Month 1 Unit 1 Skills for Lifelong Learning Welcome In this unit, you will develop the study skills that are needed for successful study and to support lifelong learning. The unit will support you to identify and analyse your learning abilities and requirements and develop your study plan. To pass this unit, you need to demonstrate that you can meet all the learning outcomes for the unit. The assessment criteria outlines the requirements that you will be expected to meet in your own area of work and in accordance with Standard Operating Procedures (SOPs) to achieve the learning outcomes of the unit. Contents • • • • Be able to demonstrate the qualities and abilities required of an independent learner Understand plagiarism and the importance and consequences of plagiarism Be able to correctly reference information sources Be able to maintain own health and well-being Be able to demonstrate the qualities and abilities required of an independent learner Models of Reflection This module will focus on several models of reflection, and look at how these, or similar models can be used to support your development. The module then sets out a number of activities, including a Reflective Account that you will need to complete ready for your next session. An exemplar Reflective Account has been included to aid you. Reflection models are often fairly similar. This is because they are all designed to help the person reflect on an event, and try to learn from it, in order to complete it more effectively next time, through the use of experience and theory, in order to deepen understanding. There is no 'right' model. You should use the one that makes the most sense to you and the situation. Let's take a look at 2 well-known models: The above diagram illustrates Gibb's model of reflection. Gibb breaks down the process into set stages and focuses on how the person felt about what happened. Activity: Think back a few hours or a few days until you can recall a work-related event. Work your way round the cycle above, and consider if the model helps you to view the situation, or how you may tackle it in future, any differently. • Top Tip: It is worth noting that this model doesn't take into account any prejudices you may take into the situation or event, so you need to be mindful of how these may affect your view of the event, and subsequent behaviour. If you ignore this aspect, then you are unlikely to reflect on the situation to your full potential. Kolb's Learning Cycle This model has its foundations in Kurt Lewin's work on experiential learning but was progressed to be a set of reflective prompts and even a way to structure a piece of reflective writing. Stretch & Challenge: Optional Activity Take some time to research other models of reflection. Remember that this activity is optional, and there is no requirement for you to complete it. However, if you want to challenge yourself, and enhance your learning experience, this is a good way to do it. You can make your notes in the notes section below, or if you prefer, you can write them by hand or in a word processing program and upload them As a healthcare professional you are expected to implement the Codes of Practice Social Care Wales; there are 7 of them. As a leader, you will be expected to ensure that your staff are following these guidelines. For a detachable or printable guide, here are the 7 codes of professional practice... 7 codes of professional practice How continuing professional development contributes to professional practice Professional development is not just to do with education or training and the development of skills and interests. It is also about developing a better understanding of a worker’s values, beliefs and experiences, and how they impact their behaviour. It is about appreciating what motivates a worker to learn so that they can achieve their full potential. Continuing professional development, or CPD, is the term used to describe the learning activities health and social care workers engage in to develop and enhance their abilities. It refers to planned, ongoing formal and informal activities that contribute to the development of knowledge, skills, experience and understanding to improve practice and support lifelong learning. How to log your Continuing Professional Development (CPD): Continuing Professional Development Log - V1.doc Legislative requirements, standards of codes of conduct and professional practice Codes of conduct and professional practice set out the standards of behaviour and practice required by workers in the health and social care profession. Practice guidance sets out expectations for workers who must be registered with a regulatory body such as Social Care Wales. The organisation keeps a register which identifies who is suitable to work in social care in Wales. A worker can lose their registration if they are found to breach their ‘fitness to practice’. Practice guidance for health and social care workers is based around relevant national occupational standards and it is informed by the views of people who access and use services and other stakeholders, i.e. those who have an interest in the health and social care profession. Evaluating own knowledge, understanding and practice against relevant standards and information There are various ways in which to evaluate or assess our knowledge, understanding and practice as a worker in the health and social care profession. This