**Jewish Action for Mental Health Financial Statements for the Year Ended 30 April 2024** ## **REGISTERED CHARITY NUMBER: 1190973** **Report of the Trustees and Financial Statements for the Year Ended 30 April 2024 For Jewish Action for Mental Health** ## **Jewish Action for Mental Health Financial Statements for the Year Ended 30 April 2024** ||Page| |---|---| |Report of the Trustees|1 to 7| |Independent Examiner's Report|8| |Statement of Financial Activities|9| |Balance Sheet|10| |Notes to the Financial Statements|11 to 12| **Jewish Action for Mental Health Financial Statements for the Year Ended 30 April 2024** **REGISTERED CHARITY NUMBER: 1190973** **Report of the Trustees and Financial Statements for the Year Ended 30 April 2024 For Jewish Action for Mental Health** ## **Trustees’ Annual report** The Trustees have pleasure in presenting the annual report and financial statements for the year ended 30/04/2024. The Trustees would also like to express their gratitude to all the volunteers for their support and donations that are sustaining the Charity. ## **Objective** To promote the preservation of mental health in the Jewish community and to assist in relieving and rehabilitating persons suffering from mental disorder or conditions of emotional or mental distress through the provision of support, education, advocacy and practical advice. ## **Governance and Management:** Jewish Action for Mental Health (working name JAMH) is constituted by a Trust Deed adopted on 21/08/2020. ## **Trustees:** The following individuals served as trustees during the year: Dr Sandi Mann (Chair) Belinda Rich Jonny Wineberg Bernard Yardley (Treasurer) Rabbi Benjamin Rickman Sophie Bloom Lucy Feingold The trustees serve as volunteers and details of any related party transactions are disclosed as applicable in the notes to the accounts. Recruitment and appointment of new trustees is executed in line with the trust deed taking into consideration the needs and demands of the organisation. ## **Risk Review:** The trustees have assessed the risks to which the charity is exposed, in particular those related to the operations and finances of the trust, and are satisfied that systems are in place to manage this. ## **Achievements and Performance:** The charity received £133,089 income during the year net of grants received on behalf of, and distributed to, partner charities. ## **Delivery during the year included:** - Provision of a helpline, website and email to enable clients to contact JAMH to request support. - A team providing triage services through phone appointments and a clinical lead to match clients with appropriate support or referral to other agencies. - Free therapy and counselling to 251 clients and with a database of 25 counsellors and therapists who are all registered with a professional body. - Menucha v’Simcha – suicide support group for families who have lost a family member to suicide – is a project of JAMH. They put on a Living with Grief programme for their members. - The Happiness Project was delivered with Broughton Jewish Primary School. This was a journal-based programme enabling children to take actions to improve their wellbeing. - Art sessions to address loneliness and social isolation. - Peer-led Mental Health Support group for women. - Peer Mental Health Support training giving a cohort skills in one-to-one support and group facilitation. - Continued professional development and training for therapists and counsellors serving the Manchester Jewish community. - Student placement programme matching student counsellors with clients and providing an induction programme and group supervision. - Continued facilitation of our community professionals' monthly meeting on Zoom, supporting agencies with specific cases. - Mental health workshops given to local high schools. - Continuation of the JAMHbassadors youth project, which included four training sessions and them organising an interactive event with the Chief Rabbi, including an Escape Room programme followed by ‘Chips & Chat with the Chief’. Over 50 young people were engaged and the conversation with the Chief Rabbi for adults that immediately followed involved a similar number. The outcomes included the Chief Rabbi’s call for mental health to be treated on a par with physical health. - Developed National Mass Trauma Response Unit with a group of over 25 therapists ready to provide their services pro bono available for UK wide work. - Local tennis sessions for young people to improve physical and mental health. ## **Service users supported and evidence of impact** We had 510 calls to our helplines in the year. We respond to all calls within 72 hours, with most clients being matched with a therapist within 5 working days. Clients in crisis can be matched with a therapist within 48 hrs. 206 clients have been offered counselling, 17 clients had EMDR therapy and 28 clients had CBT therapy sessions. Most clients have extended sessions of therapy. Clients range from age 9 years to adult. Over 35% of our clients are age 18 and under. Our evaluation analysis over the last year showed the following results: (Average out of 10.0) **:** - _**Mood:**_ 2.61 before, 7.15 after, a 4.54 point increase. - _**Confident of making positive choices about life**_ **:** 5.15 before, 7.82 after, a 2.67 point increase. (see graph below) **----- Start of picture text -----**
Change in Mood and Confidence due to Support
