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A practice development programme to promote the use of the Model of Human Occupation: contexts, influential mechanisms and levels of engagement amongst occupational therapists
- Authors:
- MELTON Jane, FORSYTH Kirsty, FREETH Della
- Journal article citation:
- British Journal of Occupational Therapy, 73(11), November 2010, pp.549-558.
- Publisher:
- Sage
This study aimed to evaluate a multifaceted, organisation-wide practice development programme in a NHS mental health and learning disabilities trust. The study used an in-depth qualitative, multi-method realistic evaluation to examine individual differences in the integration of the Model of Human Occupation (MOHO) in occupational therapists' daily practice. A stratified sample of the 74 occupational therapists was achieved using a self-report survey. Semi-structured interviews at three time points, practice observation and documentation audit continued until saturation appeared highly likely and categories were well elaborated. The findings indicated that environmental contexts, particularly the support of the immediate team, and the therapist's personal circumstances influenced MOHO use. The mechanisms that acted as catalysts for practice change were: building confidence; finding flow; accumulating reward; conferring with others; constructing know-how; and channelling time. Four stages of MOHO integration, characterised as ‘In the Hangar’, ‘On the Runway’, ‘Take-off’ and ‘In the Air’, were identified. The article concludes that most studies of the uptake of practice development programmes treat people as relatively homogeneous, but they are not. Greater attention to individual differences, the mechanisms underpinning successful engagement and influencing contexts may result in better outcomes from practice development investments.
Journal of Mental Health Training Education and Practice
- Publisher:
- Emerald
The Journal has a particular interest in developing an evidence base for workforce development, education and training, informing workforce design and planning, supporting and maintaining a healthy and committed workforce, developing a capable workforce in line with emerging policy agendas, integrating workforce and service development to create better outcomes for service users and carers and translating workforce policies into practice. Articles from this journal are abstracted and indexed selectively on Social Care Online.
Journal of Mental Health Workforce Development
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
This journal aims to cover the challenges facing the mental health workforce. It aims to provided a useful focus on: informing workforce design and planning; education and training practice; disseminating new ways of working across professional boundaries; highlighting service user and carer contributions to workforce issues; and translating workforce policies into practice. The journal includes peer-reviews articles, national and international features. This journal is now published under the title of the Journal of Mental Health Training, Education and Practice.
Digital inclusion in mental health: a guide to help increase choice and improve access to digital mental health services
- Author:
- ASSOCIATION OF MENTAL HEALTH PROVIDERS
- Publisher:
- Association of Mental Health Providers
- Publication year:
- 2020
- Pagination:
- 39
- Place of publication:
- London
This guide aims to help mental health service providers to ensure all individuals in need of mental health services have choice in the care they receive, and nobody is excluded due to a lack of digital access, confidence or skills. It will help mental health providers evaluate where they are now in terms of digital inclusivity and sets out practical steps for improvement, based on existing good practice and ideas from those who provide and access services. It includes case studies from across providers in England, reflections from individuals who access services of their experiences and challenges, and top tips and ideas for addressing these challenges. The guide is split into four key themes for service leads and organisation boards, each with questions to help them evaluate where their organisation is currently in relation to achieving digital inclusion. The four themes are: improving user access; building skills and confidence; supporting the workforce; and governance and accountability. (Edited publisher abstract)
Safe, sustainable and productive staffing: an improvement resource for mental health services
- Author:
- NATIONAL QUALITY BOARD
- Publisher:
- NHS Improvement
- Publication year:
- 2018
- Pagination:
- 43
- Place of publication:
- London
- Edition:
- 1st ed
A guide to help standardise staffing decisions for mental health services in community and inpatient settings. This resource is designed to help commissioners and providers of NHS commissioned services, create, review and sustain safe and effective specialist health services for people with mental health needs of all ages. The resource draws on evidence from a commissioned rapid review of literature and professional review of practice. It aims to provide principles and an assurance framework to help standardise approaches to making decisions about staffing in a multidisciplinary mental health setting, within organisations and across the system supporting the patient experience and outcomes. (Edited publisher abstract)
Improving access to mental health services: sixteenth Report of Session 2016-17: report, together with formal minutes relating to the report
- Author:
- GREAT BRITAIN. Parliament. House of Commons. Committee of Public Accounts
- Publisher:
- House of Commons
- Publication year:
- 2016
- Pagination:
- 78
- Place of publication:
- London
Examines how to improve mental health support and access to services, focusing on costs and funding, workforce planning and training and retention and working across organisational boundaries, and people’s experience of mental health services. One in four adults is diagnosed with a mental illness at some point in their lives, but only around a quarter of people estimated to need mental health services have access to them. The Department of Health and NHS England have an ambition to improve mental health services but, given the current pressures on the NHS budget, the Committee is sceptical about whether this is affordable, or achievable without compromising other services. The report argues that achieving ‘parity of esteem’ between mental and physical health is a task for the whole of government. The challenge is to build joined-up, well-configured services within the health system and across other parts of government that provide people in all areas of the country with access to the services they need, near to where they live. Achieving parity of esteem will also depend on the health system having the right staff, with the right skills in the right places. Staff costs represent the largest part of the cost of services. But the workforce needed to achieve parity of esteem, and the consequential cost, is poorly understood. The report also suggests that better information is needed to assess the gap between current mental health services and need so that this can be used to inform planning and decision making. (Edited publisher abstract)