is done against relevant standards and information so that we can gauge our behaviour and practice against expectations set out by our organisation and codes of conduct and professional practice. Sources of support within the organisation may be: • • • • supervision support with reflective practice, e.g. reflecting on an incident appraisal informal feedback. Sources of support beyond the organisation may be: • • feedback from colleagues in other health and social care organisations. informal feedback from family and friends. Responsibilities of employers and workers for continuing professional development It is your employer’s responsibility to ensure they provide learning opportunities on an ongoing basis. This involves linking job descriptions to the skills, knowledge and competencies required by the service, identifying the training and development needs then putting in place the necessary training or upskilling. This may be a legal requirement, for example in relation to manual handling, or an organisational requirement, for example in relation to organisational practice. It is a worker’s responsibility to identify any continuing professional development needs they have. This might include attending training or other ways of learning such as shadowing or observing a colleague in their role for a period of time. A worker’s continuing professional development may be identified in their personal development plan or appraisal document. Formal support In any job role there is a range of support available to a worker which include: • Induction Induction is a process of introducing a worker to their new role and their responsibilities. This could help a worker to identify their strengths and weaknesses at the outset and may establish areas they need to develop. • Training Organisations will all have systems in place for training and Continuing Professional Development (CPD). These could be run in-house (internally within the organisation) or with another training provider (externally). • Training days/inset days/development times Organisations will often have specific periods for workers to develop their skills and knowledge; this could also prompt discussion about ways to improve. • Colleagues from other organisations may be able to offer training or shadowing opportunities. A worker's line manager or supervisor is a very important source of feedback as they are ultimately responsible for their work and conduct. Feedback from a line manager or supervisor should happen during appraisal and should be constructive, that is, positive and helpful. Negative feedback is destructive and doesn’t promote personal development and change. Supervision feedback could be formal, in set meetings or reviews. However, supervision is also beneficial in a more informal manner: regular catch-ups, meetings, chats over coffee, bumping into each other at the photocopier and discussions as simple as asking how someone is can also be important. Learning Opportunities In order for any learning to make a difference to a worker's practice, they must be prepared to act on it and make changes. Think about the feedback they're given and the training they have attended. They may not agree with the changes they're asked to make, for example, they may be asked to do something in a way that they feel is inappropriate, is not within their level of responsibility or would compromise health and safety. In situations like this, a worker should talk with their supervisor or line manager. However, most feedback will be positive and changes they're asked to make will be well within their capability. Think about what a worker does, how they do it and how they can use their learning to improve their practice. This might involve using a new way of moving and handling, or a new method of communication they have not used before. Ways to access and use information and support on knowledge and best practice relevant to the role Accessing and using information A worker’s manager needs to ensure that the worker can contribute to the quality of care and support that is provided, and that they do not make dangerous, or costly mistakes that could put individuals at risk. This can involve a thorough programme of learning that takes place during the first weeks of a new career or a learning programme of important basic skills and knowledge that takes place over a longer period of time. Whichever approach is used, the manager is best placed to make sure a worker’s training and development is carried out properly. Supervision or appraisal are often the best times to access current and reliable information and support relating to knowledge and best practice relevant to a worker’s role. They can use this information to plan and agree on their professional development plan, ensuring their work is safe, current and follows best practice. Applying learning to practice and transferring knowledge and skills to new situations Applying learning When applying learning to practice and transferring knowledge and skills, professional development planning and ongoing training and development will help: • • • • become a more effective, independent and confident learner understand how a worker learns and apply their learning to different situations, thereby developing in their job role, both as a learner and a childcare worker set personal goals and evaluate and review progress towards achieving them develop a positive