SH7064 - Mental Health Promotion and Recovery (2017/18)
|Module specification||Module approved to run in 2017/18|
|Module title||Mental Health Promotion and Recovery|
|Module level||Masters (07)|
|Credit rating for module||20|
|School||School of Social Professions|
|Total study hours||200|
|Running in 2017/18||
This is a core module aimed at anyone whose work requires a focus on promoting mental well-being with emphasis upon recovery and includes those working on policy, or providers of primary health or mental health services, or a wide range of other types of voluntary, public, or private sector services. It aims to provide students with a broad knowledge base from which to construct and critique interventions designed to promote mental health and/or prevent mental ill-health. Students will examine and analyse structures and support at the individual and service provider levels, and at community and policy levels. This module also reflects on the support valued by people coping with mental ill-health, and on the types of support and treatment that they seek from primary and secondary care services. It will also explore the social exclusion and sense of devaluation a person with a diagnosis of mental illness might experience, and how this might be counteracted. Self management of symptoms and valued coping responses are considered. The concept of recovery is now core to mental health policy and practice and students will be required to identify and critique these developments alongside strategies designed to promote wellbeing.
Prior learning requirements
This module aims to provide a theoretical and evidence based framework to help those interested in incorporating both the prevention of mental illness and the promotion of mental health into their practice with individuals and/or their policy and strategy across communities. Throughout this module it will look to acknowledge the notion of recovery from mental ill-health and how the delivery of promotion or prevention strategies needs to be negotiated with those that are experts by experience.
It aims to:
• Examine the concepts, theory and evidence relating to mental ill-health prevention and mental health promotion;
• Analyse relevant research and service user recommendations for implications for supportive intervention at individual and service delivery levels, and also in strategic community level planning;
• Evaluate the evidence that specific interventions can make a difference;
• Enable individuals and practitioners to reflect on policy and practice and how recovery is reflected in mental health policy.
• Enable the individual to appraise current policy, law and service provision from the perspective of the service user.
The module will include a historical overview of related developments, from Clifford Beers to the present day, and an analysis of key concepts. It will place mental ill-health in context in terms of its prevalence and cost to individuals and society, and current priority in policy. It will then explore the knowledge base for policy and practice development in mental health promotion, drawing first of all on the insights from those deemed as 'experts by experience'. This will include a consideration of mind and body, and the links between physical and mental well-being. An emphasis on a holistic focus, and self-determination and control will feature in much of this and other evidence as part of the wider recovery model. The current state of research knowledge relating to the onset and course of diagnosed disorders will also inform examinations of opportunities for intervention. This will focus in turn on children and families, children in care, schools, and primary care, then on family work and psycho-education for preventing relapse of psychotic illness, and on strategies that strengthen communities, inclusion, and participation.
The role of stigma, the social construction of mental illness, and the role of the media will be discussed, as well as issues related to inequalities, culture, gender and ethnicity. The possibilities for reducing suicides will be reviewed, and the module will reflect on the role of hope, social inclusion and self management and peer support approaches in aiding recovery from mental ill-health, and on the types of support and treatment that a recovery perspective implies are required from primary and secondary care services. It explores the exclusion and sense of devaluation as a person that can result from a diagnosis of mental illness. The concept of recovery is now core to mental health policy and practice and students will be required to identify and critique these developments.
It will address core health policy e.g. 'No Health without Mental Health' (DH 2011) and its impact on wider community mental health care. It will cover theory and practice of mental health in a range of health and social care settings, from a practitioner, service user, service management and societal perspective. This will include engaging with complex issues such as minority needs, the balance between care and control, the role played by mental health law and human rights law and the media. The role played by service users in shaping current policy and practice is central. The implications of a concern for mental health promotion and wellbeing are considered, along with ensuring that services are underpinned by the recovery model of mental health care, and that physical health needs of people with mental illness are not neglected. Data collection and monitoring for the purposes of planning and evaluating service provision is also covered, as is working across boundaries (primary - secondary care; health - social care), referral pathways, and partnership working.
Learning and teaching
Will consist of a structured programme of both formal lectures and seminars. It will explore existing methods and mediums in the application of mental health promotion, prevention and recovery through group discussion. The profile of the course, copies of lectures, some key reading materials, and web links will be available on WebLearn.
