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Role Emerging Placement: A Health Promotion Group for Mental Health Service Users

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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)

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Role Emerging Placement: A Health Promotion Group for Mental Health Service Users

  1. 1. Role Emerging Placement:A Health Promotion Group for Mental Health Service Users<br />Jennifer Heath and Angela McCarthy-Grunwald<br />University of Cumbria<br />Brighton May 2010<br />
  2. 2. Setting the Scene:<br /><ul><li>Two second year MSc pre-registration Occupational Therapy students
  3. 3. Role emerging practice placement
  4. 4. Adult mental health unit
  5. 5. Wellbeing group running for five weekly sessions</li></li></ul><li>Identifying the gap <br /><ul><li>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’ </li></ul> (New Horizons, 2009)<br /><ul><li>Addition to management of mental health conditions – existing structures and care </li></li></ul><li>Identifying the evidence<br /><ul><li>Foresight Report on Mental Capital and Wellbeing (2008)
  6. 6. ‘Connect, Be Active, Keep Learning, Take notice, Give’ (Foresight Report, 2008)
  7. 7. Recovering Ordinary Lives: The Strategy for Occupational Therapy in Mental Health Services (COT, 2006)</li></li></ul><li>Aims and objectives<br />Building therapeutic relationships<br />Encouraging active choice making (using decision making and problem solving skills)<br />To create an inclusive, supportive environment for each session (building on communication skills and social skills)<br />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<br />
  8. 8. Processes<br /><ul><li>Session 1: Connect – a planning session, developing suggested taster sessions
  9. 9. Activity Analysis using Canadian Model of Human Occupation – searching for evidence
  10. 10. Individual sessions aims and objectives
  11. 11. Session Plan
  12. 12. Risk Assessment
  13. 13. Evaluation: ongoing assessment and service user evaluation</li></li></ul><li>The sessions<br />Group activities<br />Foresight themes<br />Planning with tea & biscuits<br />Walk, taking photographs<br />Relaxation & meditation<br />Guitar playing<br />Yoga/stretching to music<br />Evaluation and Meal out<br />Connect<br />Be curious<br />Learn<br />Be active<br />Give<br />
  14. 14. Outcomes<br /><ul><li>Our assessment tool: measuring skills appropriate to aims of group such as;problem solving, decision making, communication, social skills
  15. 15. Clinical Outcomes:Active choice making within groupEngagement in occupationContribution to Care Plan Review Development of new skills</li></li></ul><li>Feedback<br />The clients:<br />“A fun way to spend time”<br />Particularly good: clients’ choices accommodated<br />The staff team:<br />Good example of successful engagement<br />Wanted to repeat it every 6 months<br />The educator:<br />Group met its objectives significantly well<br />Asked if local Trust could use the work again<br />
  16. 16. Limitations<br /><ul><li>Link in with team more
  17. 17. Train staff member to continue
  18. 18. Time
  19. 19. Assessment: subjectiveself reported evaluation – perhaps individual sessions would be useful in addition</li></li></ul><li>Reflections & Conclusions<br />Importance of support<br />Commitment to service user involvement<br />Recovering Ordinary Lives – policies and networks<br />Social inclusion<br />
  20. 20. Contact Details<br />eejennifer5@hotmail.com<br />angelamccarthygrunwald@sky.com<br />University of Cumbria<br />

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