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mojatu .com 30 Health & Food TIME TO CHANGE NOTTINGHAM HUB Tackling stigma, raising awareness and uniting communities to change the way our city approaches mental health. By Micha Skye – Time to change champion going on. It may come as a surprise to some, but we all have mental health. Sometimes we may refer to it as emotional health, but diagnosis or not we all have it and the impact of not looking after it can be drastic. As a city it’s time we not only embraced our mental health and caring for it as we do our physical but also tackled some of the challenges we as a city amongst our communities face, together. But what does mental health in our city look like? There are approximately 786,000 people living within the Nottinghamshire area. As with physical health there are considerable variations in mental health across the city. Deprivation links historically with both ill physical and mental health and Nottingham City is one of the ten most deprived districts in the country (Nottingham Insight 2016). Nottingham has high levels of many of the risk factors that can contribute to poor mental wellbeing. Equally our Nottingham City CCG areas have significantly higher levels of long- term mental health problems than that of the national levels. The majority of CCG areas also report levels of depression that are above the national average and this is of course includes only those that feel they can ask for help. Many still slip through the statistics too ashamed to reach out for help and admit what is truly • In the most recent three year period reported, 85 deaths in Nottingham City were recorded as suicide, over 78% of whom were men. Men are in fact three times more likely than women take their own life with rates highest in middle age. Suicide also increases in most deprived communities experiencing far higher rates. • Black men are 3 times more likely to be represented on a psychiatric ward and up to six times more likely to be detained under the Mental Health Act. In fact the DRC (2006) concluded that people from black communities were more likely than others to bypass primary care and be admitted straight to a psychiatric hospital. • British white women were the least likely to have a common mental health problem (15.6%), followed by white British women (20.9%) and black and black British women (29.3%) • Asylum seekers and refugees are  more likely to experience poor mental health than anyone else in the local population (estimated over 5 times more likely to struggle) • 10% of children ( ages 5-16 years) have a diagnosable mental health condition, however 70% of them have not had appropriate intervention. These statistics and facts cannot continue to be heard but not addressed by the people it directly effects- us the community. We know there are variations in help seeking behaviour, cultural barriers, language barriers, discrimination which all impact access but the answers as to why this is happening and how it can be changed are unclear. What is clear however