Richmond Borough

Impact Report 2016 Contents

Address from the Chair 3 Chief Executive’s Report 4 Richmond Borough Mind in numbers 5 Helping people recover 6 Encouraging Independence 8 Supporting future progression 10 Building bridges in our community 12 Inspiring others 14 Financial review 16 Thank you to our funders 18

Richmond Borough Mind Charity Number: 1146297 Richmond Royal Hospital Company Number: 7954134 Richmond Healthcare Hamlet Foot Road Richmond Richmond Borough Mind is rooted Surrey in the local community and exists to TW9 2TE meet local mental health needs. Our vision is a society where people who T: 020 3513 3404 experience mental health issues and E: [email protected] their carers enjoy a good quality of life W: www.rbmind.org within their local communities.

Front cover picture: Wellbeing Centre trip to Kew Garden Address from the Chair

The external environment in the past year has been a challenging time for all sectors providing mental health services. Richmond Borough Mind has risen to the challenge and continues to deliver high quality services to our local community. Within this economically complex climate we continue to work closely with our partners, both in the voluntary and public sector, with the aim of finding new innovative ways of delivering Baljeet Ruprah-Shah, Chair services which at their heart are service user and carer led.

Earlier this year we had a recruitment drive to increase our range of trustees on the RB Mind Board. We are delighted to welcome our new trustees who bring additional skills and experience. Most of all I would like to share my great admiration for all the RB Mind staff, their enthusiasm, expertise and commitment to the community they serve.

As I complete this address I realise how quickly the past year has passed. It has been a year of many rewarding moments as well as challenges. I am honoured to be the Chair of Richmond Borough Mind and look forward to continuing the legacy of PJ Greeves, our former Chair.

3 Chief Executive’s Report

Welcome to our Impact Report 2016! This year we have changed the format of the report slightly to reflect the different aspects of the help we provide to our Service Users and Carers, and to emphasise the impact we have of mental health, or being part of our made through the various services we community of Carers this is testament provide. to the impact we have on the future life chances of our Service Users in ‘Sophie’s Story’ on page 7 is just one Richmond. of a myriad of stories emphasising the impact of the right intervention at In recognition of our growing impact in the right time to turn someone’s life the borough, RB Mind was delighted around. Sophie referred herself to us this year to be awarded the Best for therapy because she was pregnant Charity Award at the Richmond and was concerned about developing Business Awards for our Mindkit youth post-natal depression. This led to a wellbeing project. We received the transformational journey for her and award within a month of the Duke her baby. The 251 people who received and Duchess of Cambridge taking therapy through our Counselling part in one of our Mindkit sessions at service, the 2,600 referrals to our part Harrow College. In 2016, inspired by of the Richmond Wellbeing Service this experience, the Duke and Duchess and the 126 people who attended our together with Prince Harry launched Wellbeing Centre this year will have Heads Together, a new campaign similar stories to tell. to end stigma around mental health amongst young people. This year 68% of those attending our Peer Group Network reported since In the increasingly challenging joining the network their confidence economic environment we continue to has improved. At the same time 86% of work with local partners and our Mind Carers said our Carers in Mind project colleagues to develop services our has helped them maintain hope for Service Users and Carers tell us need the future. So whether it’s attending to be addressed. one of our activity groups facilitated by people who have lived experience Val Farmer, Chief Executive

4 Richmond Borough Mind In Numbers

Our Peer There were Group Network consisted of

referrals2,600 to RB Mind’s part people126 attended of the Richmond Wellbeing our Wellbeing Service Centre groups8 with

Peer16 Volunteers and Our youth wellbeing people251 contacted projects reached our Psychotherapy and Counselling service active80 members 1,437young people

Our Carers in We were Mind project supported by reached

volunteers100 at any 452carers one time

5 Average number Helping People Recover of attendees to our Wellbeing Centre Richmond Borough Mind offers per week: people124 received various services to help people therapy through our with mental health problems Psychotherapy and recover and enable them to live Counselling service the lives they want to live. This 54 includes our Wellbeing Centre an opportunity for people to meet and and Psychotherapy and Counselling socialise, and a variety of activities and service. services to support mental wellbeing.

