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Co-design and creative development of the Optimal Health Program

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Abstract

The Optimal Health Program was originally created from significant research within mental health and then expanded to include the general community with a focus on wellbeing rather than illness. In 2012 the program was redesigned in collaboration with key stakeholders including consumer and educator perspectives. The framework for the redesign included 5 important elements: (1) collaborative therapy principles, (2) a psycho-educational format, (3) integrity of concepts, (4) enhancing engagement and (5) genuine collaboration between people with a broad range of experiences including lived experience of mental health and recovery. The redesign used elements of co-design. Why co-design? To meld evidence based scientific research with lived experience from organisational, practitioner and consumer viewpoints and social determinants of health. This provides an authenticity for the Optimal Health Program to ensure its relevance and responsiveness to individual circumstances and enhances delivery. Genuine co-design creates a platform for transformational learning for all concerned. How? We took a creative and critical approach to reviewing (1) program materials, (2) practitioner training programs, (3) e-health options, (4) promotion and marketing strategies (5) capacity building for practitioners and participants alike and (6) the diverse application of the program. In the future development of the Optimal Health Program we will continue to build a co-design framework to engage the community in a discussion around wellbeing and what it means to the individual.
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Slides and presentaon notes from TheMHS 2016 - Gaye Moore and Helen Wilding. All imagery is subject to copyright of either
the arst (Helen Wilding) or Frameworks for Health and may not be copied or reproduced without permission
Moore, G., Wilding, H., De Ieso, M., & Castle, D. (2016). Co-design and creative development of the Optimal Health Program. Paper
presented at the 26th TheMHS Conference 2016: People: authenticity starts in the heart., Auckland, New Zealand.
Contact: Dr Gaye Moore - Gaye.Moore@svha.org.au Tel: +61 3 9231 4751
Summary of slides and presentation
Note: This is a summary of the slides and notes used during the conference presentation by Gaye Moore and Helen Wilding
only. A supporting paper by Marco De Ieso, Gaye Moore, Helen Wilding and David Castle will be submitted for publication in the
TheMHS Book of Proceedings 2016.
Slide 1: Introducon | Presenter: Gaye Moore
Managing the Opmal Health Program (OHP) has transformed my learning and
understanding of wellbeing and given me the opportunity to work with
amazing people like Helen Wilding, Marco De Ieso and Professor David Castle
to co-design OHP.
Overview of presentaon:
1. What is OHP? The booklet and sessions are just the beginning
2. How it was developed - Includes background/history (2001 – 2016)
3. Where are the building block/foundaons? These are the
Collaborave Therapy principles
4. Why? Co-design
5. Introducon of the creave component to our program by Helen
Wilding.
We will also run a 3 minute video which we show in our training and OHP
introducon for parcipants.
Slide 2: The current OHP parcipant book | Presenter: Gaye Moore
It is excing to introduce the new face of OHP.
Slide 3: What is OHP? | Presenter: Gaye Moore
What is OHP?
The Opmal Health Program (OHP) is a self-management wellbeing program.
Developed over the last 15 years and transioned from a specic program in
mental health to a broader focus on wellbeing. The core features of OHP are
that it is:
Psycho-educaonal
Based on Collaborave Therapy principles
Evidence based
8 sessions
Individual/group or both/exible
Strength based
Recovery oriented
Promotes empowerment and self ecacy
Available in community mental health and chronic disease (diabetes,
stroke/carers and dialysis
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Slides and presentaon notes from TheMHS 2016 - Gaye Moore and Helen Wilding. All imagery is subject to copyright of either
the arst (Helen Wilding) or Frameworks for Health and may not be copied or reproduced without permission
Slide 4: Values driven | Presenter: Gaye Moore | Arst: Helen Wilding
The focus of our program is on an individual’s strengths and values as part of
the I Can Do Model to build self-ecacy and empower the individual.
Slide 3 (cont): What is OHP? | Presenter: Gaye Moore
There are two addional products in addion to OHP:
1. Substance use program
2. Workplace program
Frameworks for Health oversees the deliver and development of OHP across 3
arms:
1. Program development and delivery
2. Training and a Train the Trainer Program
3. Research and evaluaon
The 3 arms of the program gives a strong basis for redesign and co-design.
Slide 5: Salutogenic | Presenter: Gaye Moore | Arst: Helen Wilding
The program also has a salutogenic focus (wellbeing focus).
Slide 6: Non pathogenic | Presenter: Gaye Moore | Arst: Helen Wilding
Not a pathogenic focus or illness focus.
