Body & Mind Well Being (BMW)

Good Body and mental health well beings are important to lives of all people and to the communities where they live. It is essential to achieve a healthy, resilient and thriving population. The skill and attributes associated with mental health wellbeing (e.g. self respect, confidence, resilience, tolerance, empathy, sense of meaning) influence a very wide range of outcomes. These include physical health, educational attainment, relationship, community safety, cohesion, and quality of life as well as quality of positive thought.

Enjoyment of the world around us, our families and friends, physical activities, appreciation of art music and spirituality can all contribute to good mental health and wellbeing. Mental health can be adversely affected by things like worries about money, stressful work, poor relationship, bullying and violence. Our mental wellbeing is also affected by whether or not we feel in control of our lives, feel safe, have good relationship with other people and feel involved with our community.

Other benefit of wellbeing include reducing health risk behaviour (such as smoking), reduced mortality. Population with good mental wellbeing also have improved overall health, recover more rapidly, are admitted to hospital less frequently and have high level of employment and productivity.

On the other hand, poor mental health is also associated with higher rate of risk taking behaviour such as smoking which is the largest cause of premature death in the UK. Increased alcohol and drug misuse lack of physical activity and unhealthy lifestyle like unhealthy living and unhealthy eating occur in higher rates in those with poor mental health.


What are mental health problems?


Mental health refers to depression and anxiety (which may also be referred to as common mental disorder) as well as schizophrenia and bipolar disorder (also referred to as severe mental illness). Mental disorder includes mental illness but also covers conditions such as personality disorder, and alcohol and drug problem. These conditions are of considerable public health significance given the associated health and social care implication.


The impact of mental disorder

Mental health disorder is associated with higher rate of physical illness and premature death- those with depression die 10 years earlier, while those with schizophrenia die 20 years earlier. This is largely due to high risk of behaviour such as smoking, alcohol and drug misuse, lack of physical activity and poor diet which occur in response to emotional and stress related problems. Smoking is the largest cause of preventable death and 42% adult tobacco consumption in England is by those with mental disorder. However those with mental disorder are less likely to be offered smoking cessation interventions.

Mental illness account for a great number of disability adjusted life years (a measure of overall burden of disease), than other major condition such as cancer, circulatory and respiratory diseases.


What is public mental health?

It has been defined as the art, science and politics of creating a mentally healthy society.

Resilience/ community assets

Resilience is the ability to cope with life’s challenges and to recover from, or adapt to, adversity. We are not born with a fixed capacity for resilience. Resilience is something that can be learned and improved, as well as eroded or worn down by difficult circumstances, so person resilience may change over their life time.

Resilience is important because it can help to protect against the development of mental health problem. People with high resilience are more likely to cope with difficult experiences whilst maintaining high level of wellbeing. And good levels of resilience can help us to recover more quickly if we do experience mental health problems.

Three factors that affect resilience include;

  • Activities that promote wellbeing
  • Building social capital
  • Developing psychological coping strategies.

Protective factors for mental health

  • Genetic background, maternal (ante-natal and post-natal) care, early upbringing and early experiences including attachment pattern, good parenting
  • Personality traits
  • Age, gender and marital status
  • Socioeconomic factors including access to resources
  • Strong social support and network
  • Reduce inequality
  • Employment and other purposeful activity
  • Good relationship
  • Community factors such as levels of trust and participation, social capital
  • Self-esteem, autonomy, values such as altruism
  • Emotional and social literacy
  • Physical, social and spiritual health

What are the major risk factors for mental ill health?

  • Lower income, debt, violence, stressful life events
  • Poor housing, fuel poverty and unemployment
  • Alcohol and drug abuse can both cause and exacerbate pre-existing mental health problems.
  • Substance abuse can serve as a trigger for latent emotional conditions.
  • Chronic heavy drinkers are more likely to suffer from depression, anxiety, serious cognitive impairment and psychosis.

