Rekindle Ail-ddeffro 2024

Reg Cawthorne – High Sheriff of Powys with Michele Humberstone (Administrator), Jodie Hughes (Service Delivery Manager & Counsellor), Lindsay Cameron-Brown (Administrator) and Cristina Roberts (Recovery Practitioner and Activities Officer).

Rekindle - supporting young people aged 16 - 25 

to improve their mental health and wellbeing

by Jodie Hughes

Service Delivery Manager

We were thrilled to kick off 2024 in our new location in Newtown, just a stone's throw from our previous building. The new facility provides a warm and welcoming atmosphere for young people including outside space, a communal area for activities and three therapy rooms allowing us to expand our capacity offering more appointments to young people. 

We have recruited a larger team to help us to meet demand for our counselling services, one-to-one support and to develop our activities programme.

Our counselling service remains person-centred, meaning the sessions are guided by our clients, giving them the power to talk about the things they want to. After receiving counselling sessions with our team, a young person shared:

"I'm super-duper grateful for all the help and support. It's really improved my life."

Dafydd Llewellyn – Police and Crime Commissioner, speaking at Rekindle's opening event

Our one-to-one recovery team continue to support clients with housing, finances, employment, education, health, self-confidence, friendships, relationships, self-care, life skills, resilience, and more! One of the young people who uses the service shared:

“A friend is in need of help, and I told them to come straight here, as you actually help”.

Rachel Wright (Lead Recovery Practitioner), Jodie Hughes (Service Delivery Manager / Counsellor) and Robin Brierly (Chair of Rekindle) with local Police Community Support Officers.

In further development of our services, we have recently teamed up with Beam, a social enterprise charity, to assist our 18 - 25 year old clients with dedicated career and employment support. The project will offer bespoke career coaching and wellbeing support to help people climb the career ladder with support to access skills and qualifications alongside financial assistance to make finding a job that little bit easier.

Anyone can make a referral to our services by completing our referral form available on our website or by speaking to a member of the team.

Want to know more about Rekindle?

Follow us on social media:

Facebook rekindlecharity

Instagram @rekindle.charity

Linked-in REKINDLE CHARITY

Visit our website – www.rekindle.org.uk

Speak to our team – 01686 722 222

Check out our new space: 2-3 Ladywell Centre, Newtown, Powys SY16 1AF

Area 43 – Powys schools & community-based counselling services

Lisa Head is the Communications & Engagement Manager, she has been at the charity Area 43 since 2017. She joined the organisation as a Senior Youth Support Worker, then moved to Centre Manager, Services Manager and Operations Manager, before commencing her current role. Area 43 provides safe spaces, information, support, counselling and training to young people aged 11 – 25 at their flagship Youth Café, Depot in Cardigan in West Wales. Their counselling services span the whole of the mid and west Wales area supporting children and young people aged 3 – 30.

In October 2023 Area 43 became the new provider of Independent School and Community Based Counselling Services for Powys.

I recently met up with Lisa to find out more about the work of Area 43.

What drew you to your role at Area 43?

It’s a long story. I am a single parent of 2 girls, one of which was particularly challenging when she was younger. They are both in their 20s now, but when they were little, I was so disillusioned by the lack of support available to children, young people and their families that I embarked on an Open University degree to learn how to support my children better. It began as something I was doing for my own personal interest, but the more I learned, the more I realised I could do to help others in my community.

In 2011, I set up a youth club in the village where I lived, the young people wanted to launch the club with a mini music festival, so they worked with me to plan, coordinate and manage the event. I had a background in Arts Marketing, so I had the marketing and events management knowledge and plenty of contacts who were happy to perform. We attracted over 1000 visitors and the youth club went from strength to strength. I ran the club for about 8 years and over that time we expanded on the music festival idea to re-establish a village carnival, with young people in the lead. We ran that event 3 times.

I had known about the work of Area 43 for a long time, but at that time they only worked with 16 – 25 year olds and my children were much younger. However, when I saw the Senior Youth Support Worker role advertised early in 2017, I jumped at the opportunity to join the team and put all my learning and experience into practice.

During the lockdowns of the Covid pandemic, Area 43 took the opportunity to conduct a large-scale consultation with young people in the Ceredigion area to ask them what they felt they needed in Cardigan. They overwhelmingly told us that they needed safe spaces and an affordable café, where they could hang out and socialise without the pressure of having to spend money or feeling that they are not welcome… And so, Depot was the result.

Tell us briefly how Area 43 came about

Area 43 was born out of a community needs-led project in 1996. Back then there were 30 odd pubs in Cardigan and all the young people were hanging around playing pool and there were issues with them not going to school or college. It was identified that they really needed a place to go to that was not alcohol-fuelled or potentially putting them at risk. A group came together to put in a lottery bid to establish Cardigan Youth Project. They were successful in receiving lottery money and it snowballed from there.

From the early days, we had volunteers and eventually staff – including counsellors and support workers. We were quite early in offering counselling to young disadvantaged people in this area. When it became statutory law in Wales to offer counselling in schools in 2008 we were successful in tendering for a couple of those contracts because of this experience, and have held on to most of those ever since.