attitude to learning and self-development throughout life. Applying learning to practice may involve support from others, through observation of activities, for example, working in pairs or just using the new learning straight away. This might relate to actual practice, health and safety or how individuals accessing service are supported. Any concerns had about applying learning to practice and transferring knowledge and skills must be raised with the manager, so a solution can be agreed upon. The importance of seeking and learning feedback on practice Seeking and learning To use feedback effectively, a worker will need to become aware of how constructive feedback on their performance is critical to their ongoing personal and professional development. This feedback can take many forms and may be given verbally or in writing. It may be given by their manager, work colleagues or by individuals and their families. Feedback on their performance may be given informally e.g. through discussions with colleagues at team meetings or with individuals and their families, or it might be given formally through the staff supervision process. As a health and social care worker, it is important that workers accept constructive criticism, reflect on it, and then use it in a positive way to enhance their personal and professional development . Principles of reflective practice and why they are important Reflective practice Reflective practice is about looking back and reflecting upon an experience that has occurred during practice. It encourages reflection and thoughts about what happened, decisions that were made, actions that were taken and the consequences of those decisions and actions. Emotion is central to reflective practice as it enables a worker to explore their feelings, values, and judgments around a specific practice. This is to support deeper learning about what happened and why. Ultimately, reflective practice enables a worker to learn from what happened to develop and improve their future practice. Reflective practice enables us to achieve a better awareness of ourselves, our knowledge and understanding, our skills and competencies, and workplace practices in general. It involves: • • • • • considering what we did considering why we did it like that considering whether it was successful considering whether it could have been done better planning for any changes to our future practice. The purpose of supervision and appraisal Supervision and appraisal Supervision is an effective way of providing support, improving standards, of reducing risks and of addressing poor performance and stress. This should cover: • • • all aspects of practice the organisational, professional and personal objectives to be achieved the career development needs of the worker. An appraisal is a formal process which usually takes place annually to review a worker’s performance and improvement over a specific period of time. Supervision and appraisal are mechanisms that allow a worker and their manager to discuss openly and frankly, any issues relating to the worker’s performance. It is not part of the disciplinary process; rather, it gives the worker and their manager an opportunity to identify the things that they are good at, and where they might benefit from further training and support. In a larger organisation, they may also be guided by a mentor. Mentorship is an informal arrangement and is usually provided by an experienced and trusted person who is not part of the formal supervisory process. Mentorship is often provided by a senior worker, who will offer continuous advice and support. A worker’s manager or mentor will be identified in their personal development plan. The role and responsibilities of employers and workers for undertaking supervision and appraisal Supervision and appraisal An organisation should have a performance management policy which describes the arrangements that it has to improve the performance of workers. This is to enable the organisation to achieve its goals and deliver effective health and social care services. These arrangements will include information about roles and responsibilities for supervision and appraisals, the purpose of supervision and appraisals and expectations around the frequency of meetings. Some organisations include templates that managers and workers use to record the main content of their supervision and appraisal meetings. Managers must assess performance against relevant standards and agreed on performance indicators, for example, attendance on courses, a specific skill, a specific target. They must discuss a worker’s knowledge, understanding and achievements, including what the worker has learnt and achieved since their last appraisal/supervision meeting; their personal attitudes and conduct; and their learning and personal development needs. They are also required to exchange views about a worker’s practices – a worker’s strengths and how they can improve; their concerns and how they might be dealt with; how they would like their career to develop and what they need to do to further their development. Finally, both are required to agree on a date for a further meeting, to ensure that the worker’s development is continuously reviewed. Activity Watch the video and consider the questions below. Supervision; Supporting staff and improving care 1. What style of supervision is encouraged in the organisation? 