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Arblaster K, Mackenzie L, Buus N, Chen T, Gill K, Gomez L, Hamilton D, Hancock N, McCloughen A, Nicholson M, Quinn Y, River J, Scanlan JN, Schneider C, Schweizer R, Wells K. Co-design and evaluation of a multidisciplinary teaching resource on mental health recovery involving people with lived experience. Aust Occup Ther J 2023. [PMID: 36704991 DOI: 10.1111/1440-1630.12859] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 12/16/2022] [Accepted: 01/09/2023] [Indexed: 01/28/2023]
Abstract
BACKGROUND Students from a range of health disciplines need to learn from people with lived experience of mental distress and recovery to develop recovery capabilities for mental health practice. AIMS The aims of this study are to describe the co-design of a teaching resource, to explore the experience of people with lived experience during the resource development, and to evaluate the outcome of the resource on student recovery capabilities. METHOD Using a sequential mixed method, a project group consisting of six people with lived experience and 10 academics from five health disciplines was convened to co-develop teaching resources. People with lived experience met independently without researchers on several occasions to decide on the key topics and met with the research team monthly. The teaching resource was used in mental health subjects for two health professional programmes, and the Capabilities for Recovery-Oriented Practice Questionnaire (CROP-Q) was used before and after to measure any change in student recovery capabilities. Scores were compared using the Wilcoxon signed rank test. The people with lived experience were also interviewed about their experience of being involved in constructing the teaching resources. Interviews were audiotaped, transcribed, and analysed thematically. RESULTS The finished resource consisted of 28 short videos and suggested teaching plans. Occupational therapy and nursing student scores on the CROP-Q prior to using the educational resource (n = 33) were 68 (median) and post scores (n = 28) were 74 (median), indicating a statistically significant improvement in recovery capability (P = 0.04). Lived experience interview themes were (i) the importance of lived experience in education; (ii) personal benefits of participating; (iii) co-design experience; and (iv) creating the resource. CONCLUSION Co-design of teaching resources with people with lived experience was pivotal to the success and quality of the final product, and people with lived experience described personal benefits of participating in resource development. More evidence to demonstrate the use of the CROP-Q in teaching and practice is needed.
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Affiliation(s)
- Karen Arblaster
- Research and Strategic Partnerships, Nepean Blue Mountains Local Health District, Penrith, NSW, Australia
| | - Lynette Mackenzie
- Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
| | - Niels Buus
- Monash Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia
| | - Timothy Chen
- School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
| | - Katherine Gill
- Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
| | - Lisa Gomez
- Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
| | - Deborah Hamilton
- Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
| | - Nicola Hancock
- Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
| | - Andrea McCloughen
- School of Nursing, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
| | - Margaret Nicholson
- Nutrition & Dietetics Group, School of Life & Environmental Sciences, Faculty of Science, The University of Sydney, Camperdown, NSW, Australia
| | - Yvette Quinn
- Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
| | - Jo River
- Faculty of Health, University of Technology, Sydney, NSW, Australia
| | - Justin Newton Scanlan
- Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
| | - Carl Schneider
- School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
| | - Richard Schweizer
- Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
| | - Karen Wells
- Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
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Chuah CPT, Honey A, Arblaster K. 'I'm institutionalised … there's not much I can do': Lived experience of housing related delayed discharge. Aust Occup Ther J 2022; 69:574-584. [PMID: 35614559 PMCID: PMC9790350 DOI: 10.1111/1440-1630.12821] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Revised: 04/02/2022] [Accepted: 05/05/2022] [Indexed: 12/30/2022]
Abstract
INTRODUCTION Delayed discharge from inpatient mental health units is the continued hospitalisation of consumers after being assessed as ready to be discharged. This is common in adult inpatient mental health services and is usually due to a lack of appropriate housing for discharge. Research indicates a range of possible negative impacts, but no studies have explored consumers' perspectives on this issue. This study explores consumers' perspectives of the experience of housing related delayed discharge (HRDD). METHOD Using a grounded theory approach, in-depth interviews were conducted with 10 consumers. All consumers were experiencing HRDD from inpatient mental health units in one Sydney local health district. The data were analysed using constant comparative analysis. FINDINGS A lack of choice and control was the central theme that characterised participants' experiences. The combined experience of being delayed in hospital and being homeless led to a lack of choice and control over the basics in life, how consumers spent their time and with whom, and their futures. This lack of autonomy was shaped by the features of the hospital and participants' personal circumstance. The hospital features included rules and routines, physical and social environments, resources, and support from staff. Personal circumstances included individual situations, social networks, and support from community organisations. Participants described a variety of impacts, including reduced mental and physical well-being, and anticipated difficulty transitioning back into the community. CONCLUSION This study is the first of its kind and provides consumer perspectives on the impacts of HRDD on their well-being and recovery. The inability to participate in meaningful and necessary occupations is an occupational injustice and implies the need for occupational therapists to advocate for both the prevention of HRDD through government investment in affordable and readily available housing and the mitigation of its effects through modified hospital environments and practices.