We now deliver services throughout Powys, Carmarthenshire, Pembrokeshire and Ceredigion and will see in the region of 5000+ individuals this year.

There are a total of 30 counsellors and therapists in Powys and another 28 covering West Wales. When Area 43 recently took over the contract from Kooth, most of the staff transferred over, so they all have plenty of experience with young people in the Powys area.

How can counselling help children and young people who may be struggling with their mental health?

Area 43’s counselling service is delivered by highly trained professionals and managed by people who fully understand the values, aims and limitations of counselling.

Counselling can allow a space for children and young people where they feel they are not judged and offers the opportunity to increase self-awareness, develop personal resources and understand their problems. It is a skilled way of helping those with personal, emotional and developmental issues or difficulties that takes place in a safe and confidential environment. This allows them to explore, discover and embed strategies to cope with change and live in a more satisfying, resourceful way.

By helping children and young people to share their worries and concerns with a counsellor or therapist, the young person can gain a better understanding of themselves, making sense of what they are experiencing, which helps them gain clarity and build resilience within themselves.

How is the school counselling going in Powys and what do you offer?

Thanks to the great team that Area 43 inherited from the previous provider, our service is running seamlessly. Area 43 will continue to provide counselling services for all eligible young people to the age of 25. The Powys model works slightly differently from the west Wales model, but essentially there are counsellors and therapists in all the secondary school settings and selected primaries.

Counselling is predominantly delivered face to face with the flexibility for online provision for those aged 10 – 19 (year 6 to Year 13) in education settings, but there is also an option for up to 25 year-olds to access counselling support either online or in the community.

All young people in Powys up to age 25 are eligible to access the counselling service.

We have 20 counsellors and therapists available for 37 days per week in secondary schools, 11 counsellors and therapists based in 15 of the primary school settings and we provide at least 3 days per week of online or community counselling sessions.

How are children and young people in Powys referred for counselling support?

Whilst parents and professionals can use our referral forms, any young person can register in exactly the same way and we encourage self-referral. It helps young people to feel ownership of the counselling support and let’s be honest, counselling or therapy isn’t something that can be done to somebody, it’s a meaningful, emotional process that takes a lot of commitment and vulnerability.

Referral forms, support resources and counselling information to help children, young people, parents and education staff to have discussions about counselling and decide whether it is suitable for them can be accessed through the Area 43 website page Powys Counselling.

Tell us more about the Youth Café you run in Cardigan

It’s about driving young people’s dreams forward, allowing their voice, hearing them and acting upon their needs. We utilised the lockdown scenario to do some online consultation and canvassed young people in the whole of our area as well as external services, to see what they would like from Area 43. Young people told us overwhelmingly that they needed safe spaces to hang out and socialise with friends where caring professionals could offer alternative views and provide additional support.

They also explained that they didn’t feel welcome in the town centre cafés - they felt stigmatised walking in as a group. The result of the consultation is Depot, which is led by young people for young people - it is their space, we just facilitate it and keep it safe.

In the youth café, young people don’t need to buy anything, they can just come in to keep warm and see other people. We heavily subsidise the cost of food and drink. We have managed to access some food poverty grants to keep costs as low as we can, and we work with Neighbourly and Fareshare for surplus foods, so we are often able to offer free meals.

Our Cardigan building is open 6 days a week up to 7pm for 14 – 25 year olds, we also hold transition sessions on Saturday mornings for 11 – 13 year olds. There are young people out there essentially living independently at the age of 14 – 16 including homeless young people, sofa surfing or sleeping rough. They come to Area 43 to stay warm, have human contact, receive support from our team, and link up with existing specialist services - drugs and alcohol, or housing options, and we facilitate this.

We also offer supported paid work placements for young people who are not in education, employment or training (NEET) to help them develop the skills to progress into the workplace from a safe, supportive environment where they can make mistakes and learn from them without dire consequences.

Do you have plans to develop and expand your offer in Powys?

We are working closely with Powys County Council, watch this space…

What are the main challenges working in this field?

I guess the main issue is securing consistent funding to provide these essential services. There is no doubt that the need for mental health support is very real. Whilst talking about mental health difficulties more openly has decreased the stigma, it has also opened the floodgates, and the need for support and counselling services means the demand is great and waiting lists across the sector are growing.

Contracts for counselling services go through a competitive tendering process and although we support the campaign by Young Minds and Dr Alex George (UK Youth Mental Health Ambassador) to obtain statutory funding for early intervention mental health hubs, we are still heavily reliant upon grant funders like the National Lottery.

Tell us about some of the most rewarding work you have done at Area 43

Seeing the Youth Café come to fruition is a proud achievement, we see over 200 young people every week, and last year had over 1600 visitors, it’s amazing and proves how much the safe space is needed by young people.

The most rewarding work is the direct work with young people, slowly building trust, and learning about them, their needs, background and challenges. Then having the honour of being permitted to walk with them on their journey and see them grow as they navigate the obstacles, dramas and emotions that fall in their way. I have seen some young people come from the most distressing situations where they have a lack of supportive adults at home, a tough time in education (if they attend), and substance misuse, bullying or other abuse in their lives, manage to find themselves and their strength because they learned that they had someone they could trust, who believed them and wanted the best for them. It’s amazing what young people can achieve with the right support if they want to.