2. How does the worker benefit from supervision? Role and responsibilities Informal supervision, whilst not quite as structured as appraisals and performance reviews, is a very useful source of support. Informal supervision takes place on the job, by someone who is trained and who has the relevant experience. Workers, in their supervisee role, are responsible for attending supervision and appraisal, planning and preparing for their meetings, and agreeing on the outcomes and objectives of supervision and appraisal. Training needs can be identified, and future roles discussed. The use of reflective practice in supervision and appraisal Supervision and appraisal Reflective practice enables health and social care workers and their supervisors to reflect on practice that has taken place. This includes consideration of what has worked, whether best and/or recommended practice has been followed shortfalls in the quality of provision and how they can be improved, and other areas for future professional development. Including reflective practice in supervision helps the supervisor to know the supervisee better and gain insights into their experience of their role and responsibilities. This becomes key in planning workforce development, and in managing change. For both supervisor and supervisee, a good reflective practice should highlight the needs of the individual being supported. The importance of effective supervision, reflective practice and relevant learning opportunities on the well-being of individuals Effective supervision, reflective practice and relevant learning Effective supervision, reflective practice and relevant learning opportunities benefit the worker, their managers, the organisation and more importantly individuals accessing care and support. To be successful, this requires a clear organisational performance management policy that supports continuing professional development. Supervision, reflective practice and relevant learning opportunities ensure that services provided meet the needs of individuals, that staff work to their full potential and that practice is safe, current and meets legislative requirements, agreed ways of working and organisational policy and practice. Areas of work where own literacy, numeracy and digital competency skills are needed to support professional practice and ways to develop them Literacy, numeracy and digital competency skills By recording events we are able to work with an individual to identify their care and support needs. When a worker first starts in their role they would not know if any of the individuals they work with have any special needs or require a different type of approach due to not being able to hear, for example. The record must be precise and agreed with the individual who is accessing care and support. This requires the use of literacy and digital skills. The personal plan or care and support plan is a legal document; the individual has the right to see their records and can review these records frequently. When writing personal plans it is important to keep in mind who has the right to read these records and the importance of factual recordings. Completing medical records, incident sheets and personal files, for example, all need good literacy, numeracy and digital competency skills. If any of these areas need developing, discussion with a manager can identify ways forward. This might be through formal training or shadowing another worker. Understand plagiarism and the importance and consequences of plagiarism Plagiarism is: The practice of taking someone else's work or ideas and passing them off as one's own. (Oxford Dictionary, 2020) When you quote other people’s work, ideally it should be no more than a sentence or two. It is common for longer quotations (3 lines or more) to be written in a separate, indented paragraph, with the name of the author clearly stated underneath, often to the right-hand margin, as shown above. Quotation marks are omitted. Shorter quotes are often embedded into the sentence you are writing. The exact words you are quoting, including all original punctuation, should be in quotation marks. You cannot copy paragraphs from a website or book and simply reference where the work came from. You also cannot change a few words from a copied paragraph, even if you reference where it came from. The best way to avoid plagiarism is to read around a subject, using several different sites and books and then write your own understanding of what you have read, in your own words. You can then reference at the end, all the sites/books you used. Video What is plagiarism and how to avoid it GDPR: Top tips Please ensure that any evidence you are providing for your qualification has any personal or sensitive company data removed. There will be times when you are asked to provide evidence to prove your competence. However, you, your colleagues, company or customers have a right to privacy. Therefore, whenever you are asked to supply evidence consider the following: Be able to correctly reference information sources Referencing It is important to reference your work correctly to ensure: o o o You are giving the original author’s credit To show you have been reading around the topic effectively To avoid plagiarism There are lots of ways to reference and this qualification does not specify which method to use. However, in the UK the most widely recognised method is Harvard Referencing and here’s how