Development of a staff training intervention for inpatient mental health rehabilitation units to increase service users’ engagement in activities / Sarah Cook in The British Journal of Occupational Therapy, Vol.79 N°3 (March 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°3 (March 2016) . - p.144-152 Titre : Development of a staff training intervention for inpatient mental health rehabilitation units to increase service users’ engagement in activities Type de document : texte imprimé Auteurs : Sarah Cook ; Tim Mundy ; Helen Killaspy Année de publication : 2016 Article en page(s) : p.144-152 Langues : Anglais (eng) Mots-clés : Staff training  multi-disciplinary  mental health  rehabilitation  activity  time use Résumé : Introduction This study developed a training intervention (‘GetREAL’) to change the practice of staff working in National Health Service inpatient mental health rehabilitation units in order to increase service users’ engagement in activities. Method The intervention was developed through eight consultation events and piloting in two settings, drawing on the expertise of occupational therapists, psychiatrists, organisational change specialists and service users, together with multi-disciplinary teams. Results A manual for the intervention, a fidelity checklist, an induction programme and training materials were produced. The intervention applied a three-stage change model (predisposing, enabling and reinforcing) and was informed by theories from occupational therapy and organisational development. It was delivered by psychiatrists, occupational therapists, activity workers and service users. Staff were encouraged to change their ward structures and routines as well as their practice. Clinical supervision and reflective practice were integral to the trainers’ regime. Conclusion The intervention was theoretically coherent, allied to practice and shown to be feasible to deliver. It offered tailored work-based training to the whole multi-disciplinary team, including support staff. Making activity central to rehabilitation could improve patients’ use of time and their consequent function and wellbeing. However, questions were raised about long-term sustainability of change processes. Permalink : ./index.php?lvl=notice_display&id=42947 [article] Development of a staff training intervention for inpatient mental health rehabilitation units to increase service users’ engagement in activities [texte imprimé] / Sarah Cook ; Tim Mundy ; Helen Killaspy . - 2016 . - p.144-152. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°3 (March 2016) . - p.144-152 Mots-clés : Staff training  multi-disciplinary  mental health  rehabilitation  activity  time use Résumé : Introduction This study developed a training intervention (‘GetREAL’) to change the practice of staff working in National Health Service inpatient mental health rehabilitation units in order to increase service users’ engagement in activities. Method The intervention was developed through eight consultation events and piloting in two settings, drawing on the expertise of occupational therapists, psychiatrists, organisational change specialists and service users, together with multi-disciplinary teams. Results A manual for the intervention, a fidelity checklist, an induction programme and training materials were produced. The intervention applied a three-stage change model (predisposing, enabling and reinforcing) and was informed by theories from occupational therapy and organisational development. It was delivered by psychiatrists, occupational therapists, activity workers and service users. Staff were encouraged to change their ward structures and routines as well as their practice. Clinical supervision and reflective practice were integral to the trainers’ regime. Conclusion The intervention was theoretically coherent, allied to practice and shown to be feasible to deliver. It offered tailored work-based training to the whole multi-disciplinary team, including support staff. Making activity central to rehabilitation could improve patients’ use of time and their consequent function and wellbeing. However, questions were raised about long-term sustainability of change processes. Permalink : ./index.php?lvl=notice_display&id=42947

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Learning from the margins: Enabling effective occupational therapy / Jennifer Creek in The British Journal of Occupational Therapy, Vol.80 Issue 7 (July 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 7 (July 2017) . - p. 423-431 Titre : Learning from the margins: Enabling effective occupational therapy Type de document : texte imprimé Auteurs : Jennifer Creek ; Sarah Cook Année de publication : 2017 Article en page(s) : p. 423-431 Langues : Anglais (eng) Mots-clés : ergothérapie  théorie  marginal Résumé : This study investigated the practice of occupational therapy in marginal settings to see if it could offer anything to take forward the development of occupational therapy theory and practice. Permalink : ./index.php?lvl=notice_display&id=52669 [article] Learning from the margins: Enabling effective occupational therapy [texte imprimé] / Jennifer Creek ; Sarah Cook . - 2017 . - p. 423-431. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 7 (July 2017) . - p. 423-431 Mots-clés : ergothérapie  théorie  marginal Résumé : This study investigated the practice of occupational therapy in marginal settings to see if it could offer anything to take forward the development of occupational therapy theory and practice. Permalink : ./index.php?lvl=notice_display&id=52669

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Occupational therapists as change agents in multidisciplinary teams / Helen Brian in The British Journal of Occupational Therapy, Volume 78 numéro 9 (Septembre 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 9 (Septembre 2015) . - p.547-555 Titre : Occupational therapists as change agents in multidisciplinary teams Type de document : texte imprimé Auteurs : Helen Brian, Auteur ; Sarah Cook, Auteur ; Deborah Taylor, Auteur Année de publication : 2015 Article en page(s) : p.547-555 Langues : Anglais (eng) Mots-clés : Change  mental health  emerging roles Résumé : Introduction This qualitative study explored the experiences of occupational therapists attempting to implement change within multidisciplinary teams via a 5-week training intervention. This encouraged ward staff in inpatient mental health rehabilitation units to facilitate service user engagement in activities. This study is supplementary to a randomised control trial (RCT). Method Daily diaries and training reflections completed by two therapists (P1 and P2) during the training were subjected to Framework analysis. The indexing stage of this process was completed in collaboration with the participants. Findings When implementing change, the occupational therapists encountered a number of barriers such as emotional responses and attitudes towards service users. Facilitators of change included openness, sharing knowledge and skills, and reported change. The analysis revealed a change process moving from ‘assessing the context’, to ‘building relationships’ and ‘addressing issues’ that was aided by the therapists’ high-level skills and capacity for social and self-awareness. Conclusion The process of change aligned well with the chosen three-stage model of change as well as occupational therapy philosophy. When acting as change agents, the therapists adapted and applied their clinical skills to the organisational context in accord with their core values and capacity for social and self-awareness. Permalink : ./index.php?lvl=notice_display&id=40395 [article] Occupational therapists as change agents in multidisciplinary teams [texte imprimé] / Helen Brian, Auteur ; Sarah Cook, Auteur ; Deborah Taylor, Auteur . - 2015 . - p.547-555. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 9 (Septembre 2015) . - p.547-555 Mots-clés : Change  mental health  emerging roles Résumé : Introduction This qualitative study explored the experiences of occupational therapists attempting to implement change within multidisciplinary teams via a 5-week training intervention. This encouraged ward staff in inpatient mental health rehabilitation units to facilitate service user engagement in activities. This study is supplementary to a randomised control trial (RCT). Method Daily diaries and training reflections completed by two therapists (P1 and P2) during the training were subjected to Framework analysis. The indexing stage of this process was completed in collaboration with the participants. Findings When implementing change, the occupational therapists encountered a number of barriers such as emotional responses and attitudes towards service users. Facilitators of change included openness, sharing knowledge and skills, and reported change. The analysis revealed a change process moving from ‘assessing the context’, to ‘building relationships’ and ‘addressing issues’ that was aided by the therapists’ high-level skills and capacity for social and self-awareness. Conclusion The process of change aligned well with the chosen three-stage model of change as well as occupational therapy philosophy. When acting as change agents, the therapists adapted and applied their clinical skills to the organisational context in accord with their core values and capacity for social and self-awareness. Permalink : ./index.php?lvl=notice_display&id=40395

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