How do you like spending your time when you’re not working?

I like peace and quiet and the opportunity to rejuvenate when I’m not working. I love a spa day! I also like to curl up in a cosy armchair with a book or to get out in nature, walk with my dogs on the beach or through the woods.

Feedback from children & young people who have been supported by Area 43 

About counselling and therapy

"Helped me release all me feeling and emotions."

"It has been helpful to be able to talk to someone. It has helped all the negative energy and thoughts to disappear."

"It helped me by boosting my self-esteem and giving me more confidence in making the right choices for myself, it also really helped with my family and friends relationships which i am thankful for."

"It was good to have someone to talk when my anxiety was a problem. I was able to work out how to control my anxiety and now have way to stop it."

About the Youth Café

“The first time I went to the Youth Café I was an upset teenager determined not to speak to anyone. But after a Youth Support Worker coming up to chat with me I opened up more than I had in a while. I felt a lot lighter when I left.”

“Coming here (Depot) for the past 3 years has done more for my confidence than almost a decade of support groups.”

“I feel that Depot youth café is a treasure to the community for young people, as a mental health sufferer this place has helped me get out of a dark place, the support I have received from the youth workers has changed me massively in ways I didn't think was possible. I've made new friends, I've learned to accept myself for my self with my mental illness and I don't feel like I'm figuring it out anymore. I have started to come out the house more as I'm less anxious of the outside world."

Many thanks to Lisa for telling us about the work of Area 43. 

If you want to find out more you can contact Lisa by emailing lisa@area43.co.uk

There is also further information on the Area 43 website including an online referral form.

Farming charity launches new service for farming people

RABI – the Royal Agricultural Benevolent Institution – is farming’s oldest and largest charity, operating across Wales and England. The charity has been serving the farming community since 1860.

Though best known for offering financial support (having given out grants of more than £3m to farming people in 2019), RABI is extending its services to provide more all-round support packages. The charity recently launched an online wellbeing community and counselling service for farming people of all ages, as Communications Manager Rob Harris, below, explains.

Tell us a bit more about the new service?

We’ve launched two distinct websites - Qwell.io/rabi for adults, and Kooth.com/rabi for those aged 11-17. These are safe and confidential online platforms, which are delivered in partnership with a specialist online mental health provider. The websites include dedicated farmer friendly content and access to BACP (British Association for Counselling and Psychotherapy) recognised, qualified counsellors. It means anyone from the farming sector can talk to a counsellor, for free and in complete confidence, about anything that’s bothering them, whatever the issues might be.

Counsellors are available from 12pm - 10pm Monday to Friday and from 6pm - 10pm at weekends. Drop-in and pre-booked sessions are available.

What prompted RABI to set up these new services to support farmers’ wellbeing? 

We want to offer more support and be there for the small things as well as the big. We are known for helping people during the toughest of times, but we want to give assistance much earlier. We recognise that early intervention and one-to-one support are key in preventing problems from escalating.

Did you aim to launch this service in a pandemic?

No, but in many ways it’s appropriate because 2020 has been testing for so many of us. For farmers there are always uncertainties and things beyond their control, such as fluctuating prices and adverse weather, but planning ahead during a pandemic is almost impossible.

Maintaining good mental wellbeing is absolutely vital, for individuals, for families and for businesses. No one should take their mental wellbeing for granted. We want to get to a point where the farming community accept that it’s OK not to be OK.

Is this a new venture for RABI?

Yes. It’s part of a five-year strategy that will extend our reach to more people. We want to focus on early intervention and providing one to one support that prevents people reaching crisis point.

What else are you currently involved in?

We’ve appointed the University of Exeter to conduct a survey to better understand the issues facing farmers. The research will be the largest survey ever undertaken to gain an understanding directly from farming people of the stresses they face and the impacts on their wellbeing of these challenges.

We’ve worked with a number of key stakeholders to help develop the survey including the NFU, NFU Cymru, Defra, Welsh Government, the Worshipful Company of Farmers, the National Rural Mental Health Forum, the Prince’s Countryside Fund, Farmers Weekly and Farmers Guardian. We’re hoping to achieve 26,000 responses to the survey across Wales and England. 

You can read more about the research project here.

What will you use this information for?

To shape our services going forward and ensure we remain relevant in a rapidly changing world. 

We might think we know what the issues in farming are – but the results of this survey will portray the true picture – and it might surprise us.

We’ll publish the results to provide the agricultural sector with an overview of the issues those in farming are facing. 

Many thanks to Rob Harris for telling us more about this valuable new service to support the farming community across Powys (and beyond). 

To find out what RABI can do for you go to www.rabi.org.uk, call the Freephone Helpline 0808 281 9490 or email help@rabi.org.uk

The latest on SilverCloud - online Cognitive Behavioural Therapy

Becka Williams, Project Manager and Catrin Guest, Project Support Office & Online CBT Coordinator

by guest author Becka Williams

Project Manager, Powys Teaching Health Board

Following the implementation of our Online CBT service, SilverCloud, across Powys in May 2018, there has been a lot of work undertaken to develop the service and upscale it across Powys. 

