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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 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 • Inpatient, acute, forensic, CAMHS, community • substance misuse/addictions, eating disorders, mother and baby, deaf
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
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’
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”
Connection hope worthlife death meaningpurpose values humanity journey strength faithharmony place in the world beliefpeace wholeness
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
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
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?
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”
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
Learning points: • Staff interested but unsure of practicalities • Importance of boundaries • 2 tiers • Holistic care is valued amongst most people in various professions
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
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
Spiritual Well-Being ----------- Recovery -----------
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
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
Future Work • Funding bid for future research • Collection of more data for Personal Recovery Scale Study • Working closely with other faith communities
Connection hope worthlife death meaningpurpose values humanity journey strength faithharmony place in the world beliefpeace wholeness