Groups at risk of poor mental health among adults and other people

  • People at particular life stages including

Antenatal and postnatal women

Older people are at risk of poor mental health

  • People with long term condition and chronic disease
  • Poor experiencing mental illness
  • People with learning disabilities
  • Carers
  • Black and Minority ethnic groups
  • Offenders and ex-prisoners
  • People dependent on drug and alcohol
  • Gay and bisexual people


Promoting strength and resilience


Resilience is an important aspect of mental health which can reduce impact of adversity and also promote capacity to face other difficulties. Examples of effective interventions to promote resilience include work- based mental health promotion and stress reduction interventions, workplace wellbeing programmes are effective and can results in economic benefits for business of almost £10 for each pound invested within one year. Stress management at work can reduce work related stress and sickness absence , unemployment , promoting wellbeing, motivation and resilience of those who become unemployed and facilitating return to work reduce depression and distress.


Best practice models related to public mental health

Social prescribing; physical activity and obesity services

Physical activity has been found to be as effective in the treatment of mild to moderate mental health as anti- depressant drugs and psychotherapy.

Physical activity is associated with a reduce risk of depression and dementia later in life.

Physical activity improves not only sub-threshold, mild and moderate depression and wellbeing improved mental health and wellbeing in deprived communities, improved mental wellbeing of those with schizophrenia and improved mental health outcomes in older people as well as reduce risk of depression.

Early physical health promotion to address a range of health risk behaviour in those with mental illness increases wellbeing promotes recovery and can prevent development of physical health problems.

The effectiveness of exercise in the treatment of clinical depression is well documented. Additionally, exercise can improve physical self perception and in some cases global self esteem.

Free for all, Holistic body and mid wellbeing services offered by “Health and Happiness for All” are

Walk in and talk in services; Self- help- management and prevention, CBT- based intervention.

What is CBT? (Royal College of Psychiatrist Mental Health Information)

It is way of talking about;

  • How you think about yourself, the world and other people.
  • How and what you do affect your thoughts and feelings.

CBT can help you to change you think (“cognitive”) and what you do (“Behaviour”). These changes can help you feel better. Unlike some of the other talking treatment, it focuses on the “Here and Now” problems and difficulties. Instead of focusing on the causes of your distress or symptoms in the past, it looks for ways to improve your state of mind now.

It has been found to be helpful in;

  • Anxiety
  • Depression
  • Panic
  • Agoraphobia and other phobias
  • Social phobia
  • Antisocial behaviour
  • Suicidal and self harming ideations
  • Drug addiction
  • Bulimia
  • Obsessive compulsive disorder
  • Post traumatic stress disorder
  • Schizophrenia


How does CBT works?

CBT helps you to make sense of overwhelming problem by breaking them down into smaller parts. This makes it easier to see how they are connected and how they affect you. These pars are;

(STEP- A) S, Stands for situation, T, stands for thought, E, stands for emotional changes, P, stands for physical changes and a stands for action taken,

STAR (Situation, task, action taken and result) because;

  • A Situation- a problem, event or difficult situation, from this can follow,
  • Thoughts
  • Emotions
  • Physical feelings
  • Action

Each of these areas can affect the others. How you think about a problem can affect how you feel physically and emotionally. It cal also alter what you do about it.

An example

There are helpful and unhelpful ways of reacting to more situations, depending on how you think about the, because;

“We are what we think, the way we think (in a helpful or unhelpful way) and act”.

Situation; you have had a very bad day, feel fed up so go out shopping. As you walk down the road, someone you know walks by, and apparently, ignore you, as a result.