Wellbeing Centre Psychotherapy and Counselling

Our Wellbeing Centre is based at service the Richmond Royal Hospital and is referral only from the Community This year we continued to offer Mental Health Team. Its aims are psychotherapy and counselling Wellbeing, Confidence, Peer Support, to people living in the borough of Assertiveness, Relapse Prevention Richmond. The service provides a and Independence. Activities on offer range of therapies which aim to support within the Centre this year included people while they are in emotional art and dance classes, creative need and a space where they can writing, recovery groups, exercise explore and recover from psychological and walking groups, a women’s group difficulties. We offer the following and massage. We also organised a styles of therapy: psychodynamic, range of outings for service users integrative, person-centred, existential throughout the year. Mind ‘n and cognitive behavioural. Many clients is a satellite service of the Wellbeing refer themselves. We also accept Centre, based at the Barnes Children’s referrals from GPs, psychiatrists, social Centre in Mortlake, which also offers workers and other health professionals.

Our Wellbeing Centre organised a range of outings for service users throughout this year including trips to Brighton and Chiswick House Gardens 6 Sophie’s Story

Sophie is a 39-year-old unmarried woman who referred herself to the Psychotherapy and Counselling service for therapy because she was expecting a baby and was concerned about the risk of developing post-natal depression.

At her assessment it was established the therapist urged her to confront the that her troubles started in childhood feelings she had experienced as an when her mother appeared to have unloved child. little love for her. Sophie was one of four children, three boys and a girl. Her Sophie gave birth to a healthy baby mother treated the boys with great love girl and three weeks later she resumed and attention, which made Sophie feel therapy. She seemed happy to see that there was something wrong with her therapist, but was alarmed that her. As with most children in similar she had little feeling for her baby and situations, she blamed herself for her resented having to care for her. She mother’s shortcomings. was experiencing unconscious envy: her baby was getting the love she The assessor referred Sophie for never had in her own childhood. With one-to-one therapy, where she her therapist’s help Sophie was able to seemed to settle in fairly well. She work through and relinquish her envy was extremely worried, not only by of her baby and gradually the loving her risk of becoming depressed again, bond between mother and child was but also that she may not be able to born. Sophie carried on her therapy for feel emotionally attached to her baby many months after this, before making and the damage that might cause. She a tearful end to what had been a seemed only partly aware that her transformational experience for her and concerns were coming from her own her little one. childhood so over the next few weeks

7 Referrals to the Richmond Encouraging Independence Wellbeing Service (RB Mind):

Richmond Borough Mind helps people to become more independent by increasing their confidence, offering 30%2,600 increase with a recovery safe spaces for them to relearn or rate of 12% over target develop social skills and providing the The Network advice and support they need to get is made up back on their feet. of groups run by and for Richmond Wellbeing Service people who of68% those attending experience our peer groups The Richmond Wellbeing Service mental health reported since offers a range of groups to help issues. Some joining the network foster resilience and wellbeing, as groups are their confidence was part of the national Improving Access supported by ether improved or to Psychological Therapies (IAPT) volunteers who much improved scheme. We work in partnership with have expertise East Foundation NHS Trust in their field. to provide this service, using the Joining an art group or a reading principles of stepped care i.e. your GP group facilitated by people who have is step 1 on the ladder, and Richmond lived experience of mental health or Borough Mind provides help at step 2. learning how to cook or do yoga is an We offer workshops that are specific opportunity to develop confidence and to a disorder and others that can help reduce feelings of isolation. with a range of problems including Overcoming Low Mood, Overcoming Worry, Overcoming Panic and Coping with Stress.

Peer Group Network

Our Peer Group Network encourages Jim, a member of independence by offering a safe and our Crafty Minds non-judgemental space where people group, enjoying with mental health problems can make some sketching friends, have fun and learn new skills.

8 Some students come in extremely John’s Story stressed - visibly so. I get them on the mat, breathing, making simple John Moran facilitates the yoga movements and the transformation group within our Peer Group is astounding and very gratifying. It Network. Here he talks about his is such a relief to know that (for me) experience with the group. this is teaching yoga successfully. As a rookie teacher in a large studio the She doesn’t speak; she will only pressure to be popular, to fill the studio, occasionally make eye contact. ‘Clair’ to invent new (as if this was possible!), is one of my students at a class I interesting and challenging sequences teach for people with anxiety and led me down a blind alley. Now I can depression at a fantastic charity called see again and look forward to all that Richmond Borough Mind. She is a very practising and teaching yoga has to attentive student - always follows my teach me. instructions, always comes early and is one of the most regular students. After class I have my first coffee and cycle back across and On one occasion I stupidly tried to Wimbledon Common, sometimes with engage her in conversation after class. music in my headphones. The expanse Why? Did I want her to say I was of nature, the caffeine buzz and the a great teacher? Did I want her to gratitude I feel for having discovered behave ‘normally’? Thankfully I realised this class give me such a euphoric my error and accepted that this is how feeling that I know I look slightly insane she is - she honours me by coming singing and smiling on my bike. It’s to class when social contact is clearly cool; people smile back - they’re feeling difficult for her. good too.