We have received approximately 1100 referrals into the stand-alone service with referrals beings received from a range of different departments, services and healthcare professionals across the Health Board.

Work has commenced on the translation of the main Space from Anxiety and Depression programme and it is hoped that this will be ready for implementation by the end of 2019.

We were fortunate to win the Powys Teaching Health Board's Staff Excellence Award under the category of ‘Digital First’ in July which is a fantastic achievement. 

Becka Williams – Project Manager, Claire Cartwright – Director Ponthafren Association,
Jackie Jones & Sarah Dowler – Blended Online CBT Practitioners, Ponthafren

Blended Online CBT Service

We have implemented our Blended Online CBT service in partnership with Ponthafren Association in North Powys and the Mind Resource Centres in Mid and South Powys. The blended service offers access to the online platform as well as 6 face to face sessions with our Blended Online CBT Practitioners, during which they will review progress of the platform, signpost certain activities, tools and modules within the programmes and offer encouragement and support. The face to face sessions will be offered from the GP practices in Powys.

We are now ‘live’ with this service across nearly all GP practices, and where we have been unable to offer this from the specific practice, an alternative can be offered for the service users in that area should they wish to access this service.

Clinical referrals are required in to the blended service and these can currently be done through GPs of the Local Primary Mental Health Support Services (LPMHSS) within Powys Teaching Health Board.

We have currently received approximately 190 referrals into this service and are continuing to engage with the GPs and clinical teams to further upscale the blended approach.

Becka Williams, Project Manager & Catrin Guest, Project Support Office & Online CBT Coordinator raising awareness of Positive Body Image with PTHB's Occupational Health & Mental Health department during Mental Health Awareness Week

Positive Body Image

As part of Mental Health Awareness week, with ‘body image’ being the topic for 2019, we implemented our Space for Positive Body Image programme, which is now available for our healthcare professionals to refer in to.

This programme looks at the following topics:

• Improves understanding of body image and the impact on depression and anxiety.
• Focuses on what factors influence body image and how to improve perceptions of body image. 
• Introduces the known risk factors of eating disorders.
• Improves understanding of the effect of the media on understanding of the “ideal body”.
• Encourages reduction of individuals thin-ideal internalisation through analysis of media messages.
• Introduces self-esteem and focuses on where it comes from and how to boost it.
• Introduces the reciprocal relationship between how we feel and how we eat, using the CBT model of Thoughts Feelings Behaviours (TFB) cycle.
• Recognises emotional eating, mindful eating and how to have a healthy relationship with food.
• Recognises negative automatic thoughts and how to challenge them.
• Introduction to Mindfulness.
• Self-esteem enhancement through activities.
• Recognises the importance of social support in staying well.

Self-referral

We have designed, developed and recently implemented a self-referral option to this service. This service is available for all Powys residents and Powys patients that would like to self-refer onto an Online CBT Programme for depression, anxiety or stress. This service aims to offer services to those experiencing symptoms of depression, anxiety or stress who want access to an effective Online CBT therapy without having to first have an appointment with their local GP or other health professional.

People will be required to undertake an initial self-assessment and on successful completion of the self-assessment, immediate access to the online programme will be given. However, if the self-assessment results are not within the appropriate threshold for this service, a clinician from the PTHB Online CBT team will contact the person in due course for a follow up phone call assessment to determine whether the service is suitable for that person.

Sign up to the self-referral service here.

Student Programmes

The referral age for this service has now been lowered and therefore we are now accepting referrals for young people aged 16 years and above.

We have also implemented ‘student’ versions of 3 of our programmes: Space from stress, Space from anxiety and Space from depression which all offer support that relates more specifically to students such as educational stresses, friendships, relationships etc.

We have started to engage with the high schools and colleges across Powys to increase awareness of this availability to students.

Fionnuala Clayton, Psychological Assistant & Online CBT Coordinator & Catrin Guest, Project Support Office
& Online CBT Coordinator

All-Wales Roll-out

One of the key aims of this project was to explore the opportunity of implementing Online CBT across Wales, including the other Welsh Health Boards and third sector organisations.

Work has commenced on this and we went ‘live’ with the Welsh Ambulance Service NHS Trust (WAST) in December 2018 with this service being utilised within their Occupational Health and Staff Wellbeing teams.

We have also started working with Aneurin Bevan University Health Boards (ABUHB) with this service now being piloted within their Primary Care Mental Health Support Services (PCMHSS) and referrals being received since June 2019.

Engagement is still being undertaken with the other Welsh Health Boards, with a view to further roll-out this service across the different health board areas.

For further information on any aspects of the project or service, please check out this Powys Teaching Health Board website, or contact Becka Williams, Project Manager, on 01874 712 444 or becka.williams@wales.nhs.uk.

Introducing SilverCloud – online Cognitive Behavioural Therapy

Becka Williams, Project Manager, SilverCloud CBT

Last month I was pleased to accept an invitation to attend a Mental Health Partnership Board meeting at our Llandrindod offices, as it gave me the chance to find out more about the new online Cognitive Behavioural Therapy offering in Powys. It is called SilverCloud. 

