Mental Well-being Impact Assessment of Projects funded

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MWIA report summaries THE IMPACT OF ‘CYCLE FOR HEALTH’ FUNDED BY TARGET:WELLBEING ON MENTAL WELL-BEING Mental Well-being Impact Assessment (MWIA): Report Summary Helen West & Louise Holmes July 2009 Introduction A Mental Well-being Impact Assessment was carried out to look at the effect that the ‘Cycle for Health’ training could potentially have on mental well-being. The project involves developing and delivering a short training course to equip cycle leaders with skills and knowledge to lead a cycle ride. The project aims to increase physical activity levels and improve health by facilitating safe, enjoyable rides for people who do not currently cycle or are physically inactive, utilising local green spaces and cycle routes. The project is delivered by Liverpool PCT, and funded by a Big Lottery ‘Target:Wellbeing’ grant. Mental Well-being Impact Assessment is a process that looks at the potential positive and negative effects of a project on mental well-being. It is used to develop evidence-based recommendations to increase the benefits for those who are involved in the project, and explore ways of measuring these effects. This MWIA was commissioned by Liverpool PCT. Aims To identify how ‘Cycle for Health’ may affect the mental well-being of those involved. To identify ways to maximise the positive effects and minimise negative effects. To develop measures of mental well-being to see how ‘Cycle for Health’ affects people. Mental Well-being Impact Assessment (MWIA) “Well-being is about being emotionally healthy, feeling able to cope with normal stresses, and living a fulfilled life. It can be affected by things like worries about money, work, your home, the people around you and the environment you live in. Your well-being is also affected by whether or not you feel in control of your life, feeling involved with people and communities, and feelings of anxiety and isolation.” (Coggins & Cooke, 2004). The Mental Well-being Impact Assessment toolkit (Coggins et al., 2007) helps to identify how the project has an impact on mental well-being by affecting people’s feelings of control, resilience, participation and inclusion. This is done by holding workshops for the people involved in the project, looking at the populations affected by it, and reviewing the research evidence. A workshop was held for ‘Cycle for Health’ on 21 st November 2008. 29 cycle leaders, 2 staff, and 4 other staff (e.g. community workers, other Target:Wellbeing project leads) attended the workshop. 4 facilitators guided them through the process. People affected by Cycle for Health The researcher compiled a ‘community profile’, looking at the type of people in Liverpool. This focused particularly upon older adults and the frequency of health problems affected by physical activity. The people taking part in the workshop identified that the people who would be affected by the project are: Cycle Leaders: young people, adults, older people, sedentary individuals, cardiac patients, 12
MWIA report summaries Communities with poor health: cardiac patients, people with weight management problems, people with arthritis. Socially isolated people MWIA workshops The MWIA toolkit presents evidence of how Control, Resilience and Community Assets, Participation, and Social Inclusion affect mental well-being. Participants at the workshop were asked whether ‘Cycle for Health’ had a positive or negative impact on aspects of these, and the importance of that impact. They were then asked to look at their top priorities in more detail, and suggest ways to improve them. These discussions took place in two groups. The protective factors that the groups decided were of high importance and had a high impact are shown below. Those prioritised by both groups are highlighted. Due to time limitation, indicators for measuring the impact of the project upon mental well-being were not developed during the workshop. MWIA Area Increasing Control Resilience Participation Inclusion Opportunities for Social Networks Cost and Positive Identities Key self help affordability Determinants- Support to Social Support Feeling involved Accepting and Group 1 maintain independent living being accepted Knowledge and Trust and Safety Opportunities for Challenging ability to make healthy choices Social contact discrimination MWIA Area Increasing Control Resilience Participation Inclusion Key Determinants- Group 2 Skills & attributes Access to green spaces & shared Having your say/ being heard Knowledge and ability to make healthy choices public facilities Emotional wellbeing Opportunities for Social contact Accessible & acceptable goods & services Accepting and being accepted Practical support to enable inclusion Trust & safety Feeling involved Trust others A focus on these protective factors by ‘Cycle for Health’ will help to promote the mental well-being of the participants of the scheme. Appraising the evidence The researcher reviewed the published literature about cycling and greenspace. She assessed whether the findings were consistent with the workshop discussions, and found that the literature review confirmed the findings from the workshop. The review showed evidence that physical activity and spending time in a natural environment are beneficial for mental well-being. It highlighted the need for projects to address the poor health of the population of Liverpool, and confirmed that the approach taken by ‘Cycle for Health’ has the potential to do this. Recommendations The following recommendations were developed to make the impact of Cycle for Health on mental well-being as positive as possible. 13
Page 1 and 2: Mental Well-being Impact Assessment
Page 3 and 4: Contents Preface 4 Report Summaries
Page 5 and 6: MWIA report summaries THE IMPACT OF
