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- Community Assessment and Recovery Service (CARS)

(1) Co-production / Co –development with community service  (Building relationships).

As students we should contact NEW OPPORTUNITIES WORCESTERSHIRE (NOW) Team to arrange an meeting to establish;

(a)How MHSWs and other professionals can promote their services to individuals using CARs teams.

(b)The ways can work together to co-produce bespoke activities for CARs teams.

(c)The key is to build a good relationship with this service.

NOW have flexibility to design activities tailored to particular SU

(2) Online Directory – create a list of community services and activities (updated monthly) – share with other professionals and encourage them to refer/work with the identified community organisations.
(3) Ultising Re-enablement Worker – ‘touch base’ with the re-enablement worker. Find out the extent of how much, the worker is supporting individuals to engage in the community (so our work does not overlap).

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- Already available: online portal of groups and activities in area (set up by the council), though we are unsure how many people in the team are aware of this.
- Community Connectors - paid staff from local wellbeing hub connecting people to opportunities in community. We will meet with CC to try to find out about which activities people generally ask for and whether this need is currently met to determine if there is a particular activity we could run.
- Find out how the portal is being run to see if opportunity for a community run section - 'reciprocity'!
- More generally, promote the online portal and the need to 'think community' with people we work with rather than immediately referring them/signposting them elsewhere.

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Art exhibition in County Hall in October for World Mental Health Day.

Using our case consultations to share information and knowledge of local resources.
Linking up with Live Well Kent Navigators who are brilliant at connecting people to community resources.
Inviting local services to our team meetings.

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Hackney
Representative from local library could come to the hospital ward to register service users with library pass before they are discharged. This gives them access to computers, books and other support/community resources.

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Community champions within Crisis teams.
- Current issue with signposting to other services without follow up and lack of knowledge around community resources.
- Plan to make connecting to community groups and resources a fundamental part of Crisis intervention rather than just signpost for after discharge.
- Inviting community groups and third sector services to business meetings to build knowledge.
Invite mentors/befrienders to visits with service users to link them up.
- Champion community resources as part of intervention along with the medical model.

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Connecting People Database Project Plan:

Spec: A searchable database of community resources, relevant to service users. (Not rocket-science but really needed- this used to be produced by a charity, but no longer, and meanwhile all STR workers in our team have is a disorganised filing cabinet!

Can make it available to social prescribers when they come into Redbridge.

Rationale:

-       If everyone is able to do simple signposting then the STR clinic can be more specialised and  STRs freed up to do graded exposure etc

This does not exist

1)    Increase our understanding/confidence/fidelity Connecting People

2)    Discuss who is doing what

3)    Meet with STR workers- after CCM- explain connecting people to establish a legacy

4)    Identify key list of “informers” e.g. CVS- Jenny Ellis

5)    Build excel spreadsheet

6)    Explain CP/spreadsheet in monthly business meeting

7)    Follow up (in zoning?)/plan to ensure the team uses it

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Run a poetry group in an attempt to cater for younger service users

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-      Inviting workers/managers from local services to attend/present at team meetings.

-      We present new services that we find at team meetings. Also ask workers from community and voluntary services to send in information for us to present on their behalf.

-      Ask service users for their feedback on services they attend and present this to our team at team meetings.

-      Consider creating a spreadsheet in the team of local voluntary and community  services.

-      Raise issue of information sharing on services at the next Student Forum meeting. Suggest creating an online shared document e.g. on One Note to share information between students in the boroughs.

o  If we feel this is successful/useful consider presenting information on services to management to be added to an online directory for everyone to access.

-      Sharing link to directory of services with professionals and service users.

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- We are lucky in Surrey to have a great online resource bank called Surrey Information Point, but we're not sure how widely it is known among professionals. It's a great resource for people and professionals to find community groups and resources related to their interests. We'll talk to our service manager to consider disseminating this resource to our team; and contact the admin for the Point itself to see what promotional materials they have that can be given out to clients.

- We'll discuss with the service manager about incorporating an 'Any Other Resources' element to CMHRS team meetings, to encourage knowledge-sharing among team members

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When conducting duty assessments, incorporate a final section to the assessment enquiring what community activities they currently engage in, if any, ask what they would be interested in or what could help them and use this information to promote community activities and consider the development of new ones.

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Essex (Braintree)

Adding an extra community connections form to the Intranet to accompany CPA assessments and reviews

Delivering presentations to colleagues to 
-emphasise the benefits of gathering community information from each other and from service users
- encourage colleagues to see it as an integral part of their practice, not just an add on.

