E6: Reducing inequalities through patient-centred care


Friday 12 Apr | 13:15-14:30


Format: Workshop
Stream: Population
Content filters: Features discussion of community led projects, including those outside of health and care


PART 1: Trauma-informed practices in recreational sport programmes for female refugees


Youth-serving community organisations must be equipped to address the distinct requirements of children who have experienced trauma. Implementing preventive measures early on can effectively guide children towards self-regulatory healing and enable them to thrive based on their strengths. Utilising sports can be a valuable avenue to reach out to these children. Nevertheless, there is a lack of information on the effective development, implementation, evaluation, and long-term practice of trauma-sensitive sports programs within a community setting. This paper aims to present a case study of a sports recreational program for female refugees in Greece that unpacks what trauma-sensitive practices can be beneficial in this context.


As a result of this session, participants will be able to:



  • Understand how trauma-informed practice can be applied, and be beneficial, to sport recreational programs for female refugees or any youth with adverse childhood experiences (ACEs)

  • Develop better understanding of the intersections between organisations and sectors of health, social care and sport

  • Be equipped with a set of ‘how to implement’ guidance for sharing with the relevant stakeholders


Dikaia Chatziefstathiou, Canterbury Christ Church University, England


Yetsa Tuakli-Wosornu Yale School of Public Health



PART 2: Striving out of restraints – second-phase mental health service transformation in Lambeth


The Lambeth Living Well Network Alliance (LWNA) – the first truly integrated mental health alliance in the UK – is combatting mental health inequalities in a borough where 60% of the population are from Black and Minority Ethnic backgrounds. Genuine co-production with local people with lived experience and Black organisations are taking mental health services to the next level. Using an agile, prototype-driven model we have co-created innovative new services that are beginning to turn the dials on access, experience and outcomes and catalyse systemic change to traditional models and methods that are increasingly failing to meet current needs and demands.


As a result of this session, participants will be able to:



  • Understand how we need different people and ideas to get different results

  • Understanding how testing ideas quickly is crucial to create change in a risk averse system

  • Assess how small teams with new approaches can have a significant impact

  • View conflict and disruption as necessary for innovation and improvement


Nozomi Akanuma South London and Maudsley NHS Foundation Trust, England


 


PART 3: Tackling public health challenges using a modified quality improvement approach in five districts of South Africa


Covid-19 adversely affected TB case finding in South Africa from 2020. A TB Case Finding Quality Improvement (QI) project aimed to rapidly restore TB case finding to pre-Covid-19 levels in five districts in KwaZulu-Natal province from September 2020 – June 2022. The focus was on the HIV population. The presenter will describe the main change idea, universal TB testing (irrespective of TB symptoms) of three HIV-positive facility groups (HIV positive pregnant women at 1st antenatal visit, HIV newly diagnosed clients, and ART patients at their annual viral load (VL) visit) using an innovative ‘just enough’ QI model. It included capacity building for sustainability and data support.


As a result of this session, participants will be able to:



  • Understand the just enough QI concept

  • Use virtual platforms for real-time learning, coaching and sharing.

  • Design a project for scale-up and spread


Maureen Tshabalala Institute for Healthcare Improvement (IHI), South Africa