Work with partners to develop Big Conversation plans
28 Sep 2023 Big Conversation engagement session with staff, partners and service users
2 Oct 2023 Evaluate Big Conversation data to draft topics and programme theory
9 Oct 2023 Finalise top 4 topics for focus using comms and survey
16 Oct 2023 Select team for each topic using standardised fair process
7 Nov 2023 Launch RAP-UP collaborative - Learning session 1
8 Nov 2023 Initiate Action Period 1 - teams develop materials with QI coaches
6 Feb 2024 Learning Session 2: Teams share content, learning and plans
7 Feb 2024 Initiate Action Period 2: Continue to develop materials and measure engagement
7 May 2024 Learning Session 3: Teams share progress and learning using improvement data
8 May 2024 Action Period 3: Teams final push and evaluating and sharing improvements
23 Sep 2024 Summit & Celebration
6 Oct 2024 Evaluate using content created, interviews and data
12 Jan 2025 Disseminate learning via evaluation publication, videos etc.

Comments

  1. This is a super idea which combines novel ideas for participation with more practical QI help - much more likely to result in sustainable change and longer lasting engagement.  I'd be interested in knowing how you will build in some evaluation and capture the learning for wider sharing.

    Good luck team!

    1. Thanks Emma  - good to hear from you. You are right the evaluation element is important. We need to think about capturing the learning in an iterative manner, ensuring that learning is not lost about how the project changes with the input of our wider communities. I like to think about it as action learning - with each new step informed by reflection on what has happened and being evaluated in real time.

      I like Parya's suggestion of involving 3rd sector in the evaluation is also useful. We have great links with @josiesoutar of Sheffield Flourish who has some really innovative methodologies using film, blogs and storytelling with whom we've worked before https://SheffieldFlourish.co.uk

    2. Hi Emma,

      Thank you so much for the encouragement and you make really good points about factoring in evaluation and sharing learning. We have had some thoughts ignited by your comments and we will be making the following changes to the bid above:

      1. We will be using implementation theory to help evaluate this work as we want to make sure this new way of working with local influential young people is implemented into practice succesfully and will have support from an implementation specialist Dr Kristian Hudson from the Yorkshire Improvement academy. With his support we will ensure that there is a formative evaluation using implementation theory of this project - which I know the Q community also support with.
      2. Melissa who is on the team and is our Trust's Patient and Carer Race Equality Framework Lead has also made a really good point this week about how we need to work more closely with charities in terms of raising awareness and sharing learning.

      We really want it to work and become a more common way of working with local people - so any advice for improvement at all is much appreciated :)

      Thanks,

      Parya

  2. I love the creativity of this project Helen. Engaging marginalised young people in peer support and codesigning service, is so important. Our future.

    1. Thanks Seema - kind of you to say. You are leading the way on this with your own experiences of coproduced QI and EBCD, good to see this methodology becoming so mainstream and the focus on marginalised groups is crucial when we think about population health and wellbeing

  3. Hi Parya,

    I am so impressed with the approach here. Meeting people where they are makes sense, and  I feel we often fail to do this. I am keen to see how your idea develops.

    Sarah

    1. thanks Sarah -i think we need to do more connecting with communities in innovative ways - i suspect primary care is more aware of the local community assets than secondary care is. Perhaps our developing Primary Mental Health Care Teams (with VCSE input) can help open our eyes to other opportunities particularly with underserved populations.

    2. Hi Sarah,

      Really appreciate your supportive comment. I totally agree with you, we often say we can’t do more for getting certain groups to come to us and be more engaged and it begs the question “why can’t we just go to them and get engaged with what they’re already doing” .. I think there’s more going on in underrepresented communities than we realise.

      We would welcome any suggestions you have for improvement as we really want to make this work! Perhaps tips on how we could involve local GPs and other healthcare professionals?

      Thanks,

      Parya

  4. Meeting survivors on equal terms is important for shaping and delivering services. I like your idea.

    Best wishes,

    Alan

    1. thanks Alan - yes -this can be hard to achieve. Thinking about relative power disparities is so important here. I see you work in substance misuse. I suspect that there is learning from that area where engagement and proactive and pragmatic approaches are integral to service delivery?

    2. Hi Alan,

      Thank you so much for your supportive comment. We hope to get more and more revision to the approach as engagement increases. We also want to make sure those with experience are properly reimbursed and recognised for their knowledge, intelligence and efforts.  Rather than just be expected to volunteer their time and expertise, and involve them as a tick box exercise. This is what we’ve been told is often the case.

      Thanks again and if you have any suggestions on how to improve the idea we would love to hear them.

      Kind regards,

      Parya

       

  5. I really like the way you are leveraging local social influencers in engaging the community about mental health difficulties.  I also really like the 'all teach all learn' approach that is really inclusive for The Big Conversation event.  It also sounds fun, which is a really important vibe to bring into the mix when working collaboratively.

    1. thanks Emillios -  yes - we need to think about ways to engage staff and service users which permits "fun"  - we all learn and work better that way and with staff morale so low currently, a focus on "joy at work" is important too

    2. Hi Emilios,

      Thank you so much for your comments - they mean so much coming from someone with so much experience in this area .

      We often ask how we can better engage with certain communities, yet we rarely use the expertise of social media influencers who already engage with the communities.  We really hope the work will be based on equal partnership with those involved.  Glad it sounds fun, I know the topics are serious but it is still nice to have some fun when engaging people :)

      Any feedback you hae for improvement will be much appreciated.

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