(Unhelpful ways)                                                (Helpful ways)

Thoughts                       He/she ignored me-                                He/she looks a bit

They don’t like me   –                       wrapped up in them

I wonder if something wrong



Emotional feelings;                  low, sad and rejected                   concerned for other person




Physical feelings;                stomach cramps, feel sick                None- feel comfortable


Action;                       go home and avoid them             Make insure other person is ok

The same situation had led to two very different results, depending on how you thought about the situation. How you think has affected how you felt and what you did. Because;

“We are what we think, the way we think, feel and act. Let’s think well, feel well, heal well as well as deal well” (Dr Najeeb)

Think thrice before you jump to conclusion.

In the example in the left hand columns, you’ve jumped to conclusion without very much evidence for it- and this matter, because it’s led to;

  • A number of uncomfortable of feelings
  • An unhelpful behaviour.

If you go home feeling depressed, you’ll probably brood on what has happened and feel worse. If you get in touch with the other person, there is good chance to correct any misunderstandings about what they think of you- and you will probably feel worse.

“Mind the communication gap”

The “vicious circle” can make you feel worse. It can even create new situation that make you feel worse. You can start to believe quite unrealistic (and unpleasant) things about yourself. This happen because, when we are distressed, we are more likely to jump to conclusions and to interpret things in extreme and unhelpful ways.

CBT can help you to break this vicious cycle of altered things, feelings and behaviour. When you see the parts of the sequence clearly, you can change them- and so change the way you feel. CBT aims to get you a point where you can “do it yourself”, and work out your own ways of tackling these problems.


“Five areas” Assessment

This is another way of connecting all the 5 areas mentioned above. It is in our relationships with other people and helps us to see how these can make us feel better or worse. Other issues such as debt, jobs, and housing difficulties are also important part of your life as well.


The sessions of CBT

CBT can be done individually or with a group of people. It can also be done from a self-help- book of computer programme or in the voluntary sector organisations like “Health and Happiness for All” we have free ongoing CBT sessions where the members of the diverse communities are openly invited on every Saturday to come and participate in these sessions.

CBT done in many different places- GP practices, out- patient hospital departments or community mental health centres. The therapist may be a doctor, nurse, counsellor or CBT therapist.

  • You will usually meet with a therapist for between 5 and 20, weekly or fortnightly, sessions. Each session will last between 30 and 60 minutes.
  • In the first 2-4 sessions, the therapist will check that you can use this sort of treatment and you will check that you feel comfortable with it.
  • The therapist will also ask you questions about your past life and background. Although CBT concentrates on “The Here and Now” at times you may need to talk about the past to understand how it is affected you now.
  • You decide what you want to deal with in the short, medium and long term.
  • You and therapist will usually start by agreeing on what to discuss that day.

The work

  • With the therapist you break each problem down into its separate parts, as in the example above. To help this process, your therapist may ask you to keep a diary. This will help you to identify your individual patterns of thoughts, emotions, badly feelings and actions.
  • Together you will look at your thoughts, feelings and behaviours to work out;
  • If you are unrealistic or unhelpful
  • How they affect each other, and you.
  • The therapist then helps you to work out how to change unhelpful thought and behaviours.
  • It’s easily to talk about doing something, much harder to actually do it. So after you have identified what you can change, your therapist will recommend “home work”- you practice these changes in your everyday life. Depending on the situation , you might start to;
  • Question a self-critical or upsetting thoughts and replace it with more helpful ( and accurate) one that you have developed in CBT;
  • Recognise that you are about to do something that will make you feel worse and, instead, do something more helpful.
  • At each meeting, you discuss how you have got on since the last session. Your therapist can help with the suggestions if any of the tasks seems too hard or don’t seem to be helping.
  • They will not ask you to change things too quickly – you decide the pace of the treatment and what you will and won’t try.

The strength of CBT is that you can continue to practice and develop your skills even after the sessions have finished. This make as less likely that your symptoms or problem will return.


How effective is CBT?