My husband suggested we go away on holiday for a week and within 48 hours we had booked and arranged it all! This would have never happened before as I would have wanted to plan, prepare, worry, and buy the whole of Sainsbury’s…!

Richmond Wellbeing Service service user 9 Supporting future progression

Volunteering of carers86% agreed or strongly agreed that Carers in Mind RB Mind is supported by over a has helped them to develop/ hundred volunteers at any one time. maintain hope for the future In return we support their future progression in several ways. A themselves variety of free training is offered in is key to subject areas including boundaries, supporting assertiveness, safeguarding, equalities carers to and mental health awareness. We help maintain of 71%volunteers said regularly send out information about hope for the volunteering with RB training, paid roles and volunteering future. We Mind has increased opportunities and can provide job also provide their employability references after a volunteer has been information and through learning with us for three months. Volunteers resources on new skills report increased levels of self- the role of a esteem and confidence and a better carer such as understanding of how to work with our Mental Health Carers Handbook peers, and several have successfully and expert professional advice and moved into paid employment. guidance.

Carers In Mind I’ve been given so many opportunities volunteering Our Carers in Mind project is a with RB Mind as well as specialist service for people supporting support to progress and someone with severe mental health gain new experiences. My problems. Families and friends play opinions as a volunteer and a vital role in supporting people. a service user are listened However sometimes the demands to and valued and I’ve been can impact on their wellbeing and this able to speak on behalf of is where RB Mind can help support other service users and their future progression. Our monthly people whose voices wouldn’t carers’ lunches and range of social normally be heard. activities help bring carers together. Meeting people in a similar situation to Georgie Williams, RB Mind 10 Volunteer Maria’s Story

Maria, a lovely pleasant lady, spoke quietly and found it difficult to join in conversations. She had moved to England two years ago and was finding it very difficult to meet people. She was feeling isolated and lacking in confidence so she decided to join RB Mind’s Peer Group Network.

Initially Maria joined our Supportive interested in physical exercises and Minds group and liked what the group the link between exercise and mental was doing which included talking about health, which she incorporated into her depression and loneliness. She also groups. While facilitating the groups liked the other group members. The she received support from her Peers, facilitator encouraged her to speak in and regular supervision from staff. the group and to talk about her hobbies She also attended Richmond Adult and gave her information on what was Community College to do computing available in the borough of Richmond. courses. After a few months the facilitator suggested to Maria that she should As Maria had volunteered with RB enrol on our Peer Volunteer training so Mind for over six months we were able that she could run her own group. to provide her with job references. After applying for several jobs, Maria successfully completed the Peer she started working full-time as a Volunteer training and started co- receptionist in London. facilitating two groups. She was very 11 In July last year Building bridges in our community the most people we reached on Bringing Facebook was 111, Our Money Advice Project secured people by December that together is a had risen to 696 key facet of and in March this the work we year we reached £29,307worth of grants for our service users, do, helping wrote off £26,629.45 worth of debt our service and managed to get £25,523 of benefit users to feel back-payments less isolated 937 and more with Richmond AID, teams of Money able to live full lives in the community. Advisors are available to advise Whether it’s real-life get-togethers at disabled people, older people and our monthly Carers lunches and the people with long-term health conditions many recovery groups in our Wellbeing in the borough. Centre and Peer Group Network, or virtual conversations on our social Mental Health Awareness networks, Richmond Borough Mind is a hub for people who experience mental Training health problems and their carers. We deliver mental health awareness training which is specifically tailored Information and advice to the needs of local organisations in the borough. The training is offered RB Mind helps people access specialist on either a half-day or full-day basis services in the community through and is suitable for anyone involved in our information and advice services. public facing roles in either a paid or This year our Information Navigator voluntary capacity, and for staff teams worked in partnership with INS and wishing to boost levels of mental health Richmond Aid to provide specialist awareness in their workplace. Subject one-to-one support and advice to areas include challenging commonly people with mental health problems held assumptions and prejudices, via the telephone, email and face- recognising behaviours that may to-face sessions. Our Money Advice indicate underlying mental ill health and Project helps people manage their understanding how mental health is money and debt issues. In partnership assessed.

