Hodges' Model: Welcome to the QUAD: staying well

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Showing posts with label staying well. Show all posts
Showing posts with label staying well. Show all posts

Saturday, January 11, 2020

Discussion: "Reflecting on Health, Well-Being and Staying Well"

c/o Josh Bailey, Bailey's Grill

6th February 2020 2pm
30-60 mins plus discussion

Bailey's Grill and Bar CIC
25 Heath Road
Ashton-in-Makerfield
WN4 9HH
United Kingdom

This interactive session will, with the audience, generate a framework to help us individually reflect upon our own health and the health of others, whether family members, or as a health / social care professional.

It might help (not essential) to bring a pen and some paper.

Tuesday, March 19, 2019

c/o R Layard "Enact policies to boost emotional health"

individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group
individual well-being
MENTAL HEALTH

"HAPPINESS -
EMOTIONAL HEALTH

"EVIDENCE-BASED"
"overarching criterion for measurement"
processes
- SCIENCES"
PHYSICAL HEALTH


COMMUNITY WELL-BEING

Society
Social values
Social cohesion

POLICIES on -

"schools, mental health, family support,
child support, addiction, social work,
 loneliness, methods of management
and town planning."

"Fortunately more and more governments are beginning to think along these lines."



Prof. Richard Layard* (2019) FT Weekend, 9-10 March. "Enact policies to boost emotional health"
Author of: Happiness - Lessons from a new Science

*Co-director, Well-Being Programme, Centre for Economic Performance, London School of Economics, UK


Sunday, November 11, 2018

Self Care Week Europe 12th November @Self_Care_EU

What does self care involve...?

SELF
|
INTERPERSONAL : SCIENCES
HUMANISTIC ----------------------------------------------- MECHANISTIC
SOCIOLOGY : POLITICAL
|
OTHER

(States of) Mind
Identity
Basic (and greater) Education
 Knowledge and Skills - Health Literacy
Cognitive access - understanding
Motivation, Attitude
Personal ethics, personal values
Self-esteem, Self-image
Personal philosophy, beliefs, expectations
Emotional - mental well-being
Resilience, coping strategies
Balanced Life experiences
Formative experiences
Upbringing, memory, character
Stress and Vulnerability
Self-advocacy
Risk taking: substance (mis-)use

(States of) Matter
Knowledge of physical fitness
Daily exercise
Presence of medical conditions, patient education: self- monitoring, treatment, recording, reporting
Body image, diet, nutrition
Treatments, Research - Antibiotics
Technology
Physical infrastructure:
Built environment,
Rural, Transport.
Lifecycle
Physical access
Environment, climate change,
Eco-systems, Sustainability

Care, Compassion, Love
Family
Friends
Culture
Lifestyle
Social network (actual / virtual)
Relationships
Community infrastructure
Stigma
Carer support

Global Eco-nomies
 Citizenship
Financial knowledge, access to banking
Health Service provision - Systems
Public Mental Health Programmes
Professionals, Global Health
Government policies
Welfare funding
Employment opportunities
Health, SDGs
Food industry
Advertising


Monday, November 05, 2018

Social prescribing: c/o @TheKingsFund - Three questions

individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group

Does it work?


What is it?



And how does it fit in 
with wider health and care policy?



Social prescribing is not a quick fix, a social distraction from a clinical problem. How this is approached - negotiated - will be a clear factor in the shared success of social prescribing as an effective, intervention for the person concerned, the NHS AND society.

Friday, April 29, 2016

"Index Case": Do we need a new form..? ( cas index, Indexfall, caso índice, 指數情況, الحالة الدالة, सूचकांक के मामले ... )

index case
nounMEDICINE
noun: index case; plural noun: index cases
  1. the first identified case in a group of related cases of a particular communicable or heritable disease.

Source: Google (and translations)

Hodges' model can map the first identified case of any disease, but just as medicine can turn a crisis around - we need a new form of 'index case'.

In healthcare we spend a lot of time managing 'caseness' and for a population casenesses. While triage is concerned quite rightly with prioritization, safety, efficiency, it also seeks to deny people caseness through gate-keeping. Alternately, for those diagnosed and meeting criteria, services then seek to assess when they are better - on the other side...

A new index case is required to respond to demographic, socioeconomic and environmental pressures. Talk, action and outcomes must be about well-being, sustainable health, strengths, health literacy self-care and recovery.

Hodges' model can facilitate this change in care philosophy, perspective and the concurrent focus of disease AND health.

Consider:

For how long how we espoused person-centered care?

Health is where the person resides*.

So often disease fragments identity, memory, the person, relationships, even the whole community...

Disease is a matter for our humanity.

Hodges' model can be the index case for a person's health and well-being and how they maintain, maximize this status. This might even help us define person-centeredness. A care indices.

Being person-centered should be a index-phenomena that takes cognizance of history where this is available.
This should - must be the index case?

*taken-4-grantedness

Monday, August 03, 2015

SEMEOTICONS: Reflecting self-care

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group


Reflection





SEMEOTICONS

My source:
Dean, J. Smart mirror will reflect the state of your health. The Times, July 29 2015. p.13.

