Posts Tagged ‘mental health’

Comparing Support Work Practice with the Principles of Psychosocial Rehabilitation

January 18, 2011

Contributor: Barnaby D. M. Pace MNZPsS, Ass.MNZCMHN BSocSc(Hons), MSocSc(Hons), PGDipCBT, PGDipEd(AdEd)

Abstract

As mental health support work continues to grow and develop as a healthcare discipline, practitioners in the field are continuously seeking contemporary research and best practice models to enhance service delivery. Through such investigations the Core Principles of Psychiatric Rehabilitation as set by the International Association of Psychosocial Rehabilitation Services have been identified as of particular interest to support work practice. Through the aid of a literature review of contemporary New Zealand based research a comparison study was conducted between the core principles of psychosocial rehabilitation and identified support work practice. The analytical discussions had by the support worker group provided additional support for the consideration of psychosocial rehabilitation practice as a base of community support work in mental health services.

Keywords: Principles of Psychiatric Rehabilitation, Support Work Practice  

Introduction

As mental health support work continues to grow and develop as a healthcare discipline, practitioners in the field are continuously seeking contemporary research and best practice models to enhance service delivery (Pace, 2010a). Through such investigations the Core Principles of Psychiatric Rehabilitation (Figure 1.) as set by the International Association of Psychosocial Rehabilitation Services have been identified as of particular interest to support work practice. In spite of the fact that community support work was originally modeled around psychosocial rehabilitation (Carling, 1995; Caird, 2001), traditionally mental health support work in New Zealand has been confined to the use of the recovery principles (Figure 2.) (O’Hagan, 2001), which indeed have formed the cornerstone of support work practice (Cowan, 2008). However, as mental health support work in New Zealand moves towards professionalization, it is timely to revisit the psychosocial rehabilitation roots from which the discipline has grown. 

The presenting research examines a number of well regarded principles of psychosocial rehabilitation from International Association’s and recognized authors and compares them with the identified key role and function of mental health support workers. Following on from this literature comparison study, the core principles (Figure 1.) were presented to a group of currently practicing mental health support workers for comparison with how they perceive their role and function.

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Nationwide Co-existing Problems Project (CEP)

November 10, 2010

About the Project:

This is a Ministry lead project that is within Te Kokiri (the Mental Health and Addiction Action Plan 2006-2015).  The reference is 7.17 Develop a coherent national approach to co-existing mental health and substance use/abuse disorders. This also includes problem gambling.

What does this mean for NGOs?

NGOs are a key part of the mental health and addiction treatment sector.  The expectation is that ALL services are able to capably respond initially to clients who experience both mental health and addiction issues.  Services will be able to provide assessment and screening and some interventions.  Not all services are able to address those with both severe mental health and addiction issues, in which case they should be able to co-work with other services and look to develop some of their own in-house expertise / special interest in AOD.

How do we get support for this?

Throughout 2010 a series of workshops have been co-ordinated for leaders of NGOs and provider arm services in each of the DHB districts. The workshops are targeted to leaders of change to encourage systems change, service development, policy and client pathway development and workforce training.  The national project through Matua Raki (AOD workforce Development Programme) is providing networking and skill development for those in designated roles or with special interest, training opportunities around the country, and have resources on their website:

There are two key documents that assist services to reflect on their current capability:

  • Te Ariari O te Oranga: The Assessment & Management of People with Co-existing Mental Health & Substance Use Problems by Dr Fraser Todd.  This document provides a clinical framework for working with CE

  • Service Delivery for People with Co-existing Mental Health & Addiction Problems: Integrated Solutions by the Ministry of Health

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The Welfare Working Party is tackling some tough problems

September 7, 2010

Their first report outlines the issues, calling on some data that projects a gloomy future scenario. However it also speaks to the mental health and addiction communities long-held assertion about how important employment is in maintaining good health and self-esteem.

The Welfare Working Group is hosted by Victoria University’s Institute of Policy Studies; it has a comprehensive website that carries all the material that has been presented at the public meetings and an online discussion forum.  Feedback is currently being sought on the Issues paper.

It is easy to start with a cynical perspective but the invitation is clear to begin to see the problems and issues through the lens of limited resources, a creaky beneficiary system that has created dependence and the genuine need for social justice.

It is salutary to read the statistics that describe how people who begin to receive benefits from 16-17 years of age will on average stay the longest on benefits.  These are young mothers, people with disabilities including mental health and addiction issues, young people whose hope of “getting a job” is removed by fast tracking into long-term dependency.

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On Reflection

August 3, 2010

An inside view of an in-patient mental health service. Our thanks to Michael W Brown for this contribution.

“Two hours”

By, Micheal W. Brown. BCApSc. MIndS (Distinction) (Otago) Doctoral Candidate (Waikato)

At the request of a mental health practitioner, I was asked to write about my experiences of the Henry Rongomau Bennett Centre Hamilton.  This is my retelling of a story; an experience that transcended and informed my reality of what it is that is “real” for me. 

This story was written five days after my release from the Mental Health Ward at the Henry Rongomau Bennett Centre, Waikato Hospital.  

My Hubris:

In my attempt to end my life, to “right the wrongs” that I felt I had been implanted in the consciousness of those people who loved me the most; my wife; my children; my whānau and friends, I irreparably hurt these people. By engaging in dysfunctional, yet enlightening experiences of self discovery, I become an “actor” in my own play; a play that embodied a theme of destruction; a play culminating in my hubris, my tragedy. Thus, I take full and absolute ownership of the experiences that led to my admission into the Henry Rongomau Bennett Centre(more…)


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