CroydonJoint StrategicNeeds Assessment2012/13

An overview of mental health and wellbeing in Croydon

Rachel Nicholson, Health Inequalities Policy OfficerDavid Osborne, Senior Public Health Information Analyst

Approach

• The aim of the JSNA overview chapter is to take a population-based approach and consider the wider determinants and influences on mental health and wellbeing in Croydon

• The overview will analyse and examine the factors which affect population mental health and well-being in Croydon, both in terms of the risks to mental health, as well as the protective factors.

The mental health spectrum

FlourishingModerate

mental health

LanguishingMental

disorder

From: Huppert Ch.12 in Huppert et al.

(Eds) The Science of Well-being

Number of symptoms or risk factors

The effect of shifting the mean of the mental health spectrum

Flourishing Moderate mental health Languishing

Mental disorder

From: Huppert Ch.12 in Huppert et al. (Eds) The Science of Well-being

Number of symptoms or risk factors

A dynamic model of mental well-being

Croydon’s growing population

• Croydon has a population of 363,000, which is likely to grow to >390,000 by 2021 based on recent trends.

• The highest growth in the next decade is expected to be in age groups 0 to 14, 30 to 39 and over 55s.

Increasing deprivation

• In recent years, Croydon has been growing more deprived at a faster rate than any other south London borough.

Red = more deprivedBlue = less deprived

Impact of deprivation on mental health

• Certain mental health conditions are closely linked to deprivation

Migration from Inner London

• Net migration from Inner London into Croydon, and from Croydon to South Eastern England.

Crawley District

Wealden

Brentwood

Dartford

Gravesham

Sevenoaks Tonbridge and Malling

Tunbridge Wells

Elmbridge

Epsom and Ewell

Guildford

Mole Valley

Reigate and Banstead

Spelthorne

Tandridge

Waverley

Horsham DistrictMid Sussex District

Barking and Dagenham

Barnet

Bexley

Brent

Bromley

Camden

Ealing

Greenwich

Hackney

HaringeyHarrow

Havering

Hillingdon

Hounslow

Islington

Kensington and Chelsea

Kingston upon Thames

LambethLewisham

Merton

Newham

Redbridge

Richmond upon Thames

Sutton

Tower Hamlets

Waltham Forest

Wandsworth

WestminsterThurrock (B)

Red = moving into CroydonBlue = moving out of Croydon

International migration

• Croydon has 6,000-7,000 new immigrants from outside the UK per year and at least 3,000 emigrants.

Employment and housing

• 45% of the 13,000 people in Croydon who claim health-related unemployment benefits do so primarily because of a mental health condition.

• Housing benefit changes will affect over 3,000 people in Croydon in 2012/13.

• In 2010/11, for adults in Croydon receiving secondary mental health services:– 69% were in settled housing– 6.8% were in employment

Employment and housing

0

2

4

6

8

10

12

14

Perc

enta

g ag

ed 1

6-64

2001 2011

People on out of work benefits

CroydonLondonEngland

Mental health and physical health

0%

2%

4%

6%

8%

10%

12%

14%

Age

stan

dard

ised

pre

vale

nce

of lo

ng te

rm c

ondi

tion

(%)

Patients with a mental health condition diagnosed in the last 5 years

Patients without a mental health condition diagnosed in the last 5 years