  • It is one of the most effective treatments for conditions where anxiety or depression is the main problem.
  • It is the most effective psychological treatment for moderate or severe depression.
  • It is as effective as anti depressants for many types of depression.
  • CBT isn’t for everyone and another type of talking treatment may work better for you.
  • CBT is as effective as antidepressants for many forms of depressions. It may be slightly more effective than anti depressant in treating anxiety.
  • For severe depression, CBT should be used with anti depressant medication. When you are very low, you may find it hard to change the way you think until antidepressants have started you to feel better.
  • Tranquillisers should not been used as a long term treatment for anxiety. CBT is a better option.

Problems with CBT

  • If you are feeling low and are having difficulty concentrating, it can be hard, at first to get the hang of CBT- or, indeed, any psychotherapy.
  • This can make you may feel disappointed pr overwhelmed. A good therapist will pace your sessions so you can cope with the work you are trying to do.
  • It can sometimes be difficult to talk about feelings of depression, anxiety, shame or anger.

How long will the treatment last?

A course may be 6 weeks to 6 months. It will depend upon the type of problem and how it is working for you. The availability of CBT varies between different areas and there may be a waiting list for treatment.

What if the symptoms come back?

There is always a risk that the anxiety or depression will return.

If they do, your CBT skill should make it easier for you to control them. So it is important to keep practicing your CBT skills, even after you are feeling better. There is some research that suggests CBT may be better than antidepressants at preventing depression coming back. If necessary, you can have a “Refresher” course.

So what impact would CBT have on my life?

Depression and anxiety are unpleasant. They can seriously affect your ability to work and enjoy life. CBT can help you to control the symptoms. It is unlikely to have a negative effect on your life, apart from the time you need to give up to do it.

What will happen if I don’t have CBT?

You can discuss alternatives with your doctor. You could also;

  • Read more about the treatment and its alternatives.
  • If you want to “Try before you buy”, get hold of a self-help book or CD-Rom and see if it makes sense to you.
  • Wait to see if you get better anyway- you can always ask for CBT later if you change your mind.

Useful CBT web links

British Association for Behavioural and Cognitive Psychotherapies (









The role of therapist and holistic physician is important they work like a trainer and coach. For example if people go to gym, or play sports, fitness trainers don’t do the actual physical work of getting them fit. That is up to the individual. However, the coach or trainer will help devise a fitness plan, monitor a person‘s progress and keep encouraging them when the the things going gets tough. The trainer or holistic physician will act in the same way. As a coach or trainer the holistic physician have role as educator and supporter, helping motivate the service users to use evidence based preventive measures and intervention such as to lead an active, positive, constructive, creative, meaningful, purposeful helpful and valuable lifestyle in order to prevent un healthy lifestyle like unhealthy eating, smoking and drug abuse, disturb sleeping pattern and living with stressful, aggressive and negative behaviour.

In these kinds of interventions always acknowledging that the work is being under taken by the service users through an active participation in these healthy activities as they expert in their own recovery journey.

Holistic physician or trainer devise non clinical remedy according to coaching manual this idea can help differentiate between traditional therapy as delivered by high intensity therapist and low intensity i.e. prevention of disease/problem and promotion of an active, positive happy and healthy lifestyle.

In these kind of activities the main focus of the short terms and long terms intervention is on supporting the service users to use of published manual, self help guide or other CBT self help material sometime this can be computerised CBT self help and by using the technique of biblio therapy ( is an expressive therapy that uses an individual’s relationship to the content of books and poetry and other written words as well as through performing art like to perform a roll in a play or in drama in terms of identification of their own problems with intention overpower their problems on self help basis.

The basic concept behind bibliothrapy is a healing experience. Literary sources can assist with the resolution of complex problems. An active engagement in reading and performing art seemed to be good for their sense of wellbeing for a variety of reason. Today the health care workers and institution recognise the wide and varied use of bibliotherapy within the range of scenario.

The basic concept behind bibliothrapy is a healing experience. Literary sources can assist with the resolution of complex problems. An active engagement in reading and performing art seemed to be good for their sense of wellbeing for a variety of reason. Today the health care workers and institution recognise the wide and varied use of bibliotherapy within the range of scenario.