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- _**Supportiveness of approach of counsellor or therapist**_ **:** 9.42 (95.4% positive) - _**Satisfaction with support services**_ **:** 9.20 (93.9% positive) - _**Involvement improved mental health**_ **:** 8.18 (89.2% positive) Whilst the percentage of those in the positive domain for supportiveness and satisfaction were slightly down on the previous year, the average ratings are still extremely high. Both the ratings and percentage positive for improvement in mental health are significantly higher, evidencing strong outcomes for clients. This shows delivery remains very robust and we can be confident in our processes leading to excellent achievements. Where appropriate, our counsellors and therapists use GAD-7 and PHQ-9 measures with clients to record levels of anxiety and depression respectively. Below are aggregated results for the last year: It is worth noting that: - The before average for GAD (anxiety) is higher than last year but the after is lower, showing more effectiveness is addressing the issue; - Whilst the before average for PHQ (depression) is lower, the average change of over 4 points is larger than last year, also showing more effectiveness is addressing this issue. The importance of a culturally appropriate service is emphasised by the following responses from clients: The evidence that our provision, being culturally appropriate and of high quality, produces phenomenal results is unequivocal. ## **Promotional work undertaken** - We have advertised our services in the local Jewish printed media and have over 1,058 followers on our social media channels. - We advertise our group workshops via Facebook, Instagram, Twitter and WhatsApp groups including targeted information for parents’ groups. - Our group workshops are also advertised through school newsletters, as is our counselling and therapy provision, which is particularly targeted for both young people and parents. - We advertise through other Jewish communal organisations who have similar target groups, such as the local Jewish Family Centre, Manchester Jewish Federation and youth groups that target both young women and young men. - We hold community events designed to engage and spread awareness of life issues that may lead to poorer mental health. For example, we facilitate local litter picks, promotional stands at wellbeing seminars and festival parades. - We have reached up to 2,000 people when boosting Facebook posts with most reaching 600 to 750. Our Facebook engagement rates vary but continue to improve, especially where we have video content. - We have seen an uptick in self-referral following every advert in the local weekly Jewish newspaper and weekly Advertiser. These often coincide with Jewish festivals, which has an effect of increasing calls to our helpline. - Referrals from partner agencies have continued to increase following promotion at the community professionals' monthly meeting, as well as from the NHS. ## **Samples of Qualitative Feedback** - _I am so grateful to have received the support from JAMH when I needed it so badly_ - _Thank you so much for such an incredible wonderful service. It literally saved my life. I am so thankful, thank you!_ - _I will be eternally grateful for JAMH._ - _Thank you so much JAMH for all the help and support, had such a huge positive impact for me!_ - _Thank you so much JAMH for enabling us to access sorely needed therapy which we can't afford - a real life-saver - literally!_ - _Thank you so much. My therapist was fantastic for me and my needs, and I have made great progress._ - _My therapist was amazing in so many ways. I will be permanently indebted to her._ - _Keep up the great work - it saves life’s and is so needed in our community. Absolutely recommend and so glad I was able to find out about this. Thanks to everyone involved._ - _thank you so much for enabling me to access therapy which i wouldn't have been able to afford on my own_ - _JAMH is an amazing organisation please, please keep it going it’s so needed._ - _I would like to thank JAMH for the tremendous help they have given to me by providing me with free therapy. it has been really helpful and made a big difference to my life._ ## **Future Plans** We intend to continue delivering holistic provision, in partnership with other local charities where appropriate, offering befriending, mentoring, counselling, therapy, community support and group activities to those whose mental health has been affected by the COVID-19 pandemic and/or other problems. This will include: - A helpline, responding quickly to people, taking calls from those anxious, stressed, depressed or with other mental health issues followed by triage, then offering appropriate level of support; - Increasing awareness of, and widening, the support we make available with advertising in local, and social, media, plus flyers and a billboard; - Delivery of counselling and therapy sessions in person/phone/Zoom. If a client wishes, we will undertake an assessment and help them put together a personal action plan; - Preventative youth work through group activities, 1-to-1 support plus support for youth leaders in youth groups in the community. - Group arts/craft activities with art therapists supporting group delivery; - Develop a peer support group for men. - Continued professional development training for therapists - Continued facilitation of our community professionals' monthly meeting, supporting agencies with specific cases. - Sourcing an office space for our full-time project manager as well as occasional venues for future training sessions and community events. - To continue our work with the Menucha V’Simcha project. - Develop a bullying support charity as part of JAMH. - Mental health support and helpline for people to seek support if they have experienced antisemitism. - Build up relationship for referrals to JAMH from BOD, CST, and the Manchester Jewish Housing Association. - Provide culturally appropriate online mental health