© Springer Science+Business Media New York 2016
David Conrad and Alan White (eds.)Sports-Based Health Interventions10.1007/978-1-4614-5996-5_1515. Promoting Mental Well-being in Rugby League Communities
(1)
Riley and Revell Ltd., York House, Cottingley Business Park, Bradford, BD16 1P, UK
Keywords
Mental well-beingRugby leagueEnglandClubsAt-risk groupsSocial inclusionStigmaSignpostingPublic healthHealth promotionBackground
Poor mental well-being is one of the most significant health issues both in terms of health and well-being of individuals and their families, and its wider impact on communities, the economy and employment [1]. In any given year 1 in 4 of the population will experience a mental health problem [2] and impaired mental well-being has a very high-cost impact on business and the economy [3]. Misunderstood and feared, the stigma and implications of mental health issues mean that many do not realise they have a health problem or that help can be given; many who do seek help are poorly diagnosed. Men are significantly less likely to seek support or to receive a diagnosis of stress, anxiety or depression [1]. This means that for many their condition and its consequences become significantly worse, with associated problems including alcohol, drugs, relationship breakdown, employment issues, self-harm and suicide.
These issues are more prevalent in more deprived areas, mirroring the traditional heartlands of Rugby League which developed out of the dramatic period at the end of the nineteenth Century which saw the rise of organised sport and the creation of Clubs and leagues, heavily influenced by class, finance and the place of professionalism [4].
Rugby League has a long and proud history of working closely with its local communities, with a key feature of Rugby League being its family appeal: 40 % of regular supporters are female [5] and fans of all ages attend matches and Club-related activities , often in family groups spanning the generations. Each major Club has an independent charitable Foundation which runs community-based activities with local health bodies, councils, schools and charities, providing support and activities on education, training and employment, health and well-being, heritage, social inclusion and of course sport, nutrition and physical activity. Research has shown that using sporting settings and sports clubs is an effective way of reaching local communities, particularly those who are most in need but often regarded as ‘hard to reach’, because media, fans and local people more generally are interested in the Club and the players, and see the players as role models [6–8].
Rugby League Cares (RLC) was created in 2012 to bring together the Rugby League family of charities—the Rugby League Foundation, Benevolent Fund and Heritage Trust—and acts as umbrella and coordinator for the network of local Foundations. Its mission is to enhance and enrich people’s lives through the power and positive influence of Rugby League by working with local communities to help them lead a more positive and healthy life through the delivery of high-quality sports, educational, employment, heritage and health-based activities. In 2012 alone, it worked with 600,000 people, providing services with an added value of some £6 million.
RLC, with local Foundations, therefore decided to take action to promote better mental well-being in its local communities. This Chapter looks at the experience and lessons from the first year of the 2-year project which was funded by Sport Relief.
Aims of the Project
The RLC and Sport Relief Mental Well-being Programme was set up to:
Create and deliver projects for ‘at-risk’ groups to improve mental well-being
Raise awareness of the services available and promote pathways for those in need
Build relationships between Foundations, their local communities and partners—particularly local NHS and expert charities
Increase capacity within Clubs, giving staff more confidence and knowledge about mental health
Generate new knowledge of how sport and Clubs can reach and positively influence local communities, which could be shared throughout Rugby League and more widely
How the Project Was Set Up
RLC successfully bid to Sport Relief1 for £350k funding over 2 years for RLC to work with 12 local Foundations to design and deliver a range of locally focused projects. Each could select the audience(s) they wished to work with, to reflect local skills, priorities and opportunities, provided that the project was linked to the theme of ‘mental well-being’ and the target audiences were in some way at higher risk of mental ill-health. Each Foundation was to receive £10k in each of the 2 years, subject to satisfactory progress and quarterly reporting.
Nationally, RLC appointed a project manager who provided a ‘toolkit’ including project plan templates, material on evaluation, lessons from previous projects, facts about mental well-being and national contacts as well as providing one-to-one support in reviewing plans and making contacts. Although all Foundations had track records of delivering health projects, most had less experience of mental health and in addition the initial phases of the programme coincided with a significant shift of responsibilities and personnel within Health and local government organisations. RLC also commissioned the Institute for Health and Well-being at Leeds Metropolitan University to carry out an independent review of the process to identify lessons from year 1.
Delivery of the Project
The ‘Round 27’ Mental Well-being Campaign
In September 2012, RLC, Super League Clubs, Leeds Metropolitan University, NHS Choices and the NHS Confederation collaborated to promote mental well-being to rugby league fans over one weekend. Packs of standard material were sent to Clubs including material for websites, programmes and editorials along with branded t-shirts to all Clubs for use in photos and match warm up. NHS Choices produced a bespoke webpage about mental well-being linked to an assessment tool and further information. RLC and Leeds Metropolitan University also surveyed fans at one match to find out what they thought of Rugby League promoting mental well-being.
Community Projects
Each Foundation designed and commenced delivery of a project tailored to one or more ‘at-risk’ groups within their local communities. Key elements about delivery include:
Which audiences were selected and why
What partnerships were developed and with what results
How resources were used
Foundations could choose one or more audiences within the theme of ‘mental well-being’. Most used their existing knowledge to identify the groups with which they wished to work. In many cases, this built on existing expertise (for instance, Warrington Wolves and Salford City Reds added mental well-being to their existing programmes on employment). Others used local information such as the local authority/health joint strategic needs assessment (JSNA) to identify needs and gaps (Wakefield Wildcats, Featherstone Rovers).
Foundations rely on a small number of staff as well as volunteers and input from staff and players at their Club. All set about building partnerships to ensure that appropriate expertise was to hand, referral routes were clear, and to increase available resources.
As the projects varied, Foundations used the funding in different ways, including:
Some additional staff time
Travel and subsistence for coaches and participants
Facilities including catering (often provided free—particularly by Clubs and Foundations—or at reduced rates, by partners)
Laptops and projectors in order to make better quality presentations off-site
Materials for events including tailoring existing materials for a new audience
Carrying out health checks (including costs of testing kits)
All Foundations used some of their own resources, particularly project management and partnership building, and all of their respective Clubs contributed the time and enthusiasm of their staff and players, several of whom talked openly about their own mental well-being and its importance in their professional and personal lives.