Saturday, July 25, 2015

A headspace full of 'cans'

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group
"My headspace

is 25m long."





join me!





Sport England: This Girl Can

Photo: PJ Bus stop WN4

Friday, March 13, 2015

"The Five Phases of Psychosis" - a 2:38 minute film by Jim van Os

Jim van Os is a consultant psychiatrist and Professor of Psychiatric Epidemiology at Maastricht University, in The Netherlands.



I wonder, is it possible to conceive of an approach (model of madness) and response system sophisticated enough to allow us to jump straight from Phase 2 to Phase 5 in the model the film describes?

This would mean a jump straight from the 1:00 second mark to the 2:00 second mark in this film and miss as much as possible of the messy, often horrific and, arguably, mostly iatrogenic, two stages in between?

For a more detailed discussion of one possible model of madness that could support the development of a response system, here is a 15 minute film by Jim van Os - Connecting to Madness, TEDxMaastricht

Jim is a psychiatric epidemiologist and has co-authored 198 journal articles since 2013 according to Google Scholar.

He most recent work is published in a leading Dutch newspaper this week, co-authored by other leaders of Dutch psychiatric organisations. In this Click hear, outlining the case that schizophrenia does not exist at http://www.nrc.nl/handelsblad/van/2015/maart/07/laten-we-de-diagnose-schizofrenie-vergeten-1472619 (download and use Google Chrome for instant translation).

Part of this opinion has translated for us by Margreet de Pater, who wrote:

Their declaration includes 12 points
  1. There is no clear difference between psychotic and other human experiences.
  2. 15 % of adolescents have psychotic experiences and 80% of these disappears during development.
  3. 3.5 % of people have psychotic experiences that need help, their diagnosis is psychosis susceptibility syndrome, which is different for every person.
  4. 20 % of these people have an unfavorable prognosis.[with the right help people with psychosis do bounce back]
  5. A psychotic experience is often a reaction on trauma, a life event, disappointment, discrimination or humiliation. The thesis that it is a symptom of an underlying brain disease is scientifically not correct, and leads to a negative view [expectation] of recovery.
  6. Everyone has his own special mix of psychotic symptoms, the classifications which psychiatry makes in schizo- family of diagnoses etc. is incorrect. [But everyone has a different mix of symptoms, and does not fit well in a diagnostic box.
  7. People with psychotic experiences need hope and a perspective. Recovery is a mental process. People need to cope with their psychosis susceptibility with help of a schooled person with lived experience and if necessary of a doctor and a therapist
  8. (These services should be there) From the very first moment
  9. Going back to own environment, work and school is most important also when there are still some symptoms, waiting for complete cure is counterproductive.
  10. Everyone with psychotic symptoms must be invited to talk about it, the theme of the psychosis is the key to underlying problems
  11. Everybody with psychotic experience must be offered psychotherapy
  12. Sometimes anti-psychotic medicines can be useful when experiences are too overwhelming, but they don´t cure.
They conclude that: Schizophrenia fortunately does not exist, psychosis does and is treatable

Best Wishes
Philip Benjamin
MHN BEd MMind&Soc
Chair, ISPS Australia

...

My source:
NURSE-PHILOSOPHY & PSYCHIATRIC-NURSING at JISCMAIL.AC.UK

Friday, October 23, 2009

Web can help elderly surfers slow dementia: The Sunday Times

From The Sunday Times
October 18, 2009
Web can help elderly surfers slow dementia

Ivy Bean
Ivy Bean(Photo by Bob Collier)

Ivy Bean, who is 104 years old, is the UK's oldest Tweeter (IvyBean104) on the social networking site, Twitter.
Jonathan Leake, Science Editor

GOOGLING is good for grandparents. Internet use can boost the brain activity of the elderly, potentially slowing or even reversing the age-related declines that can end in dementia, researchers have found. Using brain scans, they found the internet stimulated the mind more strongly than reading, and the effects continued long after an internet session had ended.

“We found that for older people with minimal experience, performing internet searches for even a relatively short period of time can change brain activity patterns and enhance function,” said Gary Small, professor of neuroscience and human behaviour at University of California, Los Angeles (UCLA). In the research, Small and his colleagues worked with 24 men and women aged between 55 and 78. Half of them had used the internet a lot; the others had little experience.

At the start of the research, they were asked to conduct a series of internet searches while their brains were scanned using a technique known as functional magnetic resonance imaging (fMRI). This measures changes in blood flow around the brain to work out which parts are the most and least active. After the initial scan, participants went home and used the internet to carry out specified tasks for an hour a day at least seven times over the following fortnight. Then they had a second brain scan, again while searching the internet.

Small and his colleagues found the impacts began immediately, with the first scan demonstrating brain activity in regions controlling language, reading, memory and vision. By the time of the second scan, however, the activated areas had spread to include the frontal gyrus and inferior frontal gyrus, areas known to be important in working memory and decision-making. The researchers suggest internet searching stimulates brain cells and pathways, making them more active.