12 Fiona’s Story

Fiona is the sole carer for her 57-year old daughter, Janice, who was diagnosed with schizophrenia 28 years ago. She was referred to our Information Navigator from our Carers in Mind service.

When Fiona contacted us, Janice Physiotherapist worked with Janice had put on a lot of weight, and was on various exercises and referred housebound and unable to walk. Fiona both Fiona and Janice to Kingston also had limited mobility and was Health Management for relaxation and finding it hard to help her daughter. mindfulness and a support group. A She was looking for a befriender, befriender supported Janice to get out someone who could support Janice walking and with her social interaction. to walk. She hoped this could help Janice get out the house as she had no Janice said: “I am so happy and friends, was feeling isolated and was thankful for your help, it was more than scared of going out and falling. I expected. It has changed my life and I am very happy. For the first time in a RB Mind’s Information Navigator year I have been able to cross the road referred Janice for an assessment and go out by myself now I have a with an Occupational Therapist and walking frame. I am no longer afraid to Physiotherapist and to seek advice go outside. I feel so positive about my about specialised equipment at home life as adaptations in our home have and help for walking. The Occupational given me more independence. I am also Therapist fitted adaptations in the able to move around my home easily, kitchen, bathroom, bedroom and sitting without my mum’s help, and do things room for both Fiona and Janice, and like make a cup of tea by myself. “ gave Janice a walking frame. The 13 Inspiring Others

Best Charity Award of Richmond in schools, colleges, youth centres and other venues, Richmond Borough Mind won this helping young people develop mental year’s Best Charity Award at the resilience. Our new Bounce project Richmond Business Awards for our uses the same model for 10-14 year- Mindkit youth wellbeing project. The olds. award was presented in November by the Richmond and Times Heads Together and Richmond Chamber of Commerce at a special gala event at Twickenham We received our Best Charity award Stadium. Our Mindkit project trains within a month of the Duke and volunteers with personal experience Duchess of Cambridge taking part in of mental health issues to deliver free a Mindkit session at Harrow College wellbeing sessions to audiences of to mark World Mental Health Day. The young people aged 14-25. The sessions Duke and Duchess met a group of our take place throughout the borough youth wellbeing trainers to talk about

14 Young people reached by our youth their experiences of mental health wellbeing projects: problems and to discuss how they channel these experiences to inform and motivate young people. In 2016, partly inspired by this 1437 experience, the Duke and Duchess together with Prince Harry launched Heads Together, a new campaign to end stigma around mental health amongst young people.

Royals3 launch Left: The Duke Right: (from left to Heads Together and Duchess with right) The Duchess of campaign inspired RB Mind Youth Cambridge, Abbie Mitchell, by our Mindkit Wellbeing Trainer RB Mind Youth Wellbeing project Claudia Dee Project Co-ordinator, (second left) and and Fouzia Mohammed Time To Change and Coron Zammito from volunteers Harrow College

15 Financial Review

In this year RB Mind grew its reserves of the Benefit in Kind of the Richmond from £346,992 at the year end of Royal rental, to reflect market value. In 2014/15 to £354,520 at the year end of October 2015, RB Mind embarked on 2015/16. the government programme to improve employee participation in pension Over the year income rose by nearly schemes, “Pensions Auto-Enrolment”. 3% to £933,462. Income was received This led to a 38% increase in staff from the London Borough of Richmond participation in the RB Mind pension upon Thames, who commissioned RB scheme. Mind to map mental health services in the Borough. Funding was received As austerity measures continue, for two additional trainees within the financial pressure continues within Richmond Wellbeing Service, Improving many of our projects. The principle of Access to Psychological Therapies Full Cost Recovery has been applied (IAPT) initiative. A three-year grant to our projects, based on staff within from Richmond Parish Lands Charity the project (Full Time Equivalent staff for the Wellbeing Centre came to an numbers). As a result, the Board of end in May 2015. RB Mind have agreed that the deficit within projects would be covered by a Over the year expenditure increased transfer of £25,178 from unrestricted by 10% to £925,934. Our Fundraiser funds. has been in post for the full year. The Acute Carers Recovery Worker was We have very much appreciated the in post for the full year, providing ongoing support of our local funders, specialist support for carers during an Barnes Workhouse, Hampton Fuel acute crisis. This was funded by the Allotment Charity and Richmond Parish London Borough of Richmond upon Lands Charity. They have sought Thames, from both grants brought out our views and worked with us to forward and restricted reserves. Due identify areas which meet our needs to the success of the Youth Wellbeing and reflect the aspirations of their project, we extended the working trustees. hours of the Project Co-ordinator. In addition, the accommodation cost has increased, partly due to a revaluation