to do it. There are two parts to Harvard Referencing: • In-text citations These are used within the main body of your writing whenever you directly quote, paraphrase or reference a source. It is usually a shortened version of the full reference (which you write out in the reference list at the end of your essay). • Reference list This is a list of all sources you have referenced within your writing. A reference list should: o o o o Be at the very end of your essay/answer/writing Be titled ‘References’ List all sources in alphabetical order by author’s surname Contain more detailed information about the source When quoting from a book In-text citation • • Use speech marks around any direct quote (you can use either single or double quotation marks, but be consistent!) Either before or directly after the quote or paraphrased wording list the author’s surname and year of publication (and page number, if citing a direct quotation), for example: Direct quote …as Jones (1980: 8) argues, “Managers are not always leaders.” of publication: page number)] [Surname in text (year Indirect quote …it has been asserted that those in management positions do not always make great leaders (Jones, 1980). Reference list Book references should be written in the following format in your reference list: Author’s last name, Author’s initial(s). (Year of publication) Title (in italics), edition (only include this if not the first edition), Place of publication, Publisher: page numbers (if necessary. E.g. p.159 or pp.159-161, if referring to multiple pages) For example: Jones, A. (1980) What Makes A Leader, 2nd edition, Cambridge, Oxford Press. Jones, A (1980) What Makes A Leader, 2nd edition, Cambridge, Oxford Press: p.173 When quoting from a report In-text citation • • Use speech marks around any direct quote (you can use either single or double quotation marks, but be consistent!) Either before or directly after the quote or paraphrased wording list the author’s surname/authorship and year of publication (and page number, if citing a direct quotation), for example: Direct quote “Quotation” (World Health Organisation, 2018: 27). Indirect quote The World Health Organisation (2018) claims that its policy has had a significant effect on Europe. Reference list Report references should be written in the following format in your reference list: Author’s last name(s), Author’s initial(s) (or authorship, e.g. organisation name). (Year) Title of Report (in italics), edition/version (if applicable) [type of medium (e.g. online)] Place of publication, Publisher. Available at: <URL for the report> [Accessed Day Month Year]. For example: World Health Organisation (2018) European health report 2018: more than numbers – evidence for all [online] Copenhagen, WHO Regional Office for Europe. Available at: <https://www.euro.who.int/en/data-and-evidence/european-health-report/europeanhealth-report-2018/european-health-report-2018.-more-than-numbers-evidence-for-all2018> [Accessed 29 April 2019]. When quoting from a website In-text citation • Use speech marks around any direct quote (you can use either single or double quotation marks, but be consistent!) • Either before or directly after the quote or paraphrased wording list the author’s surname/authorship and year of publication (and paragraph number, if citing a direct quotation from the text), for example: Direct quote The Met Office (2013: paragraph 11) explains that “climate change played a secondary role in making winter 2013-14 as wet as it was, providing about 10-15% of the excess rainfall.” Indirect quote It has been implied that climate change still played a significant role in making the winter of 2013-14 one of the wettest on record (Met Office, 2013). Reference list Website references should be written in the following format in your reference list: Author’s last name, Author’s initial(s). (or Website Name or Organisation's Name) (Year) Title of the web document or web page (in italics) [type of medium] (date of last update (if available)). Available at: <website address> [Accessed Day Month Year]. For example: Press Office, Met Office (2017) What caused the record UK winter rainfall of 201314? [online] (22 June 2017). Available at: <https://www.metoffice.gov.uk/about-us/pressoffice/news/weather-and-climate/2017/record-uk-winter-rainfall-of-2013-14> [Accessed 14 October 2019]. What to do if there are several authors for one piece of work In-text citation If there are between one to two authors of a text, you simply list them in the order given on the book/report/website, for example: Jones and Jefferson (1982) found that… Previous research in this field (Jones and Jefferson, 1982) discovered… If there are three authors or more for the work you are citing, then use the name of the first author followed by " et al." in italics, for example: This was shown to be the case when Taylor et al. (2015)... “Quotation” (Taylor et al., 2015). “Et al.” is short for the Latin term “et alia,” meaning “and others.” Reference list Whilst we are able to shorten the in-text citation if there are multiple authors of a text, in the reference list you should always list the surnames and initials of ALL authors, for example: Two authors Nelson, B. and Economy, P. (2010) Managing for Dummies, 3rd edition, Hoboken, Wiley Publishing. Three or more authors Taylor, A., Morgan, D., Alberts, B., Johnson A. D. (2015) Introduction to research in the health