Bibliotherapy can assist children in building confidence and self-esteem. It attempts to normalise a child’s world by offering coping skills and reducing their feelings of isolation reinforcing creativity and problem solving. It also gives parents an opportunity to discuss their children ‘s issues within its most basic form, bibliotherapy is using book( literature) to aid people in solving the issues that  they may be facing at a particular time.

It consists of selecting reading material relevant to client’s life situation. Bibliotherapy has also been explained as a process of dynamic intervention between the personality of the reader and literature- interaction which may be utilize for personal assessment, adjustment and growth.

Bibliotherapy for adult as self- administered treatment  in which structured material is provide a means to alleviate distress. The concept of the treatment is based on the human inclination to identify with others through their expression in literature and art,  for instance a grieving child or individual who read, or is read a  story about another child or individual who have lost the parent or their near and dears may feel less alone or grieved in the world.

The concept of bibilotherapy has widened over time, to include self-help manuals, without therapeutic intervention, or therapeutic prescribing, a movie that might provide needed catharsis to a client.

The use of book, information, quotations, performing art, drama, play, documentary programme selected on the basis of content a planed reading or through deliberate performing art to facilitate the recovery of the sufferer or the patient suffering from mental illness or emotional disturbance.

New solution to old problems (Rational vision)

Ideally the process occurs in three phases, personal identification, of the reader or performer, with the particular character in the recommended task, resulting in the psychological catharsis, which leads to rational insight concerning the relevance of the solution suggested in the text to the reader’s own experiences under the supervision of of professional team of doctors and CBT therapist.

From a psychodynamic perspective fictional materials are believed to effective through the process of identification, catharsis and insight. Through identification with the character in the story or in performance, the reader or performer gain an alternative position from which to view their own issues. By empathizing  with the character, the client undergoes a form of catharsis by gaining through gaining hope and realising emotional tension which consequently leads to insight and behaviour change.

In 1980 s, and nearly 1990 s, bibliotherapy for clinical conditions such as deliberate- self harm, obsessive compulsive disorder(OCD), and bulimia nervosa and insomnia.

Research also supports bibiliotherapy as an intervention for way of psychological issues including emotional disorders, alcohol addiction, and sexual dysfunction.

In a recent review of psychotherapeutic treatments for older depressed people, bibilotherapy emerged as an effective intervention.


The use of bibilo-therapy in mental health Programme

The use of bibio therapy in mental health programme, including those for substance abuse, mental health issues, extremism, anti- social behaviour, drug abuse, hatred crime, stress, anxiety, depression, self harm and suicidal ideation have been shown to be beneficial to patients in the UK.

Researchers have found that bibilo therapy can successfully compliment programme and reduce recidivism.


Biblio therapy as an experiencing, self awareness and self management and problem and life saving strategy (Experiencing practical and positive parental educational training

The role of holistic physician and CBT therapist is very important because they have the ability to discern the things of the spirit to recognise the need for meaning, purpose, hoe, and to be able to work with these dimensions even in the midst  of the most painful suffering during extreme conditions.

The youth/parents need to be given experiential, practical research based educational training and to must need to be involved in these biblio therapy research based performing art programmes and they should themselves perform the roll of good parents and order to nicely deal with their children in the same way the youth have to take part in these performing art in order to be more positive and resilience in dealing with their problems in helpful and positive way. These training will enable them to overcome the uncertainties of their daily life’s problems and suffering.

We need to find innovative ways of positive dialoguing and promoting constructive criticism with those who shake to care for the spiritual needs of people with same suffering.

Implementing bibilo- therapy intervention during CBT sessions (Solution oriented performing art on self help management)

Implementing biblio therapy intervention during CBT session can be very beneficial for both trainees (service users) as well as for trainer (holistic physician and CBT therapist)

CBT and biblio therapy practitioners select appropriate reading materials and match them to the need of the individual to assist them in development of self awareness, problems solving skills, perspective talking and understanding of problems. The material may include any literacy activity, including reading (fiction, nonfiction or poetry) creative writing, or storytelling.


