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NSW MHPOD Presentation
1. Michael Blair Senior Project Officer Mental Health POD NSW Institute of Psychiatry & Mental Health and Drug & Alcohol Office Mental Health Professional Online Development (MHPOD)Program
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5. Underpinned by 5 Themes Knowledge Practice Partnership Ethics Rights & responsibilities Health promotion, prevention & early detection Recovery based practice Consumers & carers rights, roles, advocacy Service integration and partnership Generic skills for practice Clinical Mental Health Interventions Managing co- occurring conditions MH across the lifespan Policy Research Quality improvement and EBP Outcome measures Evidence based practice (1) Evaluating client outcomes Service development Becoming an evidence based practitioner EBP & quality of care Cultural diversity & awareness 45Topics Organised into 13 Streams National Practice Standards Ethics of healthcare research Professional ethics in the helping relationship Cultural awareness Cultural awareness (ATSI) Culturally sensitive practice Culturally sensitive practice (ATSI)
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19. Acquired brain injury and sensory impairment Becoming an Evidence-based Practitioner Biopsychosocial factors Building the Therapeutic Relationship Carer Advocacy Carer Participation Classification of Mental Disorders
20. Confidentiality and privacy in practice Consumer Identity and Advocacy Cultural Awareness (A) Culturally Sensitive Practice Dual Diagnosis Dual Disability Early Detection and Intervention
21. Effective documentation in clinical files Effective Working Within the Multidisciplinary Mental Health Team Ethics in Healthcare Research Evidence based practice Formulation Gender issues in mental health Health Promotion and Mental Health Promotion
22. Impact of Medical Conditions Legislation and mental health practice Mental Health and Mental Illness Across the Lifespan Mental health care and Human Rights Mental Health Care for Indigenous Australians Mental health histories and MSE Mental Health Service System the Organisation
23. Networks of Care Outcome measures Parenting Issues and Mental Health Care Pharmacological Treatments Professional Ethics Psychosocial Interventions
24. Quality Improvement and Evidence Based Practice Recovery Recovery 2 Relapse Prevention Risk and protective factors Risk Assessment and Management
25. Same Sex Attracted Persons Service development The broad impact of mental illness and the need for partnership Transitional Care Planning
30. Choose the Tier that suits you – click on “Show Courses” tab
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33. Team up with another person and have a go yourself!
Editor's Notes
Introduction : Mental Health Pod ticks all the boxes for your staff! It’s learning is self directed It builds on experience It integrates demands of every day life It has an immediate problem centred approach It also recognises (through its voluntary nature) that internal drivers motivate learning more than external All of these have been recognised as the requirements for good learning In addition to this MHPOD is Free and will ensure that your staff have the hours of professional learning accumulated for registration purposes with AHPRA
Aims and Objectives The aim of the MHPOD was to create a broad, balanced, evidence-based curriculum, which will enhance the knowledge, skills and attitudes of the multi-disciplinary mental health workforce. MHPOD is designed to make the National Practice Standards for the Mental Health Workforce “come alive” for the staff who actually deliver services to consumers and carers The training provides a nationally consistent curriculum and demonstrates a cross-jurisdictional commitment to the development of on-line clinical educational resource. Target The program is targeted at the 5 main health professional groupings, both the public and the private sector will be able to access the program The primary target audience for the training are mental health professionals in the first 2 years working in mental health. MHPOD is likely to be useful to a broader group of workers including the Drug and Alcohol workforce or as a refresher for the existing workforce. The training program has received a high level of interest from those responsible for medical training; and Options are currently being explored to identify how the NGO sector can engage with the program. Development This is a national project lead by the National Mental Health Workforce Advisory Committee The project commenced in 2006 CADRE Design were commissioned to develop the e-learning program and utilised their expertise in online learning and instructional design partnered with the Psychological Research Centre (PRC) who provided the expert subject matter The Psychological Research Centre (PRC) is a collaboration of the University of Melbourne, La Trobe University and North Western Mental Health. Curriculum The Curriculum was developed through collaboration between the PRC, CADRE and the National Expert Group and matches the 13 practice standards against the 5 Core Practice Modules: Policy Knowledge Skills Partnership Research Topic Development 45 topics have now been developed utilising the skills of an National Expert Reference Group (NERG) The NERG were selected though an EOI process and include representatives from each of the States and Territories. The NSW members included Associate Professor Beth Kotze from SESI and Adjunct Professor Euan Hails the previous NSW Health Principal Mental Health Nursing Advisor.
CADRE Design were commissioned in 2006 to develop the e-learning program utilising their expertise in online learning and instructional design. CADRE Design partners with the Psychosocial Research Centre (PRC) who provided the expert subject matter. PRC is a collaboration of the University of Melbourne, La Trobe University and North Western Mental Health in Victoria. Clinicians, consumers, carers and educators across the country have contributed to MHPOD. CADRE Design have overall responsibility for the production and delivery of the program ( www.cadre.com.au ).