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Affiliation(s)
| | - Anne Honey
- The University of SydneyCamperdownNew South Wales
| | - Karen Arblaster
- Nepean Blue Mountains Local Health DistrictPenrithNew South WalesAustralia
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Scanlan JN, Logan A, Arblaster K, Haracz K, Fossey E, Milbourn BT, Pépin G, Machingura T, Webster JS, Baker A, Hancock N, Miller H, Simpson D, Walder K, Willcourt E, Williams A, Wright S. Mental health consumer involvement in occupational therapy education in Australia and Aotearoa New Zealand. Aust Occup Ther J 2019; 67:83-93. [DOI: 10.1111/1440-1630.12634] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/12/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Justin Newton Scanlan
- Faculty of Health Sciences The University of Sydney Sydney NSW Australia
- Mental Health Services Sydney Local Health District Campsie NSW Australia
| | - Alexandra Logan
- Faculty of Health Sciences Australian Catholic University Melbourne Vic. Australia
| | - Karen Arblaster
- Faculty of Health Sciences The University of Sydney Sydney NSW Australia
- Allied Health, Wellbeing, Children and Families, Mental Health Nepean Blue Mountains Local Health District Kingswood NSW Australia
| | - Kirsti Haracz
- Occupational Therapy School of Health Sciences University of Newcastle Callaghan NSW Australia
| | - Ellie Fossey
- Occupational Therapy Faculty of Medicine, Nursing and Health Sciences Monash University Frankston Vic. Australia
| | - Benjamin Tyler Milbourn
- School of Occupational Therapy and Social Work Faculty of Health Sciences Curtin University Perth WA Australia
| | - Geneviève Pépin
- Occupational Science and Therapy School of Health and Social Development Faculty of Health Deakin University Geelong Vic. Australia
| | - Tawanda Machingura
- Faculty of Health Sciences and Medicine Bond University Gold Coast Qld Australia
| | - Jayne S. Webster
- School of Occupational Therapy (Hamilton site) Otago Polytechnic Dunedin New Zealand
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Arblaster K, Mackenzie L, Gill K, Willis K, Matthews L. Capabilities for recovery-oriented practice in mental health occupational therapy: A thematic analysis of lived experience perspectives. Br J Occup Ther 2019. [DOI: 10.1177/0308022619866129] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Karen Arblaster
- Faculty of Health Sciences, University of Sydney, Sydney, Australia
- Nepean Blue Mountains Local Health District, Sydney, Australia
| | | | | | - Karen Willis
- Allied Health Research, Royal Melbourne Hospital, La Trobe University, Melbourne, Australia
| | - Lynda Matthews
- Faculty of Health Sciences, University of Sydney, Sydney, Australia
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Arblaster K, Mackenzie L, Matthews L, Willis K, Gill K, Hanlon P, Laidler R. Learning from consumers: An eDelphi study of Australian mental health consumers' priorities for recovery-oriented curricula. Aust Occup Ther J 2018; 65:586-597. [PMID: 30221773 DOI: 10.1111/1440-1630.12518] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/30/2018] [Indexed: 12/01/2022]
Abstract
BACKGROUND/AIM Mental health reform in Australia emphasises recovery, partnership working and prioritises consumers' needs over professionals'. Occupational therapy students must develop capabilities for working in this way. Learning from consumers' lived experience of mental illness and recovery is considered critical to developing such capabilities and aligns with occupational therapy programme accreditation for consumer involvement in designing, delivering and evaluating curricula. No definitive capability standards exist to inform curricula and little is known about Australian mental health consumers' preferred modes of involvement in health professional education. This study sought to identify consumers' priorities for curricula, and ways in which they would like to participate in entry-level student education. METHODS An eDelphi study utilising the Policy Delphi approach was employed. Consensus by 70% of participants was set as the standard for item inclusion. The first round asked open questions about participants' priorities for recovery-oriented curricula, their experiences with mental health workers and asked participants to identify their preferred methods of participating in education. Items generated were rated in subsequent rounds until consensus was reached in round three. RESULTS Twenty-eight participants completed round one, 18 completed round two and 14 completed round three. Five core values and 171 curriculum priorities, forming 12 capability domains, reached consensus. Each capability domain comprised knowledge and understanding; skills and abilities; and behaviours and actions. Ten ways of participating in mental health curricula in entry-level occupational therapy programmes were identified, with an emphasis on active participation in design, delivery and review of curricula. CONCLUSION These findings highlight important capabilities from consumers' perspectives, suggesting key content for curricula. Active roles in designing, delivering and evaluating curricula were preferred, providing some guidance for educators seeking to involve consumers. Further research is required to refine these priorities, and to evaluate acceptability, feasibility and efficacy of varying modes of consumer involvement.