Dealing with social and emotional challenges in a helpful, positive, creative and constructive way

All the service users are invited to play a specific roll in the drama session according to their problem or need to help them understanding their problems and how to cope with the situation or that specific problem and to resolve them. Secondly it will also be helpful for them to improve their resilience, self confidence and self esteem.


The role of a holistic physician and CBT therapist is an integral part of community’s therapeutic team.

Biblio therapy can be very beneficial and helpful for the diverse communities to learn coping skills through performing art or by the help of evidence based reading material or booklets will help them dealing with social and emotional challenges that may occur.

Through these therapeutic intervention the children, young as well as elderly people are able to see reflection of themselves, their times as well as their concerns.

Well written realistic fiction will always help reader or performer gain a deeper understanding of themselves as well as others.



Stages of Bibilo therapy (ICI)

  • Identification
  • Catharsis
  • Insight



  • Identification; when a reader or performer associated themselves with character or situation in the literary work.
  • Catharsis; when the reader or
  • Performer shares many of the same thought and feeling of the character in the literary work.
  • Insight; is when the reader or performer realize that they relate to the character or situation and learn to deal more effectively with their own personal issues.

Literary pieces, performing art allow therapist to identify the particular issues with confidentiality which they are dealing with directly or indirectly.


Evidence based life saving approach and intervention on Mental Health

1-      Mental Health promotion intervention focus on increasing mental health and wellbeing includinga-      Living well

b-     Working well

c-      Ageing well

2-      Prevention intervention prevent mental illness and range of associated issues including;

a-      Mental disorder and dementia

b-     Health risk behaviour

c-      Inequality

d-     Discrimination and stigma

e-      Extremism

f-       Suicide and self harm ideations

3-      Early intervention occurs in the following areas

a-      Treatment of mental disorder and sub-threshold mental disorder

b-     Promotion of physical health and prevention of health risk behaviour in those developing mental disorder

c-       Recognition of mental disorder

d-     Promotion of recovery through early provision of a range of interventions

(JMHC 2012)

As well as promoting wellbeing in different age groups across the life course, intervention can be targeted at particular groups

4-      Particular groups

a-      Caring well- support and psycho-education for carers

b-     Recovering well- mental promotion as a key component of recovery from mental disorder.



A wide range of evidence based life saving interventions and strategies

  • Eating well, living well, thinking well , working well and ageing well

It is well established fact that;

  • We are what we eat.
  • We are what we think, the way we think, feel and act. Let’s think well, feel well, heal well as well as deal well(Dr Najeeb Ahmad)
  • Positive thinking and mind fullness behaviour ( A strong positive Mind attitude will create more miracles than any wonder drug)
  • A meaningful, purposeful, hopeful, creative and constructive way of life.
  • Stress free and healthy and lifestyle because the level of our happiness is always based on our quality of thought( Dr Najeeb Ahmad)
  • An active lifestyle like healthy walk and positive talk, walk able neighbourhoods and active leisure.
  • Intervention to enhance social interaction (capital) activities such as creative art, music, creativity, stage drama etc.
  • Liberal spiritual awareness, practices and belief, spiritual activities such as spiritual spiral dance etc.
  • Promotion of individual and community empowerment.
  • Enhancing community engagement and participation
  • Access to safe green community spaces is associated with improved mental health, reduced/ stress/aggression, improved physical health and activity, and greater level of social action
  • Access to allotments (Healthy living Home) and community gardens are associated with healthy living and healthy eating with improved physical and mental health, social inclusion and training( especially people with mental health problems)

Working well

Good quality work can provide feelings of self-worth and efficiency. Intervention include

  • Healthy work places and work-based mental health promotion result in increased performance at work and reduce sickness rates as well as reduced anxiety and depression.
  • Work based stress management intervention result in reduced work related stress/sickness absence.
  • Supported work for people recovering from mental illness and early identification and treatment for working age adults with mental health problems.
  • Support for unemployment and encourage the individual for self employment

and reduced distress.



