Role Emerging Placement: A Health Promotion Group for Mental Health Service Users
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Role Emerging Placement: A Health Promotion Group for Mental Health Service Users Jennifer Heath and Angela McCarthy- Grunwald University of Cumbria Brighton May 2010
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Jennifer Heath and Angela McCarthy-Grunwald, occupational therapy students of the University of Cumbria, discuss their role-emerging practice placement in an adult mental health unit. COT Annual Conference 2010 (22-25 June 2010)
Transcript of Role Emerging Placement: A Health Promotion Group for Mental Health Service Users
Role Emerging Placement:A Health Promotion Group for Mental
Health Service UsersJennifer Heath and Angela McCarthy-Grunwald
University of CumbriaBrighton May 2010
Setting the Scene:• Two second year MSc pre-registration Occupational
Therapy students
• Role emerging practice placement
• Adult mental health unit
• Wellbeing group running for five weekly sessions
Identifying the gap • Focus on wellbeing:
‘a positive state of mind and body, feeling safe and able to cope, with a sense of connection with people, communities and the wider environment.Well-being is therefore distinct from mental illness. Someone can have symptoms of a mental illness and still experience well-being just as a person with a physical illness or long-term disability can’
(New Horizons, 2009)
• Addition to management of mental health conditions – existing structures and care
Identifying the evidence• Foresight Report on Mental Capital and Wellbeing (2008)
• ‘Connect, Be Active, Keep Learning, Take notice, Give’ (Foresight Report, 2008)
• Recovering Ordinary Lives: The Strategy for Occupational Therapy in Mental Health Services (COT, 2006)
Aims and objectivesBuilding therapeutic relationshipsEncouraging active choice making (using decision
making and problem solving skills)To create an inclusive, supportive environment for
each session (building on communication skills and social skills)
To encourage people to make use of local facilities, groups and programmes by having a go in the secure environment of the group and then signposting to other services
Processes• Session 1: Connect – a planning session, developing
suggested taster sessions• Activity Analysis using Canadian Model of Human
Occupation – searching for evidence• Individual sessions aims and objectives• Session Plan• Risk Assessment• Evaluation: ongoing assessment and service user
evaluation
The sessionsForesight themes Group activities
ConnectBe curiousLearn
Be activeGive
Planning with tea & biscuitsWalk, taking photographsRelaxation & meditationGuitar playingYoga/stretching to musicEvaluation and Meal out
Outcomes• Our assessment tool: measuring skills appropriate to aims of
group such as;problem solving, decision making, communication, social skills
• Clinical Outcomes:Active choice making within groupEngagement in occupationContribution to Care Plan Review Development of new skills
FeedbackThe clients:
“A fun way to spend time”Particularly good: clients’ choices accommodated
The staff team:Good example of successful engagementWanted to repeat it every 6 months
The educator:Group met its objectives significantly wellAsked if local Trust could use the work again
Limitations• Link in with team more
• Train staff member to continue
• Time
• Assessment: subjectiveself reported evaluation – perhaps individual sessions would be useful in addition
Reflections & Conclusions
Importance of support
Commitment to service user involvement
Recovering Ordinary Lives – policies and networks
Social inclusion