Encouraging colleagues to feedback community information to team meetings

A resource needed to record this information and have readily available
 

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Essex (Braintree)

Adding an extra community connections form to the Intranet to accompany CPA assessments and reviews

Delivering presentations to colleagues to 
-emphasise the benefits of gathering community information from each other and from service users
- encourage colleagues to see it as an integral part of their practice, not just an add on.

Encouraging colleagues to feedback community information to team meetings

A resource needed to record this information and have readily available
 

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- Utilise service user opinions – what resources have they been using that professionals may not know about?

- We could get this information from service users on our caseloads

- We can get information when doing initial assessments – by asking questions ‘what services do you engage with in your communities’

- These resources can then be fed back into the team through MDT meetings
- This then means that resources for specific communities (e.g. cultural minorities) can be made aware to the team
- It helps us to be aware of the blind spots that we as professionals may have in the communities

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- One off community events (World Mental Health Day) (national days)
- Running the Action for Happiness group
- Art group in the local community and use local green spaces
- Drug and alcohol services, proposing a drop in service
- Bridging the gap between children and family social services and adult mental health services

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-Monthly (or twice monthly?) trips to Hinchingbrooke Country Park, inviting service users + carers
-Inviting different local groups each time to have an informal chat with the group, eg art groups, wildlife groups, local time bank etc

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Approach existing groups that have been established and are untapped resources used by the CMHT e.g. the Bedford 20s & 30s Women’s Group (366 members) or Bedford and Stewartby Laughter Club/ Bedfordshire Film Makers and discuss potential signposting for individuals to their group and/or expansion.

Have a form at the reception in the CMHT and other services e.g. GP, drug and alcohol, recovery college etc. (and liaise with reception and CC’s to prompt this) and pens asking individuals/family members what current groups/community/activities/hobbies they are involved in AND if you do not go, why/what stops you? What could be done to improve this/support you to join group/community/activity etc./what factors would help you go if you wanted to? please list the groups you know of or may be interested in etc.

-       Have the form anonymised and indicate where filled out

-       Also, encourage members of the team to ask the people they are working with about this and when gathered a list of resources/information around this, can send email to all members of team/other teams including information about signposting (and will send the information to GP, drug and alcohol etc. with the information from the people using their services

Establish a signposting shop whereby individuals/family members could approach/be approached to discuss community resources. If people gave information and we were unaware of the resources, can leave email to be contacted or return to the shop after we have had time to do some digging.

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Sea - Cleanup for the beach, taking pride in your community. Really easy to implement as people already doing this, could implement a raffling reward system for stimulus.

Green Spaces - Make better use of the many Parkruns in the area and try to encourage people who are mobile to get out, have something to aim for (PBs). Walking has many health benefits.

Photography - Utilising the resources of the photography school locally. Tied into identity and could be inexpensive. Could give people who are homeless cameras and put on a display!
- Specifically using phones so that everyone can get involved
- Potentially contact the students at the photography school so that they can put on workshops
- Social events where people can come to appreciate each others' pictures and ideas
- Shows could be monthly or fortnightly with access to everyone so that anyone can attend
- Themes every fortnight or week so that if you miss one then you don't mind or get left behind
- One week 'on' where you go out and take pictures (get people started thinking about that week's theme) and then next week show.
- Photobook to collate all the winning pictures in hard form and to act as a reminder of good times, or potentially a calendar.
- Online social media
- Service user expert to sit on judging panel or help run workshops or classes
- Link in to existing organisations for advice, support, etc.

Need:

Space/Projector/FB or other social media groups/Moderator (specialist)/ Library?

Perhaps approaching existent groups that have some sort of standing, attempting to participate with them and help expand their remit rather that starting something from scratch.

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* One off event to bring together local communities
* An opportunity to raise awareness of mental health, local resources and community projects
* Provide information and help to reduce stigma
* For example, members of the community could find out about local drug/alcohol services and develop their understanding etc.
* People could sign up to be a support to others in the community

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sports groups
faith groups
parks/open spaces/countryside
schools/colleges/universities
community groups/centres
housing groups and residential care homes
libraries
pubs/cafes
meetups
activity groups
business/charity/organisations
theatres/music venues
leisure centres
what would you put in place to make sure you had good local knowledge
using the assessment process to include information about service user knowledge & use of local community services
putting local resources on MDT meetings
link workers to have deeper knowledge of communities
How would you establish and influence inclusion
bulletin board
sharing information with other professionals
info sharing meetings and inviting SUs
using open spaces to get services together and gathering spaces for communities
visit groups / educate group leaders about the needs of service users and support SU attendance
What can you do knowing the constraints
open spaces
basic skills
crowd funding
being open and available to break down barriers
encourage / facilitate non professional involvement
partnership working
What do you understand by local community
people and resources that are connected in some way (by geography, purpose, interest, need.