Page 7 and 8: MWIA report summaries Recommendatio
Page 9 and 10: MWIA report summaries People alread
Page 11: MWIA report summaries at 55 and in
Page 17 and 18: MWIA report summaries Appraising th
Page 21 and 22: MWIA report summaries Haven project
Page 23 and 24: MWIA report summaries around you an
Page 25 and 26: Asylum Link Merseyside “Better Li
Page 27 and 28: AsylumLink Merseyside: ‘Better Li
Page 29 and 30: Profile for Location of Centre Asyl
Page 33 and 34: The Potential Impact of ALM on Resi
Page 35 and 36: Figure 2 AsylumLink Merseyside: ‘
Page 37 and 38: Figure 3 AsylumLink Merseyside: ‘
Page 39: AsylumLink Merseyside: ‘Better Li
Page 46 and 47: REFERENCES Alcohol Concern (2002).
Page 50 and 51: “Grow your Own for the Over 50’
Page 52 and 53: METHODOLOGY ‘Grow Your Own for th
Page 54 and 55: Table 2 ‘Grow Your Own for the ov
Page 57 and 58: Figure 1 ‘Grow Your Own for the o
Page 59 and 60: The Potential Impact of ‘Grow You
Page 61 and 62: Figure 2 ‘Grow Your Own for the o
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The Potential Impact of ‘Grow You
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Figure 3 ‘Grow Your Own for the o
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‘Grow Your Own for the over 50s
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10. RECOMMENDATIONS ‘Grow Your Ow
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Cycle for Health a project funded b
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Cycle for Health THE IMPACT OF THE
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Cycle for Health What does mental w
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Enhancing control - the evidence fr
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Figure 2: Group 2 Cycle for Health
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The Potential Impact of Cycle for H
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Table 4 Top priorities- Group 1 Per
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Cycle for Health importance of that
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Table 6 Top priorities- Group 1 Cha
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Cycle for Health well-being (Cavill
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Introduce new, longer cycle routes,
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Cycle for Health Fentem, P.H. (1994
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Cycle for Health Social Exclusion U
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Rice Lane City Farm ‘Grow, cook,
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Rice Lane City Farm THE IMPACT OF T
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Table 1: Workshop participants Role
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Rice Lane City Farm The project spe
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Figure 1 Rice Lane City Farm 119
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The Potential Impact of Rice Lane C
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Rice Lane City Farm Participants at
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Rice Lane City Farm Summary Partici
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Well located and connected Easily a
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REFERENCES Alcohol Concern (2002).
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Rice Lane City Farm Mental Health F
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The Haven Project at The Academy of
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2. AIMS OF THE MWIA ASSESSMENT The
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The Haven project Fairfield. 16.9%
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Table 2 Priority population group a
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Figure 1 The Haven project 145
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The Potential Impact of the Haven P
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The Potential Impact of the Haven P
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The Haven project Priority Protecti
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Table 8 The Haven project Top prior
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The Haven project being. This is in
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The Haven project Physical Activity
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The Haven project staff should be i
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The Haven project Fazel, M., & Stei
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The Haven project Secker, J. (1998)
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Questions Being able to speak your
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1. INTRODUCTION THE IMPACT OF PARKS
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Newsham Park MWIA Workshop The purp
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Newsham Park Lack of control and la
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The Potential Impact of the Newsham
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Figure 2 Newsham Park 182
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Figure 3 Newsham Park 184
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Summary The stakeholders identified
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traffic pollutants. (Cave & Coutts,
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10. RECOMMENDATIONS Although there
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Department of Health (2004). At lea
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Seligman, M. (2002). Authentic happ
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Mental Well-being Impact Assessment of Projects funded

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