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Affiliation(s)
- Karen Arblaster
- Faculty of Health Sciences, University of Sydney, Lidcombe, New South Wales, Australia.,Mental Health Service, Nepean Blue Mountains Local Health District, Penrith, New South Wales, Australia.,School of Science and Health, Western Sydney University, Penrith, New South Wales, Australia
| | - Lynette Mackenzie
- Faculty of Health Sciences, University of Sydney, Lidcombe, New South Wales, Australia
| | - Lynda Matthews
- Faculty of Health Sciences, University of Sydney, Lidcombe, New South Wales, Australia
| | - Karen Willis
- La Trobe University, Melbourne, Victoria, Australia
| | - Katherine Gill
- Consumer Led Research Network, Sydney, New South Wales, Australia
| | - Paula Hanlon
- Ryde Mental Health Service, Ryde, New South Wales, Australia
| | - Rachael Laidler
- Headspace National Youth Mental Health Foundation Ltd, Bruce, Australian Capital Territory, Australia
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Hammill K, Stewart CG, Kosic N, Bellamy L, Irvine H, Hutley D, Arblaster K. Exploring the impact of brain cancer on people and their participation. Br J Occup Ther 2018. [DOI: 10.1177/0308022618800186] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Introduction Brain cancer diagnoses are rising, and the prognosis is commonly life-limiting. Brain cancer symptoms and the side effects of treatment are imposing and harmful. Little is known about the effect of these symptoms and treatments on occupational participation or about the role that occupational therapy can play for people with brain cancer. Methods Sixteen participants with brain cancer were purposively recruited from a single site. Data was collected using semi-structured interviews. Interviews were analysed thematically. Results Three overarching themes were identified: (a) ‘there’s a lot of things that I can’t do anymore’: adverse effects of tumour and treatments; (b) ‘you adjust with adversity’: accepting altered occupational participation levels; (c) occupational therapy: ‘why is she here?’ Conclusions Findings highlight a connection between brain cancer symptoms, treatment side effects and occupational participation. A disconnect was found between occupational therapy services and occupational needs. Further research could explore whether realigning occupational therapy services to address the concerns identified in this study leads to enhanced occupational participation through the journey of brain cancer.