16 Investment policy Income by funds

Interest rates have remained 10% Support (Finance, Fundraising, Facilities) 46% Richmond Wellbeing Service (low intensity) low during the course of the 14% The Wellbeing Centre year. Some money was invested 6% Peer Network in the CAF Platinum and Gold 0% Ecotherapy:Cultivating Minds Accounts and the rest in CAF 3% Mindkit Current Account to meet cash 10% Carers In Mind flow requirements. The balance 1% Volunteering 1% Money advice between these two latter accounts 9% Psychotherapy and Counselling Services is kept under constant review.

Reserves Policy

Reserves are at a healthy level at £354,520. Once £28,003 against tangible fixed assets and £18,863 of restricted funds are accounted for, £307,654 (94%) of reserves at year end are unrestricted. This represents 3.9 months of expenditure.

Income breakdown 27% Restricted Statutory Grants/Contracts 3% Unrestricted Statutory Grants/Contracts 10% Restricted Non-statutory Grants/ Funding 49% Unrestricted Non-statutory Grants/ Funding 1% Restricted Donations/Fundraising 3% Unrestricted Donations/Fundraising 7% Restricted Income - Therapies 0% National Mind Shop Income 0% Investment Income 0% Restricted Training Income 0% Unrestricted Training Income

17 Thank you to our funders

We could not offer the services we do without the support of our funders, and those who give their support in kind. They are acknowledged below and we thank them all most sincerely.

Barnes Workhouse Fund Bill Brown Charitable Trust Centre for Strategy and Communication East London NHS Foundation Trust Hampton Fuel Allotment Charity Health & Social Care Volunteering Fund Heathrow Community Fund Integrated Neurological Services Kew Fete Lady Eleanor Holles School Lloyds Enable London Borough of Richmond upon Thames Mortlake Community Association National Mind NHS Richmond CCG Richmond Advice and Information on Disability Richmond Parish Lands Charity Sainsbury’s South West London & St George’s Mental Health NHS Trust University College London William Grant and Sons

Notes on assumptions - includes donations of £1k and over - includes ‘benefit in kind’ - Sainsbury’s collected through tins - Lady Eleanor Holles collected via events

18 Officeholders, Trustees and Management

President Vacant Vice Presidents Dr V Cable MP, Baroness Tonge Trustees PJ Greeves Chair (resigned as Chair July 2016) Baljeet Ruprah Shah Chair (appointed July 2016) Russell Goodenough Vice Chair David Hoppe Claire Wilson (Nee Marsham) Edward Lowe Jennyfer Espie (Retired AGM November 2015) Diana Karpinski (Retired AGM November 2015 Cheryl Ould (Retired AGM November 2015) Zoe Reed (Retired AGM November 2015 Ann Wallis (Resigned August 2015) Martin Gilbert (Resigned June 2015) Richard Parkin (Resigned February 2016) Tamsin Priddle (co-opted July 2016) Nick James (co-opted July 2016) Richard Hurst (co-opted July 2016) Joseph Hill (co-opted July 2016) Matthew Steans (co-opted July 2016

Charity No. 1146297 Company No. 7954134

Chief Executive Val Farmer

Principal office Richmond Community Healthcare Hamlet, Kew Foot Road, Richmond TW9 2TE

Bankers CAF Bank Limited, Auditors Goldwins Chartered 25 Kings Hill, Accountants, West Malling, 75 Maygrove Road, Kent ME19 4JQ West Hampstead London NW6 2EG

19 We would like to thank everyone who helped us win this year’s Best Charity Award at the Richmond Business Awards for our Mindkit youth wellbeing project. Special thanks go to all our wonderful Youth Wellbeing Trainers for their dedication, boundless enthusiasm and tireless efforts throughout the year.

Abbie Mitchell, Youth Wellbeing Project Co-ordinator, and Val Farmer, RB Mind’s Chief Executive receive our Best Charity Award

Our Mindkit Youth Wellbeing Trainers celebrating after delivering four sessions in one day at Grey Court School (from left to right: Yen, Shanika, Sam and Georgie)