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Spirituality and Mental Health

Spirituality and Mental Health. Spirituality Research Programme At Birmingham and Solihull Mental Health NHS Foundation Trust Madeleine Parkes. Holistic Care. Sociological. Biological. Psychological. Spiritual. Local Need 1.2million spread over 172 square miles

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Spirituality and Mental Health

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  1. Spirituality and Mental Health Spirituality Research Programme At Birmingham and Solihull Mental Health NHS Foundation Trust Madeleine Parkes

  2. Holistic Care Sociological Biological Psychological Spiritual

  3. Local Need • 1.2million spread over 172 square miles • Inpatient, acute, forensic, CAMHS, community • substance misuse/addictions, eating disorders, mother and baby, deaf

  4. Aims – Research Strategy • Develop a working definition of ‘spirituality’ • Conduct pilot studies into the role of spirituality in recovery from mental illness. • Attract further funding. • Inform practice and enhance spirituality across the Trust • Service-user involvement

  5. Working Definition • “What do staff and service user mean when they talk about ‘spirituality’? • Practical aim – we need to know what language we are speaking! • Conceptual part: Literature review • ‘Real world’ part: Staff survey • Service user conversations – ‘on the ground’

  6. Typical Service-User Comments “I don’t want to know about that god stuff”“Only God can help me”“What’s that all about?” I’m not religious but I’m spiritual”

  7. Connection hope worthlife death meaningpurpose values humanity journey strength faithharmony place in the world beliefpeace wholeness

  8. Overview of Pilot Projects – 2007/2008 • Effect of integrating a spiritual care advisor in multi-disciplinary team • Staff training pilot • Methods of assessing spirituality in an inpatient unit

  9. Projects 08/09 • Personal Recovery Scale development • Young people, psychosis and spirituality • Faith attitudes to mental illness • Professional attitudes to spirituality • Occupational Therapy and Spiritual Care • Staff handbook and training

  10. Staff Survey • What is spirituality? • How important do you think a person’s spirituality (however it is defined) is in their life? • Do you think a service user’s spirituality should be addressed at some point during their care? • Do you feel it is part of your job role to involve a service user’s spirituality when delivering your service? • Would you know how to address a service user’s spirituality? • Does your personal view of spirituality influence your daily working life?

  11. Trust Staff Attitudes

  12. Is it part of your job? • “if you are truly addressing the whole person, spirituality is an important aspect and can be very informative and helpful in helping them make sense of their experiences and recovery” • “As a psychologist it is important to address this issue if it forms a part of the patients world view” • “yes - but I'm not sure how”

  13. “Is it part of your job?” by top 4 professions

  14. Staff handbook and Training • Service-user led design and development • Training to roll out to all clinical staff • Both address: • What is spirituality? • Making a spiritual assessment • Referring to spiritual care/chaplaincy team • Maintaining boundaries • Reflecting on staff’s own sense of spirituality

  15. Learning points: • Staff interested but unsure of practicalities • Importance of boundaries • 2 tiers • Holistic care is valued amongst most people in various professions

  16. Personal Recovery Scale • Service-user design • Existential and spiritual issues addressed • Identifies sources that may aid holistic recovery • Psychometric validity and reliability • Compared existential well-being with recovery

  17. I feel a sense of direction and purpose • I can love myself • I feel thankful for my life • I feel valued and accepted • My life is meaningless • I feel I have lost my sense of identity • I believe in my ability to overcome problems • I feel guilty about the way things are

  18. Spiritual Well-Being ----------- Recovery -----------

  19. Sikh Community - Soho Road • Raising awareness in specific faith group • Survey of current attitudes and ideas • Conference: • What is mental illness, medications • Alternative therapies • Pathways • Post-conference presence

  20. CAUSES TREATMENT • Prayer • Ritual healing • Visiting temple/church • Medication • Complimentary therapies • Talking therapies • Genetic • Karma • Evil eye • Trauma • Possession • Fate/God’s plan • Drugs/alcohol

  21. Future Work • Funding bid for future research • Collection of more data for Personal Recovery Scale Study • Working closely with other faith communities

  22. Connection hope worthlife death meaningpurpose values humanity journey strength faithharmony place in the world beliefpeace wholeness

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