Students will also be required to present their mental health promotion or mental illness prevention and recovery proposal to the larger group toward the end of the module.
Students are recommended to read one or 2 of the listed papers for each week as a minimum. To assist selection, at least one reference is marked with an asterisk as particularly central.
At the end of this module students should be able to:
1. Discuss how mental health promotion and mental illness prevention relate to wider health issues and mental health social discourse
2. Develop an evidence based mental health promotion or mental illness prevention strategy
3. Critique policy and practice from the perspective of those who are 'experts by experience'
4. Explain the wider social structures, cultural and societal influences on well-being
5. Critically analyse the concepts of social exclusion and devaluation, how these might be counteracted
The assessment is designed to evaluate the students’ understanding of the theory, evidence base and practice of mental health promotion and mental ill-health prevention underpinned by recovery model and to relate these to wider health and social care developments as well as social structures and policies. It will aim to achieve this in 2 parts.
Part 1: An individual presentation of a mental health promotion or mental illness prevention strategy aimed at either individuals or local populations, explaining the evidence base for its expected effect (how and what should change and why from theory and research), and any evaluative data on effectiveness from related experimental or service evaluation data. (LO 1 and 2). Students may use a range of communication mediums such as PowerPoint, poster, or short film (up to between 1-2 minutes) and may supplement this with a short report of 500-1000 words (optional).
Part 2: A 3000 word essay on social structures, cultural or societal influences on mental well-being, including reflections drawn from service user literature in respect of the recovery model (LO 3, 4 and 5). Essay titles will be supplied from which students can work from.
Andresen, R., Caputi, P, & Oades, L. (2006) Stages of recovery instrument: development of a measure of recovery from serious mental illness. Australian and New Zealand Journal of Psychiatry, 40, 972–980
Barry, M. & Jenkins, R. (eds) (2006) Implementing Mental Health Promotion. Churchill Livingstone
Basset T ed (2004) Looking to the future; key issues for contemporary Mental health Services. Pavilion
Borg, M. & Kristiansen, K. (2004) Recovery–oriented professionals: Helping relationships in mental health services. Journal of Mental Health, 13, 493–505
Davidson, L. (2008) Recovery – Concepts and Application. Devon Recovery Group (www.scmh.org.uk)
Davidson, L., O’Connell, M., Tondora, J. et al. (2006) The ten top concerns about recovery encountered in mental health system transformation. Psychiatric Services, 57, 640-645
Dinniss, S., Roberts, G., Hubbard, C., Hounsell, J. & Webb, R. (2007) User–led assessment of a recovery service using DREE M. Psychiatric Bulletin, 31, 124–127
Goldberg, D. and Goodyear, I. (2005) The Origis and Course of Common Mental Disorders. London: Routledge
Huppert, F., Baylis, N. & Keverne, B. (Eds) (2005) The Science of Well-being. Oxford University Press
Kelly, L. & Regan, L. (2000) Childhoods marked by abuse and violence: legacies of harm. Chapt 6 in Hosin, A. (ed) Essays on issues in applied developmental psychology and child psychiatry. Edwin Mellen.
Kessler, D. et al (2002) Detection of depression and anxiety in primary care: a follow-up study. Brit Med J 325 1016-1017
Seligman, M.E.P. (2002) Authentic Happiness. New York: Free Press
Singleton, N. et al (2001) Psychiatric morbidity among adults living in private households, 2000. Office for National statistics. HMSO (update of Meltzer, H et al 1995) and see www.statistics.gov.uk
Sproston, K & Nazroo,J. (2002) Ethnic Minority Psychiatric Illness Rates in the Community (EMPIRIC) - Quantitative Report. London: HMSO. www.doh.gov.uk/public/empiric.pdf
Tyrer, P. & Steinberg, D. (2005 4th edition) Models for Mental Disorder: conceptual models in Psychiatry. Wiley
Warner, R. (2004) Recovery from Schizophrenia. Brunner-Routledge
Wilkinson, R.G. (2005) The impact of inequality: how to make sick societies healthier. Routledge
Brooker C & Repper J (1998) Serious Mental Health Problems in the Community. London Bailliere Tindall