Victoria Stewart

Developing a postgraduate work-based curriculum using an Intervention Mapping Approach

ABSTRACT Advanced practitioner skill development has become an important focus in health service delivery as increasingly complex consumer needs, practice environments and national professional registration requirements impact on professional work practices. Increasingly, work-based or workplace learning experiences are being seen as an effective means for maintaining skill currency across working lives. Currently there is limited literature on pedagogical practices to support the educational and training requirements associated with development across a persons working life. This paper reports on an example of how an intervention mapping framework was used to guide the development, implementation and evaluation of a work-based praxis course for students in an interprofessional, online postgraduate mental health programme. The intervention mapping framework provided a stepped process to guide decision-making and allowed the incorporation of theory and evidence into the course design. This approach provided a stepped process to guide decision-making and allowed the incorporation of theory and evidence into the course design. While the use of the intervention mapping framework is often used within health promotion arenas, particularly for the effective design of health promotion educational programmes, it is argued that this framework can be utilised effectively when developing curriculum for use within higher education programmes.

Making mental health practitioners workforce ready

Purpose – Mental health workforce development is crucial to successful mental health care reform. A postgraduate programme was developed in 2008 at Griffith University, Australia, to address this need. The programme was developed with an interprofessional focus and in an online format to ensure access for people with work or other commitments or living in rural and remote areas. This paper aims to describe the programme and outcomes of the evaluation.Design/methodology/approach – The research involved mixed methods using semi‐structured interviews, brief sturctured interviews and a survey to allow triangulation of data. Ten people (two graduates and eight external key informants) were interviewed, 21 students who had withdrawn participated in a brief telephone interview and 20 current students completed the survey.Findings – Overall the programme was viewed as providing a relevant contemporary qualification for the mental health sector. The online delivery offered flexibility, the interdisciplinary approa...

Understanding paid peer support in mental health

Abstract This study aimed to explore, articulate and expand on existing concepts of recovery and paid peer support within consumer-operated mental health organizations. Focus groups and interviews were conducted with 32 participants to identify elements of paid peer support work in two organizations in Queensland, Australia. Participants included peer-supported consumers, paid peer support workers, managers and other key stakeholders. Through a grounded theory analysis, eight categories of paid peer support were identified. For the most part, the categories aligned well with evidence in the literature. However, two of these categories, issues of power and the ‘dark side’ of peer support, have been relatively unexplored and understated in previous studies. These findings provide an expanded understanding of the role of paid peer support as part of the recovery process in mental health service delivery. The effective use of paid peer support workers can be enhanced through attention to the issues identified.

Generating mutual recovery in creative spaces

Purpose Participation in creative activities have been linked with increased personal agency. The purpose of this paper is to address critical considerations in the development of community-based creative workshops for people experiencing severe and persistent mental illness and explores participant experiences of these workshops. Design/methodology/approach The workshops aimed to build the skills and capacities of participants and provide alternative ways to communicate identity and recovery stories. They were designed to provide a range of creative opportunities for participants (visual arts, writing, dance and music) and were facilitated by practising artists. In total, 11 participants attended ten creative workshops over three months. On completion, a focus group was conducted to gather participant views, experiences and outcomes of the workshops. Findings The creative workshops supported the recovery of participants. The inclusion of peer mentors in the workshops was an important in facilitating connectedness. Originality/value This study advances the evidence that creative arts can support the psychological and social aspects of participants’ recovery journeys. Creative activities can promote positive self-identity and reduce self-stigma for people experiencing mental illness. It highlights the importance of using evidence in the design of creative workshops and supports the use of peer mentoring in group creative processes.

Codesigned recommendations for increasing engagement in structured physical activity for people with serious mental health problems in Australia

People with mental health problems are at higher risk of physical health comorbidities and early mortality. A key risk factor for poor health outcomes is a lack of regular physical activity. Mental health services have typically responded by focusing on screening and promoting lifestyle programmes within secondary care mental health settings. The aim of this study was to better understand the barriers and enablers for Australian mental health consumers to participate in physical activity or exercise programmes from the perspectives of consumers and exercise practitioners. Interviews with 15 consumers experiencing serious mental health problems and five exercise practitioners were undertaken, followed by two focus groups (involving eight consumers and two exercise practitioners) to gain consensus on themes from the interviews, and codesign a set of recommendations for services to support and increase the engagement of mental health consumers in regular community-based exercise. Barriers that impacted on engagement in physical activity included: lack of social support, insufficient knowledge and information, difficulties with work/life balance, impact of physical and mental health issues, fear and lack of confidence, and financial cost. Enablers or motivators assisting engagement in community-based physical activity programmes included: social support, access to person-centred individualised exercise options, connection and a sense of belonging, and access to information and education. Recommendations and a checklist were developed to assist services to increase the involvement of mental health consumers in community-based exercise and to ensure that exercise practitioners and their employing organisations are adequately equipped to work with this population.

Partners in Recovery: paving the way for the National Disability Insurance Scheme

Australians experiencing severe and persistent mental illness and who require services from multiple agencies, experience a fragmented service delivery system. In 2014, the Commonwealth Government introduced the Partners in Recovery (PIR) service, which provides service coordination and flexible funding to improve outcomes for this group of people. This study presents qualitative findings from a research project that aimed to understand the experiences of PIR participants, including aspects of the planning process and the effectiveness of the PIR program in meeting their needs from the perspective of the participant, their carer or family member and other support people within their lives. Semi-structured interviews were conducted with 31 stakeholders involved in the PIR program, of which 14 were participants, 17 were members of the participants support network and three were members of a consumer and carer advisory group. Overall participation in the PIR program had a positive effect on the participants lives. Relationships with the support facilitators were seen as an important element of the process, along with a focus on recovery-oriented goals and advocacy and linking to other agencies. These findings are important for informing the roll-out of the National Disability Insurance Scheme in Australia, which will replace PIR.