Radical Efficiency a Practical Guide - Nesta

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CASE STUDY 2: MENTAL HEALTH FIRST AID 16Figure 3. Mental Health First Aid and radical efficiencyUser insightsAcademic insightsNewInsightsAll of us!(Anyone could developmental ill health or haveclose contact withsomeone who does)NewCustomersLocal communityorganisationsUsersEmployersPublic sectorNewSuppliersNewResourcesExisting communitynetworksExperience withmental ill healthTable 2. Benefits and cost savings from Mental Health First AidBenefitsCost savingsIncrease in the number of peoplehelped with mental ill health.Improvement in participants’ ownmental health. 1Spread in agents/people capableof early intervention.Similar to conventional First Aid,evidence of direct costs savingsis difficult to assess as MHFAprogrammes are run almostentirely without governmentfunding.Increased awareness of mentalillness: compared with a controlgroup, people who participated inMHFA increased their awareness ofmental illness and their confidencein being able to deal with it.
CASE STUDY 3: UBUDEHE 17CASE STUDY 3:UBUDEHECommunity-led public projects in Rwanda‘U the fields in preparation for the rains and plantingbudehe’ literally describes the traditional practiceof Rwandan communities working together to digseason. Contemporary Ubudehe projects describe an ambitiousexperiment in participative community development, whichtouches – and improves – the lives of over one quarter ofRwanda’s population, radically cutting the cost of communityprojects in the process.“[Ubudehe aims] to help community groups and somepoor households to create their own problem solvingexperience… starting from [their] aspiration, ability andtraditions.” 2In early 2001, the modern Ubudehe process was iterativelytested in the old Butare Province. This began with five ‘cellules’(now ‘villages’) in February, 2001 and rose to 679 by June ofthat year. The pilot was jointly funded by the EU, DFID and bythe Rwandan Government.Ubudehe has four main stages which are delivered by trained
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