Becka Williams, the Project Manager overseeing roll out of this new service across the county, gave us some background, an update on project progress and outlined plans for future development.

It was an interesting session to learn more about the new service, as individual representatives attend this quarterly partnership meeting. The reps are people who either have used, or care for somebody who has used, mental health services in Powys. Their role is to make sure user/carer voice is included in the planning of services, and here they were able to voice some immediate thoughts about online CBT.

Joy Garfitt, Assistant Director of Mental Health Services for Powys Teaching Health Board, began by explaining that CBT is a therapy that can help us think differently, particularly if we have unhelpful thoughts.

Background

Some regular readers may remember that we wrote about an earlier provision of online CBT in Powys, which was called Beating the Blues. This 3 year pilot scheme was spearheaded by a European funded project called Mastermind, but unfortunately engagement with this model was not brilliant. Out of 543 referrals to Beating the Blues, only 100 people completed the full course. Many disengaged with the process and some did not even start after being referred. Mastermind’s key aim, however, was to implement online therapies in rural areas across Europe, rather than to monitor the effectiveness of the actual CBT programme. But the project was invaluable in that many lessons were taken from this early work to help inform a new improved provision of online CBT in Powys.

In fact, many benefits of online CBT were identified directly as a result of the Mastermind scheme:

• Online CBT provides care closer to home – anytime, anywhere. 
• It reduces the number of unnecessary appointments. 
• It gives almost immediate access to therapy for people. 
• It reduces the travel time of people using services, carers and healthcare professionals. 
• It supports Prudent Healthcare – an approach at the heart of A Healthier Wales, the Welsh Government's long-term plan for health and care. 

The Welsh Government is now providing funding to continue and upscale online CBT not just in Powys but across the length and breadth of Wales. Powys Teaching Health Board is leading on the roll-out of SilverCloud across the country, starting with Powys. The aim is to:

• Increase options available to people experiencing mild / moderate anxiety and / or depression. 
• Reduce waiting lists / times by improving quicker access to therapies. 
• Improve equality of access to mental health care across both urban and rural areas.

Project progress 

SilverCloud online CBT went live in Powys on 1 May 2018. There are now 8 programmes available, including Space from Anxiety & Depression, Space from Stress and Space from Chronic Pain. Since the launch about 300 people have been referred to the programme, which can be accessed on smartphones and tablets as well as computers. Referrers can be GPs, Occupational Therapists, staff in the Community Mental Health, Local Primary Care and Long Term Conditions teams. In future people will be able to refer themselves onto the programme.

At this point in the meeting the individual reps began asking questions about managing risk. What happens if someone is considering self-harming? If it’s midnight? If someone is extremely lonely and this is all they have been offered to deal with their depression or anxiety? Joy described the online CBT as “adding another tool in the box for people”. It might not be right for those wanting face-to-face talking therapy, but others may prefer to do it privately. It is not aimed at people experiencing severe and enduring mental health issues. If someone has complex needs they will be referred to a different service. They may still access SilverCloud CBT but as an additional therapy to enhance what is already being done by mental health practitioners working to provide care in primary (via GP services) and secondary (via Community Mental Health) teams.

From day one when people register on SilverCloud, they have access to all the programmes for 12 months. Staff closely monitor their engagement with the platform for 3 months, but people can provide feedback for the whole period. Risk alerts are set in place, so that if anyone expresses an intention to self-harm they are contacted straight away and referred to a health care professional as appropriate. The service is monitored between 9am – 5pm during the week, but details of support / help out-of-hours are provided. Online CBT is not designed as an emergency response service.

People can write in journals as part of the programme, and choose to share (or not) the content with the online CBT co-ordinator. Some online content, such as the Mindfulness videos, can be downloaded onto a computer for future use. If access to an online device is not available people can use computers with privacy screens at their local libraries and further options will be available at Job Centres ultimately. Regular online reviews take place with the co-ordinator, and phone conversations are also possible. The whole process is confidential unless policies around safeguarding issues and / or criminal intent are set in motion.

Future development

Work is currently underway to further develop some of the strands of the online CBT, including:

• A combination of online CBT and face-to-face counselling, known as ‘blended’ counselling. The health board will be working with third sector organisations to provide additional support to some people using SilverCloud CBT. 
• The self-referral model for those who do not see their GP or access any other help. This will be the first time in Powys that open access is given to such a service and should be available in the New Year. 

Whilst Welsh translation of relevant forms and help pages has already taken place, the platform as a whole now needs to be translated. The design and roll-out of an All-Wales SilverCloud online CBT platform is then the key next step.

And, importantly, Becka is very keen to receive feedback from people who have used SilverCloud CBT, to help inform future development of the online provision in Powys and further afield.

If you have used SilverCloud online CBT and would like to let us know what you think, you can email us at mentalhealth@pavo.org.uk Alternatively contact Becka Williams directly at becka.williams@wales.nhs.uk

And what are your thoughts on online CBT generally? Let us know in the comments box below.