resources for those who may not access in-person services. - Establish specialised Support Groups to create safe spaces for individuals with shared experiences, facilitated by trained professionals. Offer both in-person and virtual options to widen accessibility. - Develop Mental Health Training for rabbis, educators, and community leaders with skills to recognise and support mental health issues, so they can be proactive in providing support. - Offering adult group workshops, teaching skills on how to how to manage anxiety and depression. - Horticultural therapy group at local allotment with increased access to the outdoor space for people with mobility issues. - Free legal clinic in collaboration with local Jewish firm of solicitors to help support people’s mental health when dealing with complex legal issues. ## **Case Studies** ## **Case Study 1** ## **Salford based, 27 year old female called phoneline in November 2023** ## **Situation before support:** The individual underwent 5 years of fertility treatment, including a number of miscarriages, before successfully having a baby. She also has a history of childhood trauma. She has a difficult relationship with her sibling who lives nearby. She has low self-esteem and struggles in her marriage due to her husband’s controlling behaviour. As it took her so long to have a baby, so is very anxious about her baby’s health. **What was done to help:** We matched her with a Charedi female therapist who specialises in CBT. Her scores were PHQ 16 and GAD 17 at start. She had an assessment session, followed by 6 sessions. After a review she had a further 6 sessions. Her goal of therapy was to lead a normal life and be a good wife and mother. She had core belief of not good enough and not normal. **Situation now:** As the sessions progressed the client learned to change her rules and assumptions and did some cognitive challenging and restructuring. She was taught how to put down boundaries and in turn feel more safe, such as saying no and agreeing to things when it is her choice to do so. Towards the end of the sessions she discovered self-care routines and the importance of self. A review and relapse plan was put in place at the ending session. Her ending scores were PHQ 10 and GAD 12. ## **Case Study 2** ## **Bury based, 30 year old female called phoneline in July 2023** **Situation before support:** Client had severe postnatal psychosis after her first baby and also had childhood trauma. She felt medication was helping her but didn’t want to be on it long-term. She was suffering from ongoing high levels of anxiety all the time and sometimes manages to function but on some days is completely catatonic. She grew up with very controlling and narcissistic parents. **What was done to help:** We matched her with a female therapist who specialises in EMDR. Her scores were PHQ 10 and GAD 14 at start. She had an assessment session, followed by 6 sessions. After a review she had a further 6 sessions. Her goal of therapy was to manage to heal from her past traumas, and not have so many triggers in her daily presence. **Situation now:** The client found the therapy sessions very beneficial as they helped to give her a space and an identity. She learnt to live without her mother’s voice in her head, that she didn’t need to please her mother or her husband and that she has choices. Therapist taught client breathing and grounding techniques. A review and relapse plan was put in place at the ending session. Her ending scores were PHQ 3 and GAD 2. Jewlsh Actlon for Mental Health Roport and Accounts 3010412024 Trustees, Annual report (contlnued) The tru8tee3 are ￿5p￿SIble for preparing the Report of the Trustees and tho fin8na81 statem•nis in accordance Iwth applicable law and Unitéd lfjngdom Generalty A￿p19￿ AGGwnting Practi￿. The law ap￿leable lo charltIes in England and Wales, the Charities Act 2011, aThJ the provislOn5 of the trust (Jeed requires the trustees lo prepare financial stslemenls foT each finanetal year which gThie 8 true arKI fair of Ihe state of affairs of the charity and of the incoming resources and application of resources, induding Ihe incorng and *xpwditure, of the charity for that year. In preparing Iho$e finan￿￿ st8tam•nts, the injstees are reqLwred to.. select suitable 8ccwntlng ptslici•s and then apply them consistently., observe the method5 and principles in the Charity SORP.. make judgments and estimates that are reasonable and prudent., prepare the finan(a81 statements on the going concem basi8 unl&s$ it is inapproprtate lo presume that the d)arity wlll ￿ntinue in business. The trustees are resp¢n$ible for kaèplng propw aceounting r8cords which disc108e wllh reasonable accur8¢y 8t any Ilme the rinan¢i?I po¥ilion of charity and lo enable them to ensure that the financial 51atements ¢omply wlth thé Charities Act 2011 ¥nd the provisions of the trust deed. They 8re 8150 re#ponyitrAÈ for Safèguarding th• ass•ts of tha charity and hen￿ for taking reasonable steps for the prevention and detection of fraud and other iryogulariti¢$. The Irustees are responsible for the mairtenance and integrity of the corporate and finand81 Information included on the Charity Comrnission web511e. Legi818tion Wi the United Kingdom govemlng thè pmparatlon and dlssèmination offin￿A81 statements may differ from legislation in other jurisdiction5. Independont Ex•min•r'. Mr G A Harri8 has ￿@fi appolntéd as Indepandtnt •xamin•r for thè ensuing yèar. This Teport was approved by the board on 20th January X125 and signèd on behalf ofthe twslees. B8mard Yardl8y Treasurer Jemsh Action for Menfal H¢alth Financial Statements for the Yaar Ended 30 April 2024 Independent Examinerfs Repcrt I report on the accounts for the ye¥r ende