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Slides and presentaon notes from TheMHS 2016 - Gaye Moore and Helen Wilding. All imagery is subject to copyright of either
the arst (Helen Wilding) or Frameworks for Health and may not be copied or reproduced without permission
Slide 7: CD case and health plans | Presenter: Gaye Moore
OHP is designed to oer a range of tools that enable someone to explore
their wellbeing during the sessions and on an ongoing basis.
The tools include:
OHP wheel which consists of six domains of wellbeing: 1) emoonal,
2) spiritual/values, 3) physical, 4) intellectual, 5) occupaonal/
engagement and 6) social
I Can Do Model which consists of 4 components: 1) strengths, 2)
vulnerabilies, 3) stressors and 4) strategies
Health Plans: 1) Health Plan 1 – Things I need to do every day to
maintain my opmal health, 2) Health Plan 2 – Things I need to do
when I noce early warning signs and 3) Health Plan 3 – Things I need
to do when I experience an episode of illness
Slide 8: 15 years of growth | Presenter: Gaye Moore | Arst: Helen Wilding
History of OHP spans 15 years (2001-2016):
1. Firstly, the Collaborave Therapy Unit at Mental Health Research
Instute (2001-2007)
2. Secondly, Frameworks for Health at St Vincent’s Hospital, Melbourne
(SVHM) (2007- )
3. Directed by Professor David Castle – Psychiatric Chair of SVHM and
University of Melbourne (UoM)
4. Successful grant applicaons of over $6million
5. Successful research completed in 2011 in community mental health
Canberra focusing on people diagnosed with bipolar. Outcomes were:
improved mental health, increased engagement with GPs, decreased
hospital ulisaon and a nancial cost savings of $6,000 per person
per year.
Slide 9: OHP in pracce| Presenter: Gaye Moore
OHP in pracce over the last 3 years has included the:
Training of >1000 praconers
Training of > 60 psychology students within a voluntary facilitator
program
Collaboraon with 35 organisaons naonal and internaonal
Slide 10: Collaborave therapy| Presenter: Gaye Moore| Arst: Helen Wilding
What is Collaborave Therapy?
Collaborave Therapy principles underpin OHP and include the following
concepts:
•Mutually Transforming
•Not Knowing
•Being Public
•Relaonal Experse
•Orientate towards everyday life
•Living with Uncertainty – being open to the unforeseen
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Slides and presentaon notes from TheMHS 2016 - Gaye Moore and Helen Wilding. All imagery is subject to copyright of either
the arst (Helen Wilding) or Frameworks for Health and may not be copied or reproduced without permission
Slide 11: Presenter: Gaye Moore | Arst: Helen Wilding
Mutually Transforming – we learn with each engagement, both pares
Slide 12: Presenter: Gaye Moore | Arst: Helen Wilding
Not Knowing – more to know and understand
Slide 13: Presenter: Gaye Moore | Arst: Helen Wilding
Being Public – praconer open with their thoughts and line of inquiry
Slide 14: Presenter: Gaye Moore | Arst: Helen Wilding
Relaonal Experse – parcipant expert in their health and praconer
expert in facilitang the conversaon
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Slides and presentaon notes from TheMHS 2016 - Gaye Moore and Helen Wilding. All imagery is subject to copyright of either
the arst (Helen Wilding) or Frameworks for Health and may not be copied or reproduced without permission
Slide 15: Presenter: Gaye Moore | Arst: Helen Wilding
Orientate towards everyday life – belief people are naturally resilient
Slide 16: Presenter: Gaye Moore | Arst: Helen Wilding
The reason for the co-design of OHP was to improve engagement with our
program for praconers and parcipants. To beer connect with our
various stakeholders with a program that was not only evidence based but
incorporated those key stakeholders in its ongoing development and review.
Slide 17: Presenter: Gaye Moore | Arst: Helen Wilding
Our focus is on :
1. collaboraon and mutuality
Slide 18: Presenter: Gaye Moore | Arst: Helen Wilding
2. respect
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Slides and presentaon notes from TheMHS 2016 - Gaye Moore and Helen Wilding. All imagery is subject to copyright of either
the arst (Helen Wilding) or Frameworks for Health and may not be copied or reproduced without permission
Slide 19: Presenter: Gaye Moore | Arst: Helen Wilding
3. Hope and resilience
Slide 20: Presenter: Gaye Moore | Arst: Helen Wilding
4. Maintaining a working alliance
Slides 21 & 22 (including video of tree growing): Presenter: Gaye Moore |
Arst: Helen Wilding
All these components: 1) collaboraon, 2) respect, 3) hope and 4) working
alliance, underpin the development and delivery of OHP to parcipants as a
welling program and to praconers as a training program.