Feedback about SilverCloud CBT 

I found SilverCloud very easy to use and was surprised at how well developed and researched the platform was. 

I have found SilverCloud hugely useful in teaching me ways to improve my mental health and managing stressful situations. I am excited to continue using the skills I’ve learnt. 

I have been feeling more positive since taking part in this programme. I have been able to do simple things like taking the bus and going for a walk alone a lot more easily than about a month ago.

Thrive at Mid Powys Mind

This week our guest post is by Mary Williams 
the Development Manager at Mid Powys Mind.

Mid Powys Mind is very excited to have trained in THRIVE, which is a non-medical course looking at recovery not just from mental health problems, but from any difficult period in life. It was developed by Marion Aslan of Elemental Wellbeing.

THRIVE stands for Time, Healing, Resilience, Interdependence, Vivacity and Emancipation. 

The course uses a huge range of tools from various sources (person centred planning, counselling, psychology etc) to help people move forward, recover and thrive again. 

The course also doubles up as a staff training tool, to enable staff to use THRIVE principles and tools within their work.

THRIVE covers

Time

Safe ways to take a balanced look at our lives so far, the important factors that can affect us over time including turning points, telling your story, timelines and tools to help people move forward.

Healing

Ways in which people survive and heal from difficult experiences and important factors that help and hinder this process. 

Resilience

Looking at tools to help you build your resilience and manage difficult emotions.

Interdependence

There is sometimes too much emphasis within services placed on people acquiring independent living skills without exploring and acknowledging the need for social skills and connections. This module looks at the importance of that, what those relationships could look like and where you might find them.

Vivacity

Going beyond ‘getting through the day’ to really enjoying life - thriving.

Emancipation

What it might be like to be free from mental health services and the trauma of difficult life experiences?

All the staff and two of our volunteers attended ten very intensive days of training in October last year. Below are some extracts from the evaluations:

“I really love the material and ethos of THRIVE – it is similar to the way I have tried to work – it certainly has the same values base – which is the key thing, I think, in all of this.”

“…come out the other side with so much more insight and understanding to be able to understand the experiences that I had gone through and the trials that lay ahead of me.”

“I feel so much more stronger and capable to take whatever comes and do it with the strength that I have always had but didn’t recognise.”

“More challenging than other recovery centred courses. More reflective, and ultimately more optimistic.”

“I think this is going to be really useful.”

We are all using some of the training and tools in our work and as you can tell from the evaluations, we all got a lot from it personally too. 

We have been busy developing our own THRIVE course for members and have just started delivery of that. We have plans to deliver another course in June and later in the year.

You can find out more about Mid Powys Mind on the charity's website. Mary Williams can be contacted by tel: 01597 824411 or emailing: health@midpowysmind.org.uk

The next Mid Powys Mind THRIVE 4 week course starts on 6 June 2016. 1 - 4pm at The Resource Centre, Mid Powys Mind, Llandrindod Wells.

Bev Clarke - award-winning volunteer counsellor Ystradgynlais Mind

Bev receiving her Outstanding Contribution Award from the
High Sheriff of Powys, Lieutenant Colonel Mike Lewis DL

Bev Clarke has been volunteering at Ystradgynlais Mind for the past 4 years as a Level 6 counsellor / supervisor, enabling the mental health charity to provide a free counselling service to the community. She volunteers 3 days a week. She has enabled the recruitment of 7 further student counsellors, who benefit from her supervision and guidance. Her input both into clients and students is life changing.

In October 2015 Bev was winner of an Outstanding Contribution Award at the Powys Volunteer of the Year Awards. Her nominator said: “Bev has experienced her own difficulties throughout her life and she demonstrates you can overcome anything and give so much to the community despite those difficulties. She inspires all at Ystradgynlais and is loved and respected.”

Carol Stephens, Chief Executive at Ystradgynlais Mind, said: “We are thrilled about Bev's award, it is so well deserved. She's a diamond.”

We talked to Bev to find out more about her invaluable contribution at Ystradgynlais Mind.

What originally motivated you to start volunteering at Ystradgynlais Mind?

I graduated from the University of South Wales at Pontypridd in 2009 (Bachelor of Science (BSc) Hons, Systemic Counselling) and was looking for a counselling placement. I needed 450 hours of supervised counselling for my accreditation. I have 1050 now, 800 of these from counselling sessions at Ystradgynlais Mind.

I first came over to Ystradgynlais looking for plants and saw that there was a Mind centre here. I set up my own counselling practice in Port Talbot with a friend from university and volunteered my services to Ystrad Mind. Carol interviewed me and it went really well. She said – can you start next Wednesday?!

I have bipolar and Carol said “we’re looking for people like you”. It’s been a wonderful experience. I didn’t have to hide my mental health issues, it was like the start of a new beginning.

Carol and I share the same vision – which is to do the best for our clients and also to provide good packages for our student counsellors.

Tell us more about your role as a counsellor at Ystradgynlais Mind

A lot of men come to us for counselling which is unusual. It stands out at about 55%. They have moderate issues as they almost leave it too late to seek help. Women are not afraid to access the service, so their issues are often mild to moderate.

