NHS Health Scotland

Evidence

Model 1: Promoting Healthy Behaviours

Model 2:Sustaining Inner Resources

Model 3:Increasing Social Connectedness

Model 4: Increasing Social Inclusion

Model 5:Increasing Financial Security and creating Mentally Healthy environments

Model 6: Promoting a safe and supportive environment

Model 1: Promoting Healthy Behaviours

1.1:  Evidence  that  activities to promote healthy lifestyle behaviours need to be specifically targeted.

1.2:  Evidence  that activities to promote healthy lifestyle behaviour will achieve short-term outcomes

1.3:  Evidence  that activities promoting healthy lifestyle behaviour will contribute to increasing knowledge, awareness

1.4:  Evidence  that physical health checks should be offered to specific groups

1.5:  Evidence  that health checks for people with severe and enduring mental health problems will contribute to promoting healthy lifestyle behaviour.

1.6: Evidence  that increasing knowledge, awareness and motivation will contribute to behaviour change
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1.7:  Evidence  that increasing topic specific short-term outcomes detailed in other logic models will improve healthy lifestyle behaviours.

1.8:  Evidence  that there are associations between the intermediate outcomes: and one or more of the long-term mental health outcomes.

1.9:  Evidence  that the interplay between physical health and mental health is complex and two-way

1.10:  Evidence  that activities to manage chronic conditions should be available for people with chronic physical health problems.

1.1: Evidence  that activities to help people manage chronic conditions will have an impact on their psychological and emotional self which in turn would result in better mental health outcomes.

Logic model 2: Sustaining inner resources

2.1:  Evidence  that the achievement of the intermediate outcomes in the other logic models (1. 3-6)will contribute to an individual’s own sense of their skills, attributes and environment

2.2:  Evidence  that adopting a mentally healthy approach to health and social service delivery etc will impact positively on the values and attitudes of service providers

2.3:  Evidence  that awareness raising, promotion of mental wellbeing etc should be universal and targeted on populations at higher risk of problems.

2.4:  Evidence  that awareness raising, the promotion of mental wellbeing etc will contribute to increased levels of skills and knowledge about mental health and suicide

2.5:   Evidence  that there are associations between one or more of the long-term mental health outcomes and each of the intermediate outcomes

 

Logic Model 3: Increasing Social Connectedness

3.1:  Evidence  that community engagement activities should be universal and targeted at those with mental health problems and those living in deprived communities.

3.2:  Evidence  that social prescribing/community referral should target those experiencing mental health problems and those at risk of developing mental health problems

3.3: Evidencel that community engagement activities etc, will contribute to  the achievement of short-term outcomes which will in turn, impact on intermediate outcomes

3.4:  Evidence  that community-based services and activities to promote social support should be provided universally and targeted at vulnerable populations

3.5:  Evidence  that community-based services to provide social support will increase short-term outcomes which will in turn, contribute to better intermediate outcomes.

3.6:  Evidence  that activities to improve the physical environment, including greenspace and amenities need to be universal and targeted at deprived communities.

3.7: Evidence  that improved environments will result in increased knowledge, awareness and use of these spaces which, in turn, will result in increased intermediate outcomes

3.8:  Evidence  that school-based interventions promoting social wellbeing will focus on children and young people in primary and secondary education.

3.9: Evidence  that home visiting and parenting activities should focus on vulnerable families and those living in areas of deprivation because they are at higher risk of mental health problems.

3.10:  Evidence  that activities to train carers need to be targeted at carers of looked-after children.

3.11: Evidence  that early years interventions will contribute to improved skills and psychological functioning for both children and young people and their carers and practitioners working with them. This, in turn, will contribute to improved intermediate outcomes

3.12:  Evidence  that there are associations between the intermediate outcomes: trust in the community, increased social support and social networks and positive relationships and one or more of the long-term mental health outcomes.

 

Logic Model 4 Increasing Social Inclusion

4.1:  Evidence  that activities to increase prospects for employment and meaningful activities need to be targeted at people with mental health problems and those on low income or unemployed.