Enhancing recovery orientation within mental health services: expanding the utility of values
- Authors:
- WILLIAMS Virginia C., et al
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 11(1), 2016, pp.23-32.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to review the role of values within contemporary mental health recovery services, outlining the rationale and approach for a specific values-focused staff intervention to promote autonomously motivated uptake of recovery-oriented practices. Design/methodology/approach: Recent advances in understanding of the enduring gap between ideological and applied acceptance of personal recovery within mental health services are outlined, with particular focus on the limited utility of training programmes as a means to promoting implementation. Frequently, mental health service organisations have adopted recovery policies in a primarily 'top-down' fashion standing in contrast to the high autonomy approaches espoused for service users. Drawing from the extensive research related to Self-Determination Theory (SDT), a complementary focus on 'bottom-up' approaches that enable service-delivery staff to develop a sense of autonomy for changed work practices in order to increase implementation is indicated. Findings: Application of values-focused interventions for mental health recovery staff parallel to the approaches acknowledged as effective for service participants are likely to be effective in promoting implementation of newly trained recovery-oriented practices. Research limitations/implications: The paper is conceptual in nature and therefore reflects the priorities and views of the authors but the paper draws together well-established literature to develop a novel approach to a highly relevant issue. (Edited publisher abstract)
Public mental health leadership and workforce development framework: confidence, competence, commitment
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2015
- Pagination:
- 35
- Place of publication:
- London
A framework to help develop public health leadership and workforce capability in mental health. It identifies some core principles for the workforce as well as six key ambitions, which are: leaders advocate for the mental health of citizens as a valuable resource for thriving communities and economies; a public health specialist workforce that has expertise to lead mental health as a public health priority; a local workforce working with communities to build healthy and resilient places; frontline staff are confident and competent in communicating with people about mental health and supporting them to improve it; frontline staff are confident and competent in recognising signs of mental distress and supporting children, young people, parents and adults appropriately; and the health and social care workforce has the knowledge and skills to improve the health and wellbeing of people with a mental illness and reduce mental health inequalities. Each ambition outlines current priorities and suggests key competencies that need to expand and grow to ensure mental health is genuinely addressed with the same energy and given the same priority as physical health. (Edited publisher abstract)
Creating a recovery focused workforce: supporting staff well-being and valuing the expertise of lived experience
- Authors:
- WALKER Liz, PERKINS Rachel, REPPER Julie
- Journal article citation:
- Mental Health and Social Inclusion, 18(3), 2014, pp.133-141.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to argue that if mental health services are to genuinely support the recovery of those who they serve then recovery principles must permeate all facets of the organisation, in particular human resources and workforce development. Design/methodology/approach: This paper draws on the principles of recovery-focused approaches to people who use services and explores how these might guide a recovery-focused approaches to human resources and workforce issues. Findings: The recovery principles like recognising and utilising the expertise of lived experience, co-production and shared decision making, peer support, focusing on strengths and becoming an expert in your own self-care all have as much relevance for creating a recovery-focused workforce as they do in the recovery journeys of those who use services. Everyone who uses services is “more than a mental patient” and everyone who provides services is “more than a mental health practitioner” – we need to use all the assets that everyone brings. Originality/value: Although there has been a great deal of discussion about the features of recovery-focused services, there has been little, if any, consideration of extending the principles of recovery to human resources. The aim of this paper is not to offer a blue print but to begin an exploration of what a recovery-focused approach to workforce issues might look like. (Publisher abstract)
Starting today: the future of mental health services: final inquiry report
- Author:
- MENTAL HEALTH FOUNDATION
- Publisher:
- Mental Health Foundation
- Publication year:
- 2013
- Pagination:
- 66
- Place of publication:
- London
More is spent across the UK on mental health services than on any other area of health. The economic impact of poor mental health is estimated to be over £100 billion to the economy each year in England alone. Despite this, we know that the care and treatment offered to people with mental health problems is variable. This final report of the Mental Health Foundation's year-long Inquiry into the future of mental health services sets out some key messages as to what mental health services need to do, to ensure that they are ready to tackle the mental health needs of the UK population in 20-30 years’ time. It indicates that while mental health services are already straining at the seams, they face even greater pressures in the future: a growing, and ageing population; persistently high prevalence rates of mental disorders among adults and children; increasing levels of co-morbid mental and physical health problems; and funding constraints that are likely to last for many years. The Inquiry looked at some key demographic and societal factors which will affect future mental health services. Six key themes are identified to make mental health services fit for purpose for the 21st century: personalising services; integrated care; health needs across the life span; workforce development; research and new technologies; and public mental health. (Edited publisher abstract)