Making peer-focused self-management programmes work in public mental healthSatinsky, Emily; Crepaz-Keay, David; Kousoulis, Antonis
2018 The Journal of Mental Health Training Education and Practice
doi: 10.1108/jmhtep-08-2017-0052
The purpose of this paper is to review the Mental Health Foundation’s experiences designing, implementing and evaluating peer-focused self-management programmes. Through a discussion of barriers and good practice, it outlines ways to be successful in making such projects work to improve mental health and wellbeing among at-risk populations.Design/methodology/approachA total of 11 Mental Health Foundation programmes implemented over the past ten years were reviewed through reading manuals and publications and interviewing programme managers. Key data were extracted from each programme to analyse trends in aims, outcomes and recommendations.FindingsThrough a focus on peer-work, programmes taught individuals from a variety of societal sectors self-management skills to effectively deal with life stressors. Through sharing in non-judgmental spaces and taking ownership of programme design and content, individuals realised improvements in wellbeing and goal achievement.Practical implicationsGood practice, barriers and recommendations can be taken from this review and applied to future peer-focused self-management programmes. By better embedding quantitative and qualitative evaluations into programme development and implementation, programmes can add to the evidence base and effectively target needs.Originality/valueThis review lays out valuable experience on an innovative community service paradigm and supports the evidence on effectiveness of peer-focused self-management programmes with a variety of group populations.
Initial evaluation of a university dementia awareness initiativeParveen, Sahdia; Haunch, Kirsty; Kerry, Fionnuala; Oyebode, Janet
2018 The Journal of Mental Health Training Education and Practice
doi: 10.1108/jmhtep-11-2017-0063
The purpose of this paper is to describe a study which explored the knowledge and attitudes of university students towards people living with dementia, and developed and tested a dementia awareness workshop, dementia detectives: university edition, designed to improve knowledge and foster positive attitudes to dementia in students.Design/methodology/approachDementia detectives: university edition was launched during dementia awareness week and five workshops were delivered to university students. In total, 42 participants attended and completed a knowledge and attitude measure before and after the workshop, as well as rating the workshop with regards to satisfaction, relevance, understanding and whether they would recommend the workshop to friends.FindingsStudents perceived living with dementia to be a negative and stigmatised experience. The workshop scored highly in terms of satisfaction, relevance and understanding and all students stated that they would recommend the workshop to others. Paired t-tests found significant improvements in self-assessed dementia knowledge.Research limitations/implicationsThis was a pilot evaluation and further testing with larger samples is required.Practical implicationsThe workshop meets the requirements for tier 1 dementia education and training as outlined in the Dementia Core Skills and Knowledge Framework published by the Department of Health.Social implicationsThe workshop has the potential to increase knowledge, change attitudes, improve empathy and contribute to the development of a dementia aware workforce through undergraduate education.Originality/valueDementia detectives: university edition is a novel interactive method of dementia education and training.
A unique regional family interventions training programmeBurbach, Frank R.; Sherbersky, Hannah; Whitlock, Ragni; Rapsey, Estelle H.; Wright, Kim A.; Handley, Rachel V.
2018 The Journal of Mental Health Training Education and Practice
doi: 10.1108/JMHTEP-03-2018-0015
PurposeThe purpose of this paper is to describe the University of Exeter Family Interventions (FIs) training programme for the South West region which was commissioned as part of the NHS England Access and Waiting Times standards (A&WTS) initiative for early psychosis. This programme (10 taught days and 6 months of supervised practice) is designed to maximise implementation in practice.Design/methodology/approachThe programme introduces students to a flexible, widely applicable FI approach which integrates cognitive behavioural/psycho-educational and systemic approaches. It refreshes and develops CBT-based psycho-social intervention skills, so that clinicians feel confident to use them in family sessions and integrate these with foundation level family therapy skills. The approach facilitates engagement, and it is designed so that every session is a “mini intervention”. This enables clinicians to offer standard NICE-concordant FI or a briefer intervention if this is sufficient to meet the particular needs of a family.FindingsThis paper provides details of the regional training programme and evaluates the first four training courses delivered to nine early intervention in psychosis teams. It considers how a combination of training a critical mass of staff in each service, ongoing supervision, regional events to maintain skills and motivation to deliver FI, and the national and regional auditing of FI as part of the A&WTS all contribute to clinical implementation.Originality/valueThe unique design of this programme maximises implementation in practice by virtue of its widely applicable integrated FI approach, the focus on ongoing skills development and by embedding it within regional and local service support structures.
Reflections on developing a blended learning recovery programme for family carers of people who have mental ill-healthFox, Joanna; Smith, Anne-Marie; Kenedler, Lizzie; Evangelinos, George
2018 The Journal of Mental Health Training Education and Practice
doi: 10.1108/jmhtep-03-2017-0016
The purpose of this paper is to reflect on the development of a recovery-oriented training programme for mental health care-givers. It also considers the effectiveness of using participatory research methods that promote involvement of people with diverse expertise to co-produce this programme. It presents a rationale for developing recovery-oriented training, which employs blended learning, comprising face-to-face and e-learning.Design/methodology/approachA small advisory group consisting of professionals, experts-by-experience (service users) and -by-caring (care-givers) and an academic developed a blended learning programme about the recovery approach for mental health carer-givers. This paper details the participatory approach supported by an action research cycle that contributed to the design of the programme, and the specific impact of experiential knowledge on its development.FindingsReflections on the advisory group process are described that led to the co-production of the course. This leads to consideration of the value of using this research approach to develop a carer-focused programme. The content of the recovery-oriented training programme is presented which adopts blended learning. This leads to discussion of potential of this format to improve carers’ access to training.Originality/valueIt is proposed that this recovery-oriented course, building on a previous study, has the potential to positively influence outcomes for the training programme participants (the care-givers) and the person they support. It is suggested that blended learning may in part overcome some of the barriers carers experience to accessing and participating in traditional interventions. Reflections on the process of co-production underline the value of participatory research in designing this recovery-oriented course for carers.