Ageing well;

Ageing well interventions promote wellbeing in later life.

  • Intervention to prevent social isolation can improve wellbeing(when I is replaced by we event illness becomes wellness)
  • Befriending results in reducing depression.
  • Volunteering opportunities are also associated with improved mental wellbeing; self reported health and reduced depression.
  • Learning programmes can improve mental wellbeing and reduce mental illness.
  • Interventions to promote household warmth are associated with improved mental health and reduced depression.


Prevention interventions

Intervention to prevent mental disorder can be grouped into;

  • Prevention of mental illness and dementia
  • Prevention of health risk behaviours
  • Prevention of inequality
  • Prevention of stigma and discrimination
  • Prevention of Extremism
  • Prevention of self harm and suicidal ideations
  • Prevention of violence and abuse.


  • Prevention of mental illness and dementia
  • Depression prevention in older people through targeted interventions for group at high risk.
  • Dementia prevention via access to physical activities, social engagement, cognitive exercise and antihypertensive treatment.
  • Prevention of health risk behaviour including smoking, alcohol and drug miscues through;
  • Promotion of mental health and prevention/early intervention for mental disorder prevent a large proportion of associated health risk behaviour.
  • Integration and mainstreaming of mental health into existing programmes (including smoking, alcohol, drug, obesity, nutrition and physical activity)
  • Intervention for different health risk behaviours with targeted approaches for those with mental disorder
  • Intervention to prevent and intervene early with mental disorder.
  • Prevention of stigma and discrimination;
  • Mass media campaign
  • Social contact between individuals subject to discrimination and member of the public,
  • Educational programmes to increase mental health literacy
  • Time to change national campaign.
  • Prevention of suicide
  • Through improved management of depression.
  • General practitioner education
  • Population-based programme to promote mental health.
  • Prevention of violence and abuse
  • Intervention which promotes mental health and prevent mental disorder
  • Targeted interventions for adults with personality disorder, substance dependence and/or hazardous drinking.
  • Prevention of alcohol related violence.


The 5 best intervention areas;

Drawing on the strongest evidence available, the 5 areas that can enable local health and social care economy to make early progress in improving the overall health and wellbeing of individuals and communities with responsibly good cost-effectiveness and relatively well evidenced effect size.

  • Providing a good start in life and
  • Enabling children to realise their full potential and
  • By reducing behaviour disorder in children and adolescent

Best practice Models related to public mental health;

Social prescribing; physical activity and obesity services

Physical activity has been found to be as effective in the treatment of mild to moderate mental health as anti-depressant drugs and psychotherapy.

Physical activity is associated with reduced risk of depression and dementia in later life.

Physical activity improves not only sub-threshold, mild moderate depression and well-being. Improved mental health and wellbeing in deprived communities, improved wellbeing of those with schizophrenia and improved mental health outcomes in older people as well as reduced risk of depression.

Early physical health promotion to address a range of health risk behaviour in those with mental illness increase wellbeing promotes recovery and can prevent development of physical health problems.

The effectiveness of exercise in the treatment of clinical depression is well documented. Additionally, exercise can improve physical self-perception and in some cases global self-esteem.


Liaison psychiatric service

Improving wellbeing of people with complex mental illness;

High quality liaison psychiatry services such as Rapid Assessment Interface and Discharge (RAID) have been shown to save money by reducing hospital admission and length of stay. Collaborative care arrangements outside hospitals can also improve people’s ability to manage their own health and offer a cost effective way of joining up mental and physical health care with people with long term conditions.