sciences, 6th edition, Edinburgh, Churchill Livingstone. Give all authors’ names, using ‘and’ for two authors, or separated by a comma and a space for more than two. What if you are not directly quoting? If you are using the ideas of someone else but not directly quoting them, you still need to reference them. See the examples of how to indirectly quote from each source type above. Reference List Your reference list should include references for ALL the works you consulted in order to write your answer/essay/report, whether you directly or indirectly quoted them in your writing, or if you just read them to understand more about the subject. • • • • Present your reference list on a new page at the end of your document and title it ‘References’. The reference list should be presented as a single list and not subdivided in any way (e.g. by source type; book, website, etc). The references should be listed alphabetically (by first author’s last name / organisation name). If you have several references by the same person, list them chronologically, from earliest to most recent. Print out our Harvard Referencing Guide, which you can find in the 'Additional Resources' section at the top of this page, to help you when writing your work. It's a good idea to make a note of all details you will need in order to reference whenever you read or use a source, to save you forgetting where you found/read something. This way, if you reference as you write, the task of referencing will be much easier! Harvard referencing guide How to research information There will be times when you will need to undertake independent online research to find information. Knowing how to research effectively can save you hours, so here are a few tips. How to Google like a pro Be able to maintain own health and well-being Wellbeing in the context of health and social care Differences between the medical and social models of disability Listen to the audio clip below for further information on this subject. Interdependence between good physical and mental health In the past, the mind and the body were viewed as two separate entities. However, more recent studies have shown that physical activity has positive effects on both mind and body. Looking after physical health helps build resilience against physical diseases and illnesses. There is a link between moderate amounts of exercising and reducing the chances of developing heart disease, hypertension, osteoporosis and type two diabetes. Physical activity helps in the development of resilience and coping strategies in managing mental health. Being active helps mental health as a distraction to unhelpful thinking (which improves mood), increasing a sense of control and confidence (when achieving a goal that is a challenge) and interaction with other individuals (as a way of developing mutual support). Physical activity often involves a social element which can impact positively mood and a sense of well-being too. It is important to remember that humans are social beings and need to experience life within a social context. Remember, this applies to YOU and the INDIVIDUALS you support. Being physically fit helps individuals do the activities that they want to do, which in turn boosts mood and general well-being. So, everyone needs a certain level of physical fitness to be able to take part and enjoy life. The human body can be compared to a car; it needs maintenance and fuel to work. A car would not be expected to start and keep going with no petrol and no servicing to keep it roadworthy. Alongside physical activity, everyone needs to have a good, healthy, balanced diet, quality rest and sleep. Mental health Mental health is something that affects daily life. It is influenced, and influences, how everyone feels about themselves, mood, thinking and behaviour. It is important to recognise that there is a difference between not being mentally healthy and having a mental health problem. Think about having good mental health and poor mental health sitting on a horizontal line with one at each end. Every individual’s experience of mental health will be on this line somewhere and, of course, it changes over our lifetime. Feelings of being stressed and scared about something (such as sitting an exam) can go once the results are in. When these feelings stay for a longer time and stop us from doing the things we want to do, it can be an indication of a more serious problem. Having good mental health is linked to our well-being and ability to cope with what life throws at us. Taking care of our mental health helps us develop the resilience to bounce back after an upsetting or stressful time and to get on with our lives in the way we want to. Cognition Cognition is the ability to think. It involves processes such as attention, reasoning skills, the ability to weigh up information to make decisions, memory and language and so on. Abilities in cognition are an essential aspect of our daily life and allow us to engage in daily activities such as learning. Studies in children show a link between routine physical activity and enhanced cognition. Physiological changes occur within the body when exercising which can impact positively the cognition of students. An increase of oxygen in the blood and an increase of blood flow to the brain helps to clarify things and allow individuals to think more clearly. Alongside this, an additional chemical interaction occurs: the