The curriculum has five themes which underpin learning in this area – Policy, Knowledge, Practice, Partnership and Research Related topics from different themes are grouped into 13 streams for delivery purposes. This slide shows the grouping of topics in one of these streams: EBP & quality of care , which includes topics from Policy, Knowledge, Partnership and Research themes Overall, the 47 topics that make up MHPOD have been developed within the themes and across the streams as described here. This slide shows the six topics in the EBP and quality of care stream.
Pilot Program As all 45 topics were nearing completion – it was agreed the program would benefit from a small pilot. The pilot focuses on the functioning of the Learning Management System (LMS) and other support structures for ongoing learning. It also looks at the learners perceptions of the changes to their knowledge, skill or professional self-efficacy from completing the topics. In total 13 pilots sites are participating in the Pilot Program 2 in NSW – SESIAHS and HNEAHS The pilot focuses on 10 topics of which 5 blended learning packages have also been developed and delivered in a number of pilot sites. The University of Melbourne are conducting a formal evaluation What have we learnt so far? The pilot has been extremely beneficial in assisting to identify and rectify system issues before the national roll out! We will know more once the pilot is completed and evaluation finalised.
The issue of accreditation/ qualifications is currently being worked through. ACMHN – Australian College of Mental Health Nursing RCN – Royal College of Nursing APS – Australian Psychological Society Australian College of Mental Health Nursing accreditation committee is granting one CPD point for every hour of training one hour of training (the 45 minute Topics are awarded at an hour rate). It is estimated the 45 topics should take approximately 70 hours to complete (if all activates and in-practice sessions are competed) APS - Australian Psychological Society have also endorsed the program for points (we are currently awaiting confirmation on exactly what APC will provide) The availability of a more formal qualification such as a Cert 4 is in progress, the details of requirements and type of qualification is still being worked through. Other work currently in progress is how the MHPOD will be integrated or mapped to current induction programs within the AHSs. AHSs have robust and target induction programs, a major challenge will be the integration of the MHPOD into these programs. One way MHPOD could be used is as the basis of reflective learning (either with individuals or small groups). The training program provides case study examples that could be used within clinical supervision sessions. A Navigation map of the training is under development – it is hoped this mapping will provide guidance as to which parts of the training will be beneficial for particular professional disciplines. A further 20 hours of training will be developed focusing on Advanced level of practice, it is anticipated the additional training will target experience clinicians. Suggested topics include working in CAMHS, working with Personality Disorders and advanced counselling techniques. The topics developed will build on the content of the MHPOD.
The basic layout is the same for each training topic. This training topic we are focusing on today is “Outcome measures” The Left hand panel provides an “Introduction” of what the training topic will include and a brief background. The learner then clicks the next button and the learning objectives of the topic will be listed So lets take a look
There are usually one or two learning objectives per topic – in this example there are 2 learning objectives The learner then has one of 2 choices to proceed to the next page either click the “next button” or the knowledge check tab on the top navigation bar. Either move will take you to the Knowledge check page
The leaner than works through the Overview which usually includes A History, Rationale Definitions Principals and Context (as appropriate) It may include text, diagrams, graphs, and photographic material The overview section provides the knowledge to the learner. The Learner then moves on to the Activity Section: This may draw out the facts, support and extend information provided in the overview, provide opportunity to ‘engage’ in behaviour change. There may be decision making, normative (myth busting), knowledge expansion or behaviour testing.
From the Activity page the learner is then lead into the “In-practice” section. This may be a variety of things depending on the objective and the training topic. It may include text, audiovisual or photographic material and links to other websites. This section re-enforces the learners knowledge.
Then finally the learner will get to the resources section, these are work tools. This tab is provided to include generic templates, checklists and assessments. If an example of a completed tool is provided in the “in-practice’ session the tool will be supplied here. This section may also include links to further resources and websites. Once the learner has completed the topic then are then encouraged to try the “knowledge-check again” If the learner gets the questions right they are encouraged to close this Topic and begin the next one. If the learner gets the questions wrong they are directed back to the learning objectives, given an opportunity to review the training topic and try the knowledge check again. The system does not record the number of times a learner attempts the knowledge check – it is only recorded when the learner has successfully completed the topic.
The Knowledge Check provides an opportunity for the user to test how much knowledge they have in a particular area. There are usually 2 questions for each learning objective Once the questions have been answered an learning plan is developed dependent on the outcome of the knowledge check – if a learner gets questions right for the learning objective they have one of 2 choices: to continue to work through the topic to reinforce their knowledge or to close out of the topic and work through a different topic. If the learners gets the question wrong they are directed to a learning plan which articulates what the training topic will cover
List of Additional Topic Suggestions Strategies for working with people with Personality Disorders Strategies for working with people with Forensic Histories Strategies for working with people who may be at risk of suicide Supervision, self care and self management in Mental Health Services Working creatively in Case Management CAMHS and Youth MH: Conditions and assessments CAMHS and Youth MH: Interventions Old Age Psychiatry: Conditions and assessments Old Age Psychiatry: Interventions Trauma and Mental Health Supporting a MH Peer Workforce Mental health services in Primary care environments Psychosocial Interventions: Strategies for case managers