4.2: Rational that activities to increase prospects for employment and engaging in meaningful activity will increase short-term outcomes which will in turn, will increase intermediate outcomes

4.3:   Evidence  that promoting access to education, cultural, leisure, and basic needs and removing barriers to universal provision of services needs to be targeted at those who are socially excluded.

4.4:  Evidence  that having access to education, culture, leisure and the arts as well as basic needs will increase social inclusion.

4.5:  Evidence  that services for people with mental health problems should be inclusive and promote social inclusion.

4.6:  Evidence  that inclusive health and social services will act to reduce social exclusion.

4.7:  Evidence  that community engagement activities should target populations in the six equality strands and those living in areas of deprivation.

4.8:  Evidence  that community engagement activities will contribute to increased short-term outcomes which will in turn will lead to increased participation.

4.9:  Evidence  that anti-discrimination and stigma activities and legislation should address the needs of populations in the six equality strands and should also be targeted across the whole population.

4.10:  Evidence  that activities, policies and legislation to reduce discrimination and stigma associated with mental health problems, the six equality strands will achieve short-term outcomes which will in turn contribute to increasing equality and decreasing discrimination.

4.11:  Evidence  that there are associations between one or more of the long-term mental health outcomes and each of the intermediate outcomes: social inclusion, participation, increased equality/decreased inequality and decreased discrimination.

Model 5 Increasing Financial Security and creating Mentally Healthy environments

5.1:  Evidence  that a whole school approach to promoting social and emotional wellbeing in schools should be universal

5.2:  Evidence  that a whole school approach to social and emotional wellbeing and mental health problems will result in increased short-term outcomes

5.3: Rational that life long learning should be universal.

5.4:  Evidence  that life long learning opportunities will contribute to improved mental health through increasing skills and competencies, social interactions and qualifications.

5.5:  Evidence  that activities in the workplace to promote mental wellbeing should target employees, employers and line managers

5.6:  Evidence  that activities in the workplace to promote mental wellbeing and prevent mental health problems will increase short-term outcomes which will in turn contribute to intermediate outcomes

5.7:  Evidence  that activities to address financial insecurity and debt should be universal and should also target those with or at risk of mental health problems, debt or insecure incomes.

5.8:  Evidence  that targeted and universal activities to promote debt management will increase short-term outcomes which will in turn contribute to an greater financial security for all.

5.9: Evidence  that there are associations between one or more of the long-term mental health outcomes and each of the intermediate outcomes.

 

Model 6 Creating an safe and supportive environment

6.1:  Evidence  that activities to promote greenspace will increase access to and use of greenspace.

6.2:  Evidence  that planning and design activities and strategies, regeneration activities and re-housing and housing improvement should be applied to the whole population and should target areas of deprivation, those living in poor quality housing and residential institutions.

6.3:  Evidence  that improved planning and design of the built environment and regeneration initiatives may contribute to increased short-term outcomes which will in turn achieve intermediate outcomes

6.4: Evidence  that re-housing and regeneration activities will contribute to improved housing conditions, reduced overcrowding and noise. This will, in turn, contribute to intermediate outcomes

6.5:  Evidence  that community engagement activities will contribute to decreased crime and fear of crime, reductions in the level of neighbourhood violence and reduced tolerance of neighbourhood violence. This in turn will contribute to intermediate outcomes

6.6:  Evidence  that activities in the home, workplace and school to reduce violence and bullying should target employees, children, teachers and parents.

6.7:  Evidence  that activities targeting violence and bullying across the lifespan will increase short-term outcomes which will in turn contribute to intermediate outcomes.

6.8:  Evidence  that person centred planning for people within residential care.

6.9:  Evidence  that person centred planning and staff training in mental health literacy may potentially reduced violence and aggression and harmful behaviour

6.10:  Evidence  that there are associations between one or more of the long-term mental health outcomes and each of the intermediate outcomes

References