Co-design: In 2012, working closely with Marco De Ieso, training coordinator,
Neami Naonal, we started the review and redevelopment of OHP.
We revisited the program idenfying its strengths in the core concepts but
recognised a need for change in a number of areas:
1. Educaonal content
2. Visual and funconal presentaon
3. Language
4. Supplementary informaon and resources
5. Training program
6. Imagery – and the tree being an important image created as the logo
for OHP and developed in line with the Opmal Health Wheel and the
six domains of wellbeing
Slide 23: Presenter: Gaye Moore | Arst: Helen Wilding
The tree is an example of the imagery created by Helen Wilding that is part of
a group acvity to engage parcipants in the exploraon of their wellbeing.
The six domains/areas from the Opmal Health Wheel are represented in
imagery of the tree. These domains are: 1) emoonal, 2) physical, 3)
intellectual, 4) social, 5) occupaonal/engagement and 6) spiritual/values.
In this acvity people are asked to think about a key aspect of their wellbeing
that is important to them and then place a post-it note in the area that it
relates to. It opens up a discussion to explore a more holisc approach to
health which does not just focus on the physical. It also highlights the
connectedness of all the domains and how much they overlap and impact on
each other.
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Slides and presentaon notes from TheMHS 2016 - Gaye Moore and Helen Wilding. All imagery is subject to copyright of either
the arst (Helen Wilding) or Frameworks for Health and may not be copied or reproduced without permission
Slide 24: Presenter: Gaye Moore | Arst: Helen Wilding
In the co-design we engaged collaboravely with the following stakeholders:
1. Consumers – at all stages of development/dras over a 2 year period
2. Educators – Neami Naonal, St Vincent’s Hospital, Australian Catholic
University, Swinburne University, University of Melbourne
3. Designers – markeng and branding: Stokestudios, prinng: Inkingus
4. Parcipants and praconers – feedback from training and forums in
2012-2015
5. Organisaons – requiring exibility, business opportunies, evidence
based program and contractual arrangements
Slide 25: Presenter: Gaye Moore | Arst: Helen Wilding
Co-design creates a:
1. Plaorm to transform learning for everyone
Slide 26: Presenter: Gaye Moore | Arst: Helen Wilding
2. Authencity for OHP
Slide 27: Presenter: Gaye Moore | Arst: Helen Wilding
3. Relevance and responsiveness to an individual’s circumstances
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Slides and presentaon notes from TheMHS 2016 - Gaye Moore and Helen Wilding. All imagery is subject to copyright of either
the arst (Helen Wilding) or Frameworks for Health and may not be copied or reproduced without permission
Slide 28: Presenter: Gaye Moore | Arst: Helen Wilding | Photographs: Gaye
Moore
4. Working together and exploring possibilies.
‘Taking a road trip together’ – We have a car analogy which looks at our
health and wellbeing like learning to drive a car. Planning a road trip is like
building your health plans and developing strategies to have a good trip with
back up plans for possible detours along the way.
Slide 29: Presenter: Gaye Moore | Arst: Helen Wilding | Photographs: Gaye
Moore
Importantly the linking of:
1. Learnings
2. Organisaons
3. Communies
4. Images and concepts
to work together and like a road trip there may be detours and stops along
the way. The journey is full of surprises and challenges.
Slide 30: Presenter: Gaye Moore | Arst: Helen Wilding
There needs to be a plan for the future:
1. Connue to challenge and improve our parcipatory design process
2. Build on our work with Neami Naonal: training program and product
development such as the substance use program
3. Build on our work with Outdoors Inc which is innovave: combining
the outdoor experience with a greater understanding of our
wellbeing
4. Reviewing our workplace program called HOPE
5. Develop addional programs for: youth, culturally specic groups,
prisoners and ex-service personnel
Slide 31: Presenter: Gaye Moore | Arst: Helen Wilding
There is a lot to do together!!
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Slides and presentaon notes from TheMHS 2016 - Gaye Moore and Helen Wilding. All imagery is subject to copyright of either
the arst (Helen Wilding) or Frameworks for Health and may not be copied or reproduced without permission
Slide 32: Presenter & Arst: Helen Wilding
Like everyone else, I’m more than just one experience I have lived through, or
one job I’ve had.
I came to OHP wearing a number of dierent hats.
I see my contribuon to the redesign has been along the lines of Care,
Research, Create.
“Care” because I have been a mental health carer.
Slide 33: Presenter & Arst: Helen Wilding
Research“ because I am, by profession, a medical research librarian.
Slide 34: Presenter & Arst: Helen Wilding
“Create” because I am an arst.
Slide 35: Presenter & Arst: Helen Wilding
This is why I care – literally.
