Community-Driven Solutions: a co-production approach to improving mental wellbeing

Healthwatch Greenwich was commissioned by the local authority's public health and wellbeing department to undertake engagement to understand what measures it could take to improve disadvantaged and minoritised local communities' mental wellbeing.  Healthwatch facilitated a series of interactive workshops aimed at co-designing initiatives.

Community and project leaders articulated that mental wellbeing isn't just about individual experiences but is influenced by broader factors like social connections, cultural beliefs, the environment, and financial stability. For instance, someone might struggle with their mental wellbeing because they feel isolated, or because they're facing financial hardship. Intersectionality also plays a key role. For example, someone who belongs to a marginalised racial group and identifies as LGBTQ+. This person may face unique challenges related to both their racial identity and their sexual orientation or gender identity. Their mental wellbeing could be impacted by experiences of discrimination or microaggressions based on both aspects of their identity. They might struggle to find culturally competent mental wellbeing information and resources that understand their background and identity.

Use of mental wellbeing information and resources is low. This was only partly explained by a lack of awareness and structural barriers such as information only being made available in English. Community and project leaders told us that many people feel more comfortable seeking help from leaders and advocates within their own community rather than from larger, official, or council funded services. This is because community leaders are seen as more trustworthy and because they understand the cultural and socio-economic challenges faced by their neighbours.

Leaders discussed practical ways to improve access to mental wellbeing information and resources within their communities. Leaders emphasised the importance of ongoing dialogue with the council and services to ensure that mental health resources are widely known and easily accessible to everyone, regardless of their background or where they live. They noted that existing community groups and forums could play a greater role in spreading awareness and signposting. They suggested appointing ambassadors within communities to actively promote mental wellbeing information and resources, connect individuals with the help they need, and reduce stigma. 

However, they also acknowledged that providing financial support through mini grants might not be enough to create lasting change. While these grants can kickstart initiatives, there's a need for sustainable, longterm solutions. 

Overall, the workshops served as a platform for communities to come together, share their experiences, and brainstorm solutions to create a more inclusive and supportive environment to improve access to mental wellbeing information and resources for all.