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Untapped resources
-      Gyms

-      Local parks and green spaces

-      The library

-      Travel buddy schemes

-      Community boards in supermarkets and parks
-      Community arts spaces

What would you put in place to feel that you have good local information about what was possible?

-      Online directory of services in the local area (with a good search function).

-      Service users focus groups for feedback on the services they attend.

-      Volunteer link workers – link service users up with voluntary organisations which could provide them with desired services.

-      Time banking – sharing skills in the community.

-      Non-electronic resources and information sharing e.g. community boards.
- Someone with dedicated role of increasing access to community resources.

What is it that you could practically do to establish community inclusion?

-      Organising transport for people to local parks/green spaces.

-      Online forums/groups on social network platforms for community activities or sports.

-      Community meals

-      Locality working

-      Going to people – accompanying people when they are socially anxious/doing something for the first time.

What would you do knowing these constraints?

-      Public spaces – finding out when they are available to use and sharing this info with service users e.g. making connections between stakeholders/community leaders in the borough and service users by hosting meetings.

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Just because someone likes art doesn't mean they will want to join an art group. Just because someone has played football once doesn't mean they should join a football club. How much of it are our own values being pushed onto others?

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Untapped Resources

paying it forward - e.g. a slice of pizza/coffee 
this may instil trust in others and make a more positive community feel 

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Untapped Resources

paying it forward - e.g. a slice of pizza/coffee 
this may instil trust in others and make a more positive community feel 

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- The Library
- Recovery College
- Community resource that organises events
- Community / Crisis Cafe
- Gardening clubs

- Packet of local resources for service users (and not just practitioners)
- Consideration that we often send people to the Mind website but this is quite mental health focused
- Open day with community services introducing all services / events

- "One stop shop" drop-in service where practitioners engage with service users to provide personalised information
- Utilising peer support workers and STR workers

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It depends where you live
If you live in an inner city borough or rural area. Sense of community and trust differs based on how built up an area can be.

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Conor - Pie & Mash Shop
Epping Forest
The free pastry breakfast in a local pub
Joe - Cathedral
Roman Ruins
Pubs
Becca - Free classes at the local library
Local college called Nescot
Religious communities
Madi - SMART
Sisters Uncut
Library
Local mosques
Kensington & Chelsea College
Wellbeing Centre
Barber shops
Roberto - Town centre (nice little shopping bit and a bandstand)
Library
Religious communities
Community leaders (people who are trusted)
Hairdressers
Billy - The seaside and cold water swimming
Art schools - therapeutic photography
Garden centres
LGBT football groups (some of them have community outreach programmes)
Equine therapy
Elyse - Barleylands (creative courses for people for free) and it has a farm
Wakeboard park
Basildon markets
My Weight Matters Essex

What would we put in place:
- Up-to-date community resource pack.
- An app that can be quickly updated
- A team 'navigator' with a wealth of local knowledge
- Some sort of database of important/influential people in the community
- A database of local activism
- Ask local MPs to spread the word
- A board/group/collective of local service users and community leaders who share knowledge on local resources
- A message board of information about local resources

How would you exercise influence to establish community inclusion
- Use being a student to be 'inquisitive' about local services
- Use the personal as professional - use your personal interests/identity to set up groups and link with resources that you are interested in/have experience of/are knowledgeable about
- the fact that we're in a mental health team gives us a relative amount of power when tapping into resources
- attend community resources with service users in order to facilitate the links being made

What could you do knowing the constraints?
- Try to find free resources where possible
- Care Act Assessment that could fund paid resources
- Let the community members take control of parts of groups and interventions/delegate
- Bureaucratic/institutional constraints - just have to do the paperwork and work around
- Convince others in the team by showing research regarding social capital and wellbeing, which will enable service users to potentially promote their own personal/clinical recovery and facilitate discharge (which is all the top dogs care about, uuggghhh)

What do you understand by the 'local community'
- The immediate areas that you're working in and the facilities available with regards to connecting people.
In addition to this, any wider networks, including groups related to identity and social media platforms.
People who use their influence to foster links and resources for those around them.
Community is subjective, as it can be whatever a group or individual decides it is.
Communities can be links between people of similar interests, identities, and locations

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DISCUSS: What would you put in place to feel that you have good local information about what was possible? How would you exercise your influence in establishing community inclusion which would favour people in that community who need community support and inclusion? What could you do knowing the constraints? What do you understand by the local community?
Post a summary of your discussion here.