“Searching online may be a simple form of brain exercise that might be employed to enhance cognition in older adults,” said Teena Moody, a UCLA researcher who co-wrote the report with Small. Moody believes internet searching challenges the brain more than reading because people need to perform several tasks at once. These include holding important information in their own memory while simultaneously assessing the information on screen and extracting the parts they want from graphics and words.

The research will be presented tomorrow at the annual meeting of the Society for Neuroscience in Chicago, where the impacts of ageing on the brain are a big theme. It has long been known that as people age, their brain functions and abilities also change. In many respects these changes are beneficial — verbal and social skills tend to improve until at least late middle age, for example. In other areas there can be declines. One of the best known is mathematics, as shown by the number of mathematicians and physicists who do their best work early and then struggle to match their youthful performances.

It is only in recent years, however, that researchers have been able to use technologies such as fMRI to observe the brain in action and measure the changes that come with age. What they have found is that as people age, their brains undergo structural and functional changes, often including atrophy, reductions in cell activity and increases in deposits of insoluble protein. All of these can reduce cognitive function.

In Britain, for example, around 700,000 people suffer from dementia, a condition in which so much of the brain has died that function is severely impaired.

Small and Moody’s argument is that brains are similar to muscles, in that the more they are exercised, the healthier they become. So, activities such as internet use, reading and socialising can slow or reverse normal age-related declines. Small said: “Our most striking finding was that internet searching appears to engage a greater extent of neural circuitry that is not activated during reading.” Other neuroscientists support the idea of exercising the brain but question the benefit of spending too much time on the internet.

Original source: Community Informatics (Journal) list - thanks to Michael Gurstein.

Wednesday, November 14, 2007

"BonkersFest has identified normality as a mental health issue..."

Although it's a while since I ran around the school playground, mentally for the sake of my well-being, creativity and general zip-n-zest; I like to think that I'm still there (minus - knees plaster clad, nose running, sleeves flowing....).

Now, it's just that the playground is a tad bigger.

As an adult thinking about the banter and slang terms banded about back then the differences and connections between adult-childhood worlds become quite stark and makes you wonder - where does stigma begin?

When I first came across BonkersFest this year I thought "they can't call it that - can they...?"


Well they obviously did. In doing so this year and with plans for 2008 the participants, organisers and sponsors are addressing the question (issue!) of stigma around mental health and disability head-on.

BonkersFest, the ongoing attention of the BBC, the Independent newspaper campaign and efforts of others in the media are still much needed.

Sunday, August 12, 2007

Assen NL + Northern England CHE group Oct 13 Rivington Park Arts, Horwich

Sunday 0500 last week arrived home from Assen, Netherlands with Matt and Lawrence my son's friend having attended the Assen cycle Tour. It really was an international field and they really flew. Some unfortunately more than others.... The first race Matt came off!! - scaphoid # so we got to see the Dutch health service at work and very impressive too. Thanks to the staff at Wilhelmina Hospital - great job (I notice the TT circuit also keeps them busy). Closing my eyes while waiting for the Radiographer (like you do) Wilhelmina did not 'sound' like a hospital. Excellent attention to the 'hospital' environment - the colour, some nice curves, the signage was spot on too.

At the close of the holiday-cycle tour the sunset at Calais was beautiful.

Returning to the human ecology thread, I can confirm that the next Northern England CHE group event will be on Saturday 13th October 11-3pm at Rivington Park Arts. The group would like to thank David Ruaux for providing us with a room and facilities.

The theme for the meeting is well-being and I'll post more details nearer the time. Leave a comment or e-mail me h2cmng AT yahoo.co.uk and we will add you to the mail list.

Well I'm getting to know my ready-made case-load. It really does not feel like I've been away some 2.5 years. This is what Hodges' model was born for and it's great to get the therapeutic juices flowing again. I've not yet stabbed anyone (injections!), but that won't be long. Actually, I think a delay here is positive evidence that injections and medications are used much more carefully now; especially with older adults and they are reviewed regularly. A trend that has been in train for many years.

Speaking of trains - wonder if it will be clear tonight and in the early hours...?

Sunday, June 24, 2007

Well-being: a great place to be!

Working in mental health you certainly don't take mood, mental state and that nebulous notion of well-being for granted.

Depression is a terrible thing and given the thin red line that we all walk in terms of mental health, it's a place no one wants to venture.

There's a lot of emphasis being placed on well-being (happiness!) at present. The usual retinue of number of this and that measures count for little if at the end of the day well-being or the individual's happiness is not improved, or perhaps more accurately 'satisfied'.

Source: BBCWatching Glastonbury it's all about music and well-being amid lots of mud.

Well-being is taken for granted like so many things in life. Take it away and it's noticed - very quickly.

They say that the best lessons are those we learn for ourselves. Being lost and finding your way is another pivotal lesson. At key times and places this journey can be a rite of passage no less.

In order for health promotion to deliver, people need to understand well-being, that is the many ingredients that contribute to that feeling, that sense, that inner magic that lights us up and those around us...

Hodges' model can help people with that journey, especially at a time when a fellow traveller may be needed.

Health and social care services are so often about signposting these days.

Hodges' model can help people signpost for themselves...

Photo: BBC