brain senses a moment of stress on exertion and counteracts this by producing a protein that protects the brain. This protein also has a ‘reset’ function and repairs the neurons associated with memory. These interactions increase alertness, attention and reasoning skills. It is easy to make the connection between this and the impact of this on cognition. Physical activity results in better behaviour in the classroom, showing an increase in ability to concentrate and results in the achievement of better results academically. Cautionary note Although there is a positive link between physical activity and good mental health, there is also a cautionary note to be added to this to make a complete picture. There are instances which show that the interdependence between physical activity and mental health can have negative implications. For some individuals, exercising can become a pre-occupation. This can lead to the balance between leisure, work and self-care, becoming unhealthy. When exercise becomes an obsession for individuals it can result in feeling a lack of control as the regime takes over. This type of behaviour not only has a detrimental impact on the physical body (such as damage to weight-bearing joints), it can also cause stress, anxiety and exhaustion as the pressure to exercise becomes overwhelming. Short-term, high-intensity exercise can be detrimental to mood, whereas good mental health has been associated with medium and long-term regimes of moderate physical intensity. This high-intensity is incorporated into the training for elite athletes. The specific training regime developed for athletes at this level is essential for developing the endurance needed on the pitch. However, it can result in changes in mood which is added to when they have limited time to recover. The pressure to perform in training and on the pitch can lead to feelings of stress and concerns about performance. Other behaviours associated with more extreme physical activity can also have an impact on mental health. The use of steroids to increase the body’s ability to train can also have a negative impact on mental health. These substances have been linked to changes in mood such as irritability and manic, risk-taking behaviours. The symptoms of depression have also been associated with users that cease to use steroids and with psychotic symptoms (which can lead to unpredictable behaviour). Benefits of engagement in activities Meaningful activities can benefit individuals in a variety of ways, listen to the audio below for more information: There are many emotional benefits for individuals who participate in meaningful and creative activities. This can include: • • • • • • • relaxation pleasure having the opportunity to express themselves building self-esteem building confidence feeling a sense of achievement alleviating boredom. For example, painting can allow individuals to express themselves. It can also create feelings of pleasure and help individuals to relax. Other activities such as singing can help to relieve tension and alleviate boredom. If singing as part of a group, it can help an individual to feel part of something, which in turn can help them to feel a sense of achievement. Activities that encourage the use of touch can help to release stress and tension. Anxiety & depression As well as changing the body’s shape, undertaking physical activity also prompts internal changes. The bodies chemical balance alters when we are exercising and endorphins are released which make individuals feel good. This has an impact on mood, alongside giving a boost of energy, it reduces worrying and helps aid better sleep. These factors can affect mental illnesses such as anxiety and depression. Neurotic illnesses, such as anxiety and depression are, in part, a result of chemical changes in the brain. The positive chemical changes that occur when exercising can help alleviate the low mood and stress that accompanies mental illnesses. Introducing physical activity into daily life in a regular way helps reduce tension and frustration levels. This in turn helps both the body and mind’s ability to cope with stressful times when and if they arise. Physical activity can help shift the focus from unhelpful thoughts that fuel feelings of anxiety or depression. Apart from the chemical changes that occur in the body, it also can give a different perspective on life. Being mindful when engaging in the activity brings a sense of calm, which enables individuals to look at things with greater objectivity. This has a direct impact on mental health and well-being as it helps individuals feel more in control and able to manage mood by challenging or ignoring unhelpful thoughts. Sedentary behaviour Sedentary behaviour can have a negative impact on mental health and well-being. Sedentary behaviour is when low levels of energy are expended in the activity being done. Most often, this type of behaviour is associated with 'screen time’: the use of laptops, televisions, tablets, mobile phones and so on. Interacting with these devices usually occurs whilst sitting and requires limited movement. The day is filled with many hours of sedentary behaviour can become a problem. It affects physical health by reducing cardiovascular fitness and metabolic rate, which can result in an increase in weight gain. Inactivity can also impact the mental health of an individual. Diminished feelings of wellbeing and an