“the RAID service in Birmingham represent a real advancement of the liaison model, An evolution has confirmed that the RAID service has brought in terms of cost saving and improved health and wellbeing for patients.


Recovery Colleges;

A Recovery college is a key element of recovery-oriented practice in mental health services. These colleges complement existing services by offering an educational approach to supporting people in their personal recovery journey. It is not kind of therapy but as a way to build up their skills, knowledge and confidence.


Community Mental health Champions;

There is no health trainers trained in mental health and wellbeing locally. As part of the community they can provide health information and signposting into mainstream services subject to provision of training. This is an area which can be explored locally


Initiatives delivered by the voluntary sector;

The voluntary sector plays an important role in improving wellbeing and health of local population through advocating on behalf of mental health service users. Several service user’s feedback forums have been held in the Borough.

Community Bridge Building- works with adult aged 18-64 years whose mental health difficulties are being treated and managed within the primary care units. The aim of the project is to enhance recovery and reduce the risk of social isolation by working with people to help them to engage with a meaningful activity or opportunity within their mainstream community.



In working out the priorities, we examined the mental health and wellbeing scores and burden of mental illness, unmet needs, services use, cost, inequalities that exist in our population. We searched evidence of clinical and cost effectiveness and best practice examples to inform decisions. Combined this information to define local commissioning priorities to align with national and local strategies and outcome indicators. The frame work we have used for this to develop priorities in each of the following areas.

  • Healthy places and( Healthy living Centres-homes)
  • Healthy lifestyle including healthy eating and healthy living.


PRIORITY 1;  Reducing fear of crime

PRIORITY 2; Ensuring access to good quality lifelong learning across the social gradient.

PRIORITY 3; Promoting community cohesion and reducing social isolation through an active participation of the diverse communities of the Borough. Reducing social isolation and promoting cohesion lies at the heart of a safer, stronger community. Bringing old and new communities together, making sure everyone can access the services they need and empowering communities to make the changes they see as important are essential to building healthier community. Social isolation and loneliness have been shown to impact strongly on both physical and mental wellbeing.

“When ‘I’ is replaced by ‘we’






Your mind

Is a garden.

Your thoughts

Are the


You can grow


Or you can grow



We are what we eat

We are what we think,

The way we think,

Feel and act

Let’s think well,

Feel well,

Heal well

As well as

Deal well,

( Najeeb Ahmad)



PRIORITY 4; reducing smoking rates and improving tobacco control particularly targeted towards patients with mental illness and high risk groups.

PRIORITY 5; promoting physical and mental wellbeing through culture and leisure facilities.

Increase access to mindfulness, meaningful, creative, constructive, and positive activities opportunities and leisure green spaces.

PRIORITY 6; promoting sensible drinking.

PRIORITY 7; Improving Mental health and wellbeing

Shaping existing services or providing services in such a way that they encourage behaviours that promote that promote the best ways to wellbeing.

PRIORITY 7; Promote and support wellbeing at work by working with small and medium sized business to implement the NICE guidance

PRIORITY 8; Support and develop peer groups and peer support programmes to facilitate holistic lifestyle change

PRIORITY 9; Ensure specific mental health and wellbeing programmes are in place to support older people in ageing

PRIORITY 10; Enhance and support health improvement in primary, secondary and social care services

All health and social care services to promote mental health and wellbeing as part of their normal services

PRIORITY 11; Develop mental health champions in all organisations who will give leadership and ensure action on promoting wellbeing

Establish process for every member of front line staff, every counsellor, faith leaders, volunteers or manager to play a role supporting the wellbeing of the people that they work with

Provide mental health awareness training to support staff to ensure that every contact with their local community counts in terms of improving well and signposting people to support



  • Ensure opportunities for public health champion training as part of the local health, social care and voluntary sector providers
  • All communities of health and social care services to ensure that when services are commissioned that the contracting mechanism include provision for appropriate mental health and wellbeing activities





















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