Most of our clients are middle-aged – in their 40s and 50s, with various issues. Often they might be waiting for treatment from the statutory mental health teams so they seek support from the voluntary sector instead. They usually have about 7 – 8 one hour counselling sessions, weekly or fortnightly depending on the complexity of the issues.

How does counselling make people’s lives better?

It is a forum where people can be heard. They take their issues away from their families and share them with someone else who is prepared to listen. They have more clarity with the help of a counsellor and so see things that they couldn’t before.

Who is eligible to receive the counselling service, and for how long can they access support?

The service is available to people 17 +. They can self-refer – some people walk in off the street - or they are referred by the GPs in the Abertawe Bro Morgannwg University Health Board cluster area.

If your role didn’t exist, what would happen to people who needed support with their mental health in Ystradgynlais and district?

I’ve seen mental health care decrease unbelievably in the past 4 – 5 years. There is no help there for people. Mental health isn’t a “sexy” health condition, so there is no investment or focus as with other ailments. It feels as if mental health is the poor relation. This is really obvious when working in the Third Sector.

Tell us more about your work supporting 7 student counsellors

I provide support for them, which includes 1½ hour supervision once a month where we’ll talk about the issues that have been raised with clients and signposting options for people. I also make sure that the counsellors are safe, and don’t take home any issues that could impact on their lives.

We source new student counsellors when we need them from the universities. The students are supposed to complete 100 hours of supervised counselling here, but some have already done 300. We give them an excellent level of support, their insurance is covered and they enjoy the experience here so they stay.

I believe you also provide counselling for GP patients in a neighbouring health board?

Our counselling services have now been taken on by GPs in the Ponterdawe and Neath Valley area so it has been well worth it.

Tell us some of the hardest things about being a volunteer counsellor

Watching how hard it is for those working and volunteering in the Third Sector to apply for grants and funding just to make ends meet. I’m here 2 – 3 days a week, but Carol is here for 5. I know how hard she works and how little she takes. I’ve got a bigger picture as a volunteer.

What is the most rewarding aspect of volunteering at Ystradgynlais Mind?

To see how the clients improve. And most of them give back – for example they give talks on their own mental health which is so enlightening for the student counsellors. It’s great the way that they find it good to say what they’ve been through. Clients also feedback to counsellors in supervision sessions.

What was it like winning the Outstanding Contribution Award at the Powys Volunteer of the Awards ceremony?

Well, at the end when I knew it was me who had won – my first thought was – don’t fall down the steps! There were fifty to get down!

I’m so proud of myself. My daughter was with me and she said – “you’ve set the bar even higher now!” To hear the words Carol had written when she put me forward for the award was wonderful.

The narrative of my own mental health issues was a guilty secret for so many years, it is almost a relief to talk about it now.

It was just a wonderful experience.

What would you say to encourage other people to volunteer to support people experiencing mental distress?

Don’t be afraid. We seek help from a psychiatrist in the same way as someone who is diabetic would go to a medical ward. It’s not like “One Flew over the Cuckoo’s Nest”. We’re working with wonderful people who just have unfortunate mental health issues.

I have enjoyed every minute that I’ve given to Ystradgynlais Mind.

Many thanks to Bev for telling us about her role at Ystradgynlais Mind. You can contact the charity by emailing info@minditv.org.uk or ringing 01597 824411, or visit the Ystradgynlais Mind website.

You can read more about the Powys Volunteer of the Year Awards on the PAVO website.
Outstanding Contribution category: These awards are in recognition of the outstanding contribution and commitment made to voluntary activity. The volunteering undertaken is selfless, a response to local need coming out of the community and is carried out willingly.

The Judges’ Panel was made up of PAVO trustees - Gloria Jones Powell, Ian Charlesworth and Keith Rollinson. The panel felt that Bev stood out because of:

• Her willingness to support others achieve their goals.
• She has overcome huge personal adversity in order to help others.
• Her unyielding commitment to the organisation she volunteers for.
• The difference she has made to the organisation on many levels.
• The difference she has made to the local community.

Claire Sterry, County Development Officer for PAVO, who helped organised the 2015 awards, said: “Bev is truly inspiring, it was an honour to meet her - she is a very special lady, and so unassuming!”

What’s on your plate?

What indeed! Well, I could get started here because my car failed its MOT for the second time in a fortnight yesterday, we’re temporarily short-staffed in the team for a number of reasons and the damp problem in my living room is showing no signs of going away anytime soon…

Michelle Longhurst

But less on the current lows in my life, and back to the meat of this post. What’s on your plate? is the brilliant name given to a relatively new support service run by the mental health charity Ponthafren Association. There are weekly Wednesday sessions at Welshpool (5 - 6pm), whilst in Newtown they are on Mondays (6 - 7.30pm). Earlier today I spoke to Michelle Longhurst, who is the Welshpool Outreach Resource Facilitator, to find out more.

Michelle explained that members of Ponthafren Association now have an opportunity to take time out and talk about specific areas of their lives that they may be struggling with. Tracy Fletcher, a counsellor at Ponthafren, set up What’s on your plate? during the summer months. Michelle has been helping her and will soon be running some of the sessions herself. 