increased sense of distress are associated with sedentary behaviour. This is especially the case when this takes place in social isolation. This can impact mood and selfworth, which can lead to the development of mental illnesses such as depression. Reductions in time spent sitting, whether when working or in leisure time, can impact positively on mental health by increasing our energy levels and alertness. Mental ill health There is no health without mental health’ (World Health Organisation). The well-being of individuals is dependent upon good physical and mental health. Mental health impacts the overall well-being of an individual and refers to emotional health and well-being. Mental health problems range from daily worries and anxieties to serious depression and suicidal thoughts. Many individuals have mental health problems and worries from time to time. A mental health problem becomes a disorder or an example of mental ill-health when it has ongoing signs and symptoms which cause considerable distress and affects day-to-day functioning. It affects the way that individuals feel, behave and interact with others. Some periods of mental ill-health may be temporary while others cause persistent and long-term difficulties. Examples of conditions that indicate mental ill-health are: • • • • • • depression anxiety disorders schizophrenia eating disorders addictive behaviours bipolar disorder (sometimes called manic depression). A mental illness can cause problems at home, school, work and relationships. Mental illnesses often come in episodes with periods of good mental health in-between. Good mental health gives resilience to cope with difficulties, good relationships with others, a sense of control and ability to make decisions supporting well-being. Some physical conditions such as long-term illness and disability impact on mental health. Mental ill-health can impact physical health. Depression has been found to impact coronary disease. The impact of mental health difficulties can be as great as physical health difficulties and has a significant impact on self-esteem, confidence and well-being. Factors that can contribute or lead to mental ill-health A number of factors can contribute to or lead to mental ill-health: • • • • • • • • • • • • • • • • low self-esteem lack of confidence genetics - many mental illnesses run in families abuse including neglect family break up dysfunctional family life/structure life changes e.g. separation, divorce, unwanted career change bereavement physical illness or injury brain injury/head injury/epilepsy poor nutrition poor social skills and ability to relate to others experiencing discrimination poverty/debt long-term stress unemployment • • • • • • poor housing/homelessness drug and alcohol abuse caring responsibilities domestic violence bullying trauma e.g. accident, military combat. Support available to help individuals with mental ill-health There are a number of charities and organisations that offer advice and support to individuals suffering from mental ill health and the families that care for them. Charities and organisations: 1. 2. 3. 4. 5. 6. 7. MIND Cymru 1000 lives Mental Health Foundation Mental Health Wales Time to Change Wales Hafal Helplines Information that supports health promotion Many types of health promotion materials are used in everyday life. Health promotion materials include: • • • • • posters leaflets websites television adverts social media. They are designed to inform, motivate and support individuals to maintain and improve their health and well-being. Different types of materials are aimed at different target groups. A target group is who you aim your health promotion campaign at. The target group of health promotion materials can be almost anyone: children, adolescents, employees, men, women, the old, the young and so on. Campaigns are much more effective if they are targeted at a specific group and tailored to meet that group’s needs. Older people are less likely to use social media, so campaigns targeted at older people would have no use on social media; whereas adolescents use social media frequently, therefore this method would be more suited to this target group. Posters/Leaflets/Websites Health promotion posters are used to inform people about health promotion topics, such as vaccinations, road safety, health screening etc. They may use shock tactics to get people’s attention. They can be placed in places such as schools, GP’s surgeries and hospitals. Posters may provide limited information about the issues and where to go to get help. Healthcare leaflets aim to provide accurate, relevant, up-to-date health information and advice in a simple, accessible way. As we live in an increasingly digital age, the need for information on demand allowing individuals instant access to the advice they need to make active informed choices about their own health and well-being. Some examples you may have seen : Social media Increasingly, public bodies are using social media channels to share information and engage with their target audiences. Individuals are increasingly using peer-to-peer support via social media when diagnosed with a chronic condition, or to seek advice if they are worried about their health or the health of others. They are also more likely to adopt healthy lifestyle changes and follow medical advice if they are receiving online support and encouragement from their peers.