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Affiliation(s)
- Kathrine Hammill
- Lecturer in Occupational Therapy, School of Science & Health, Western Sydney University, Australia
| | - Catherine G Stewart
- Occupational Therapist, School of Science & Health, Western Sydney University, Australia
| | - Natasha Kosic
- Occupational Therapist, School of Science & Health, Western Sydney University, Australia
| | - Lauren Bellamy
- Occupational Therapist, School of Science & Health, Western Sydney University, Australia
| | - Hannah Irvine
- Occupational Therapist, School of Science & Health, Western Sydney University, Australia
| | - Dawn Hutley
- Senior Occupational Therapist, Nepean Blue Mountains Local Health District, Australia
| | - Karen Arblaster
- Lecturer in Occupational Therapy, Western Sydney University, School of Science & Health, Australia
- Manager of Mental Health, Allied Health, Wellbeing, Children and Families, Nepean Blue Mountains Local Health District, Australia
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Scanlan JN, Meredith PJ, Haracz K, Ennals P, Pépin G, Webster JS, Arblaster K, Wright S. Mental health education in occupational therapy professional preparation programs: Alignment between clinician priorities and coverage in university curricula. Aust Occup Ther J 2017; 64:436-447. [PMID: 28660711 DOI: 10.1111/1440-1630.12397] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/11/2017] [Indexed: 12/01/2022]
Abstract
BACKGROUND/AIM Occupational therapy programs must prepare graduates for work in mental health. However, this area of practice is complex and rapidly changing. This study explored the alignment between educational priorities identified by occupational therapists practising in mental health and level of coverage of these topics in occupational therapy programs in Australia and New Zealand. METHODS Surveys were distributed to heads of all occupational therapy programs across Australia and New Zealand. The survey included educational priorities identified by occupational therapists in mental health from a previous study. Respondents were requested to identify the level of coverage given to each of these priorities within their curriculum. These data were analysed to determine a ranking of educational topics in terms of level of coverage in university programs. RESULTS Responses were received for 19 programs from 16 universities. Thirty-four topics were given 'High-level coverage' in university programs, and these were compared against the 29 topics classified as 'Essential priorities' by clinicians. Twenty topics were included in both the 'Essential priorities' and 'High-level coverage' categories. Topics considered to be 'Essential priorities' by clinicians which were not given 'High-level coverage' in university programs included the following: mental health fieldwork experiences; risk assessment and management; professional self-care resilience and sensory approaches. CONCLUSION While there appears to be overall good alignment between mental health curricula and priorities identified by practising occupational therapists, there are some discrepancies. These discrepancies are described and establish a strong foundation for further discussion between clinicians, academics and university administration to support curriculum review and revision.
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Affiliation(s)
- Justin Newton Scanlan
- Faculty of Health Sciences, University of Sydney, Australia.,Allied Health Research Support, Mental Health Services, Sydney Local Health District, Sydney, Australia
| | - Pamela J Meredith
- School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Queensland, Australia
| | - Kirsti Haracz
- Occupational Therapy, School of Health Sciences, University of Newcastle, Callaghan, Australia
| | - Priscilla Ennals
- Occupational Therapy, College of Science Health and Engineering, La Trobe University, Melbourne, Australia
| | - Geneviève Pépin
- Occupational Therapy, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, Victoria, Australia
| | - Jayne S Webster
- School of Occupational Therapy (Hamilton Site), Otago Polytechnic, Dunedin, New Zealand
| | - Karen Arblaster
- Faculty of Health Sciences, University of Sydney, Australia.,Western Sydney University, Sydney, Australia.,Nepean Blue Mountains Local Health District, Kingswood, New South Wales, Australia
| | - Shelley Wright
- School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia
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Arblaster K, Mackenzie L, Willis K. Mental health consumer participation in education: a structured literature review. Aust Occup Ther J 2015; 62:341-62. [DOI: 10.1111/1440-1630.12205] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/03/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Karen Arblaster
- University of Western Sydney; Sydney New South Wales Australia
- University of Sydney; Sydney, New South Wales Australia
| | | | - Karen Willis
- Australian Catholic University; Melbourne, Victoria Australia
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Liu KPY, Wong D, Chung ACY, Kwok N, Lam MKY, Yuen CMC, Arblaster K, Kwan ACS. Effectiveness of a Workplace Training Programme in Improving Social, Communication and Emotional Skills for Adults with Autism and Intellectual Disability in Hong Kong - A Pilot Study. Occup Ther Int 2013; 20:198-204. [DOI: 10.1002/oti.1356] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2013] [Revised: 06/24/2013] [Accepted: 06/25/2013] [Indexed: 11/10/2022] Open
Affiliation(s)
- Karen P. Y. Liu
- University of Western Sydney; Australia
- c/o Department of Rehabilitation Sciences; The Hong Kong Polytechnic University; Hong Kong
| | | | - Anthony C. Y. Chung
- c/o Department of Rehabilitation Sciences; The Hong Kong Polytechnic University; Hong Kong
| | - Natalie Kwok
- c/o Department of Rehabilitation Sciences; The Hong Kong Polytechnic University; Hong Kong
| | - Madeleine K. Y. Lam
- c/o Department of Rehabilitation Sciences; The Hong Kong Polytechnic University; Hong Kong
| | - Cheri M. C. Yuen
- c/o Department of Rehabilitation Sciences; The Hong Kong Polytechnic University; Hong Kong
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McCluskey A, Arblaster K, Urlic K. Organisational changes leading to use of Assertive Community Treatment and supported employment improve outcomes for people with severe mental illness. Aust Occup Ther J 2010; 56:362-4. [PMID: 20854543 DOI: 10.1111/j.1440-1630.2009.00816.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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