It’s an intriguing mix of group and individual sessions that seems to be working well. 

Participants use the Wheel of Life tool during group sessions to look at any of the following 12 areas: physical wellbeing, achievements & successes, contentment, work & school, friendship, emotional health, energy & enthusiasm, self-esteem, fun & recreation, home & family, relationships and money & finances.

According to the paperwork accompanying the Wheel of Life, it is: “a tool that many life coaches use to help their clients see how balanced the various areas of their life are. Life’s activities are always shifting and so perfect balance cannot be achieved and maintained, but there are times when one area of your life may be requiring so much energy and time that other areas are suffering, and you feel your life is out of balance or even out of control. At these times, it helps to take a look at the big picture and to get some perspective.”

Tracy Fletcher

Each person is asked to mark themselves on a scale of 1 – 10 on how they see themselves doing in each area of their lives. If they have given themselves a low score for any particular area, then this is further discussed within the group. If required participants can then take advantage of a 10 minute session with a counsellor to follow this up in more detail.

Michelle went on to explain that during the first few weeks the What’s on your plate? sessions have focused specifically on work and education. Participants have discussed resitting GCSEs, writing CVs and looking for employment. They then invited staff from the Job Centre to join them at a later session and chat about CV and interview skills. Michelle said: “There is no pressure to join in, but people find the group setting really helpful for sharing ideas and tips.”

Over the next few weeks the main topic will switch to relationships including friendships. A walking group is also planned, plus a focus too on issues around food. People are often signposted to other courses or groups that can provide support, or ideas are generated for new activities altogether. Ponthafren Association has been quick to respond. Whats on your plate? participants recently identified a need for cooking classes and these are currently in the process of being organised.

A new singing group is also a possibility. Joining in this activity would meet many of the aspirations of the Wheel of Life, including "feeling full of energy and experiencing life to the fullest", and "sharing common interests, experiences and feelings". With luck those involved will also learn enough Christmas carols in the lead-up to the festive season to be able to fundraise for Ponthafren with their singing events!

Feedback for ‘What’s on your plate?’ September 2015

“I found what’s on your plate helpful because it was good getting tips from everyone and sharing advice in a group. The advice was really helpful; the conversation about self-confidence gave me more tools to use and helped me feel better about myself. I found it very interesting and I feel we should continue doing it as there are a lot more things we can discuss and learn from each other."  GL

“Since I have attended the sessions, I have benefited from them as they have helped me enquire to the Job Centre about relevant courses to help me find employment and GCSE resits.To be honest I think the sessions are great and helpful.”  MC

“My experience of the course was that it helped me to understand what to concentrate on to improve on, and being aware of the improvement with the use of the wheel of inventory. It was also valuable that we had the lady from the job centre for advice when you have been out of employment for a long time and on what to put down on the CV for this.”  AP

What’s on your plate? sessions are held every Wednesday, 5 – 6pm, at Ponthafren’s Outreach Centre in Welshpool, and also at the Newtown Centre, Mondays 6 - 7.30pm. If you would like to find out more about joining Ponthafren Association (it’s only £2 a year) and taking part, check out the charity’s website.

Psychological therapies - what's happening about waiting lists in Mid & South Powys?

Jane Cooke of our mental health team recently supported the organisation of a meeting in Llandrindod Wells to look at the long waiting lists for psychological therapies in Mid and South Powys. She reports now on what happened on the day.

The Psychology Services in Mid and South Powys have very long waiting lists. There are also waiting lists, but not so long, to see a counsellor based at GP surgeries. (Psychology Services in Mid and South Powys are provide by Aneurin Bevan Health Board and in the North of Powys are provided by Betsi Cadwaladr University Health Board).

In response to this the Psychology Services, some counsellors who work in GP practices, Powys Association of Voluntary Organisations (PAVO), people on the waiting lists and Public Health Wales worked together to plan and put on an event to talk with people who are on the waiting lists.

Around 30 people who are waiting for psychology services or counselling came on the 3rd February to a meeting in Llandrindod Wells to give their views about what it is like to be on the waiting list, what information people get, or don’t get, and what is it like receiving letters asking if you still want to be on the list.

People also had a chance to find out more about what else is on offer from, for example, Mind groups and other voluntary and third sector groups.

Mr Foxxman and Anna

There was a strong commitment from the Psychology Services to respond quickly to issues raised where possible, for example by changing the wording on letters, thinking through how to better keep in touch and demonstrate that there is concern for people. There were other ideas that will take longer to develop and find funding for around peer and buddying possibilities for support. There is a commitment from PAVO to continue to work with Psychology Services, supporting the participation of people who use services where required and considering the options for developing joint or partnership work. Public Health Wales also stated its support for this process as it develops.

This event is going to be of interest to other services across Wales. The simple act of getting people together and asking their views is not as widespread in the NHS as may be imagined. The fact that this was a positive experience for those who organised the event and those who attended, with some significant improvements resulting, will encourage others to adopt a similar approach.

We will continue to report developments!

What do you think about the waiting lists? Have they affected you? Let us know in the comments box below.