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Folder of community resources- electronic and paperless that can be updated
PCSO or an expert in community resources that can sign post to us.

How would you exercise your influence in establishing community inclusion?
meet people in the communities for sessions
use the library- and other places where different people come together
open days
instead of sign posting support them there- do joint visits instead of just sign posting so they have a point of contact.
WELLBEING BUS

What could you do knowing the constraints?
joint visits- stops long winded time consuming referrals can be done there and then.
Make the groups as inclusive as possible. Make it multidisciplinary/ more joint up work other professionals can attend and provide their input
do beta tests/pilot studies before full implementing- make service users the experts in their experience and report back.
Funding- from businesses e.g coffee morning (MacMillan).
Travel- car pooling, use third sector organisations.- utilise different resources

What do you understand by the local community?
Community- a sense of belonging and connection. A place where you can help and be helped. Social cohesion- among a variety of people in a specific location.

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The Sea / Seafront
- Community Cleanup
- Open water swimming
- Sports facilities (table tennis, basketball, volleyball, etc.)

- Utilising the weather!
- Embrace modern technology/interests rather than resisting it/them

Ideas from others:
- Group walking/running - Parkrun
- Utilising public/hired buses
- Utilise the internet
- Facilitating person
- Going to places with people yourself
- Understanding the communication fields that actually work (not email - noticeboards?)
- 'Community broker' a bit like a tourist's information centre
- Intertwining education and community engagement really important - it all starts with education

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hi

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Untapped resources

- libraries

- battersea arts centre

- religious centres – mosques, churches

- youth clubs

- public spaces e.g. parks

- gyms/swimming pools

- affluent areas

- cinemas/theatre

- choirs

- allotments/outdoor areas in need of revamp

- schools and universities

What would you put in place to feel that you had good local information about what was possible?

- good local information easily accessible in range of areas

- local businesses

- community base?

- Community volunteer service

- monthly forum – for colleagues and residents

- bringing ideas up in team meetings and sharing research/case examples

- funding from community not just government. Can both join up together at community events.

- presentations to mental health teams from local groups
- website with contacts for different areas/events

How would you exercise your influence in establishing community inclusion which would favour people in that community who need community support and inclusion?

- Influence people to volunteer and delegate work

- should not just be top down with residents as passive participants

- giving residents responsibility to set up own groups

- giving responsibility over resources
- MH service participation in community events

What could you do knowing the constraints

- Constraints: time, money, knowledge, lack of engagement, risks, competence, expertise

- delegate, share the load

- building relationships with institutions, small businesses, people with history/experience

- think about fundraising – schools, universities

- publicity/advertisement

What do you understand by the local community

- something that binds you together – space, location, race, culture, interests, shared values/attitudes

- something with a focus? Something that provides resources – an exchange of resources.

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What would you put in place?
Knowing where people go to find the information e.g shops, facebook groups etc
Having a "local expert" who knows the area, how to refer to services and where to go. Not just a website but an actual person. The area covered by the LA and trust is large and made of a few smaller villages and many people use social networks as a main source of communication. Maybe a local app that people can ask either questions on (like NextDoor app- private social network for neighborhood community).

How would you exercise your influence?
Meeting with groups that are already running and bringing them together in one place.
Meeting and connecting community leaders

What could you do knowing the constraints?
Recognise the concerns and hold a public forum to discuss issues. Volunteer committee with specific actions/goals and use social media to feed into this- in places where the community is spread out or across a large area.
Making the first step can scary- befriending scheme/ buddy systems/ care coordinator. Bringing people together with a purpose rather than just for the reason of "connecting"- a task/ goal etc
Manage the risk that is highlighted by the team and convincing the team that this is an investment in recovery.
What do you understand by the local community?
Not just the people who live near each other but also people who feel connected together such as sport clubs, people who went to school together, politics/beliefs , local pubs/cafe, culture, religious, dog walkers etc.
Being part of a community has it pros and cons and can be drain on your resources as well as a benefit.
Informal support as you need it.
Range of ages.
Where people live can become part of their identity.