1 Comfortably Numb Are men THAT hard to reach? Phil Eaglesham, Choose Life Coordinator Inverclyde...
-
Upload
doreen-oliver -
Category
Documents
-
view
219 -
download
0
Transcript of 1 Comfortably Numb Are men THAT hard to reach? Phil Eaglesham, Choose Life Coordinator Inverclyde...
1
Comfortably NumbAre men THAT hard to reach?
Phil Eaglesham,
Choose Life Coordinator
Inverclyde Council
3
Hard 2 Reach?
Men don’t appear prominently as a ‘hard to reach’ group in Health Inequalities publication at UK or Scottish levels, despite clinical evidence of greater risks, poorer prognosis and compliance with treatment.
(‘Health Inequalities in the New Scotland’, PHIS 2002 / ‘Addressing Inequalities’, DoH 2002)
4
Common Barriers
Some people do not understand written or spoken English
Some communities are geographically isolated
Some people cannot hear or see Some people cannot get into many buildings Some people have no permanent address Some people are living with a long-term
illness
5
Further Barriers
Some people are out at work all day Some people have less spare time than
others, such as retired people Some groups feel culturally isolated from the
mainstream of society’s activity Some groups feel alienated from, or even
suspicious of, the organisation that is consulting them
Some people may just not be interested in being consulted by public bodies.
(Community Involvement Strategy, Salford City Council)
6
Come on, now. I hear you're feeling down. Well I can ease your pain, Get you on
your feet again. Relax. I need some information first. Just the basic facts, Can you show me
where it hurts?
7
Common Responses
Better data on social deprivation and exclusion.
Target low income and hard-to-reach groups. Target marginalised groups such as refugees
and asylum seekers, ensure access to interpreters/bilingual health advocates where needed.
Consider satellite clinics, home visits and drop-ins to make services more accessible.
8
Further Responses
Target men with health promotion messages – for example, around diet, physical activity and smoking (?MH)
Work with community groups and advocates to improve services can be better tailored to their needs.
Work with community nurses to access the community budget.
11
DEVELOPMENT OF A TRANSSEXUAL SUPPORT GROUP, SCOTLAND, UK
Eaglesham, P. , Laird, N. , MacKillop, C. , Carr, S.
12
Intended Objectives
Improved access in Glasgow through peer support and community development.
Improved quality of service to patients and better health outcomes in transition.
Fits with both client’s needs and NHS requirements for involvement and service improvement.
13
Group Development
Promotion and recruitment. Attendance rose from 5 to 40 monthly within a year. Trans people travelled from rural Scotland to connect with the group.
Facilitation essential for first 2 years to ensure support, continuity and cohesion, gender was significant, but trans status was not.
Benefit in the group being mixed FtM and MtF but with regular opportunities to split up for gender specific discussions.
14
Further Findings
Demand for separate support group for partners, families and friends.
Importance of post-transition transsexual people for peer support and inspiration.
15
Group Achievements
Enthusiastic to improve services, within NHS and beyond.
Production of improved local and national information resources.
Presentations at national and international conferences.
Recruitment for national research and trained in facilitation methods.
Group now self sustaining, supporting satellite group now emerging in Belfast.