Sport

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Sport Physical Activity Its Role in Public
Health.

• How participation in sport activity can reduce
  alcohol intake assist with smoking cessation
• Facilitators
• Gemma Foley
• Mark Bennett

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Who are we? and what do we do?

• Mark Bennett - Reparation officer for
  Hertfordshire Youth Justice. Qualified Rugby
  Coach, Qualified Boxercise Instructor.
• Gemma Foley Forensic Adolescent Practitioner,
  Camhs worker for Hertfordshire Youth Justice.
  Qualified Level 2 Exercise to Music Instructor.

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Why Run a Health and Well Being Group for Young
Offenders in Herts?
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Identifying a need

• Asset (assessment tool used in Youth Justice)
  identified high areas of need and risk under the
  following areas
• Drugs and alcohol high rates of alcohol, drug
  use and smoking tobacco amongst young offenders
  in Hertfordshire Area of Watford and Three
  Rivers
• Physical health high proportion of young
  offenders smoking tobacco.
• Emotional and Mental Health - High rates of
  emotional, behavioural and mental health
  difficulties.

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Reasons to carry out a health and well being group

• Facilitators have skills, qualifications and a
  specialist interest in the area of sport and
  exercise.
• It was felt that a more practical approach to
  health promotion would improve levels of
  engagement and positive outcomes for long term
  change in this client group.
• Lots of research highlighting benefits of
  exercise for both physical and emotional
  wellbeing.

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Research Evidence

• The Joseph Rowntree Foundation Report dated 17th
  June 2011. Study involved 5,700 Teenagers.
• Young people are more likely to drink alcohol if
  they have little positive activity in their
  lives
• physical activity made young people more self
  aware, proud of there physical health, take
  responsibility for their health and built their
  self confidence and body image. This made it less
  likely for them to engage in binge drinking
  behaviour

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Research Evidence

• The Guardian Newspaper (2008) Study by Positive
  Futures Project.
• almost half of teenagers questioned in the study
  said they thought more sports and leisure
  activities were the way to divert young people
  from alcohol
• Psychology of Sport Exercise May (2009) Vol 10
  (3) 381-389
• Children who spent time in sports had higher
  self esteem scores then those who did not. In
  summary Exercise is a means to promote self worth
  other important physical self perceptions like
  body image

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Aims of the Group

• To Educate and inform the group members of the
  long term and short term health implications of
  using alcohol and drugs (inclusive of smoking
  Tobacco)
• To highlight the benefits of exercise on both
  physical and mental wellbeing and provide group
  members with opportunities to experience
  engagement in some form of physical activity.
• To encourage young people to consider using
  exercise as a coping strategy to manage stress
  rather then using other maladaptive strategies ie
  alcohol, drugs and smoking.
• Overall Aim To increase Young peoples awareness
  about how to improve and maintain there health
  and well being.

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Structure of the group

• Client group YOT cases (male only) Pilot Group
• Age 14-17
• Duration 2.5 hours
• Location Community resources in Watford and
  Three Rivers District.

• Session 1 - Introduction to group / Aims and
  rules of the group. Circuits
• Session 2 - Smoking cessation. Badminton/Table
  Tennis.
• Session 3 - Drugs and alcohol. Boxing.
• Session 4- Nutrition. Football
• Session 5 Benefits of exercise on Physical and
  Emotional Health. Circuits

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Use of the Rosenberg Self esteem Scale
(Rosenberg, 1965)

• Used to assess participants levels of self esteem
  pre and post exercise.
• Tool used for every session with each participant
  to ascertain longer term gains and to encourage
  them to reflect on how they feel following
  engagement in physical activity.

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Self Esteem Outcome Measures
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Self Esteem Outcome Measures
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Self Esteem Outcome Measures
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Other Interventions used alongside Exercise

• Discussions Debates
• Space to Reflect
• Use of monitoring Systems Re Self esteem, BP
  Pulse.
• Quiz

• Obstacle course using beer goggles.
• Drug box
• Tar jar and phlegm jar
• Money and health wheels

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Positive Statements!!!

• Here are some statements made by young people
  that indicate contemplation to change!.

I might join the boxing club again
I could save how much?
Can cannabis really effect your sperm count!!!!
Smoking makes your fingers go yellow!
I am not as fit as I thought!!
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Analysis of Graphs/ Future Questions?

• Is there a significant difference in the impact
  of exercise on self esteem depending on
  intensity?
• Is there a difference between the impact of
  exercise on self esteem depending on duration of
  activity?

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Development of Group.

• To progress group across the county.
• To utilise group across both Genders ( Pilot only
  used with Male clients).
• To continue collecting Evidence using Rosenberg
  Self Esteem Questionnaire and other outcome
  measure tools i.e. carbon dioxide measures, BP
  and pulse readings.
• Opportunity to gain AQA Qualifications

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Future Considerations/ Potential Limitations

• How to implement longer term use of exercise
  after group is finished?
• Affordability
• Accessibility of services
• Sustainability (Motivation to maintain by the
  young people)

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Questions!!!!
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