As the support person of a loved one who has experienced mental illness, I
really CARE that programs like OHP which aim to empower people to move
forwards in their lives succeed. I don’t want my loved one to need “a carer”. I
want him to live a long, wonderful and independent life. For me, this is
personal. I truly want OHP to work.
As a carer I created a website called the Caring Together Art Journal Project
hps://caringtogetherproject.com - which uses artwork and stories to share
the carer experience and promote family friendly pracce. Some of you might
have seen my eposter about it at this conference. I learnt a lot through
making that website. I have met and talked to a lot of carers, consumers and
clinicians. I have brought the experience and insight I gained through creang
that carer resource to my work with the Opmal Health Program.
With my carer hat on I look at OHP not as a clinician, or as an academic, but
as someone who thinks about what I want in a program myself, or what
might appeal to people I care about.
As part of the facilitator training I did the Opmal Health Program for myself,
and it was enlightening. It is not rocket science, but it is something that we
simply do not take the me to do – to learn to really care for ourselves. I
LOVE that there is a simple structure to doing that.
Over and over again Gaye asks me for my feedback on anything that is being
overhauled – because the program is constantly evolving. That includes
program books, online training resources, visual resources, the website etc.
My rst suggeson (with my carer hat on) is usually to make the words
shorter!
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Slides and presentaon notes from TheMHS 2016 - Gaye Moore and Helen Wilding. All imagery is subject to copyright of either
the arst (Helen Wilding) or Frameworks for Health and may not be copied or reproduced without permission
Slide 36: Presenter and Arst: Helen Wilding
For most of my week I work as a senior medical research librarian at St
Vincent’s Hospital in Melbourne.
As a librarian I am very methodical. And very nosy! I want to nd, share and
organise informaon, and make sure it can be accessed by users. It was
through this role that I rst became involved with Gaye and the Opmal
Health Program.
As a research librarian, I am part of a team that is in the process of
researching the scienc literature for a systemac review. We are looking
at parcipatory design frameworks for e-health resources. This is because we
plan to create apps or online materials for OHP in the future. We are in
absolutely NO doubt that we want the end users involved right from the
beginning and we want to do it right.
Literature searches of the health and technology databases inially turned up
around 13,000 potenally relevant arcles which was absolutely mind
boggling, and which proves what a growing area this is. With our review team
we have (so far) managed to get down to about 150, but there is sll a lot of
work to do. At least no-one will be able to say we haven’t done our research!
We started a lile bit of the process with two ehealth forums we held last
year, where we got a chance to talk to all sorts of stakeholders about the
sorts of things they were looking for. It was great to sit amongst people who
had done the program, or who had facilitated it and hear their ideas.
But apart from anything else, with my librarian hat on, when Gaye hands me
something to review I check facts and scienc evidence behind things, and I
look at how the end product could be made more user friendly.
Slide 37: Presenter & Arst: Helen Wilding
And now to the right brained, arst side of me. The bit that loves rainbows
and splaering paint …
Well the artwork that I did for my carer website while I was in my own
journey of recovery and growth reects and supports, absolutely, what OHP
is all about. Strength, vulnerability, change, wellbeing, discovery.
I regularly get messages from Gaye asking me to dash down and talk to her
workshop parcipants about my artwork. I walk down with my folio and I get
this amazing impromptu opportunity to talk to people who are learning to
facilitate the program. Even beer is the chance to meet and talk to people
who have already been running the program, to hear what does or doesn’t
work with respect to engagement or explaining some of the OHP concepts. I
especially like to hear their analogies. Somemes the feedback and
suggesons I get are really surprising (which I love), and it all helps me to
create and test new visual resources for the program. And it is ongoing.
Slide 38: Presenter & Arst: Helen Wilding
That is one of the things I most love about working on OHP – the fact that it is
constantly evolving and responding to feedback. Although the basic concepts
remain the same the actual program is improving and being tweaked all the
me, and new resources are being added.
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Slides and presentaon notes from TheMHS 2016 - Gaye Moore and Helen Wilding. All imagery is subject to copyright of either
the arst (Helen Wilding) or Frameworks for Health and may not be copied or reproduced without permission
Slide 39: Presenter & Arst: Helen Wilding
This ability to change and look at things in a fresh way gives me a freedom to
play with concepts – like when I started to play with the OHP wheel and
created some acvies to try out – such as a tree and a mandala to colour in
Slide 40: Presenter & Arst: Helen Wilding
Then there was this vision board concept we have been experimenng with.
We turned it into a hands on acvity, and gave it a pilot run with a stroke and
carer group. We sat down with the group as they worked with it and heard
rst hand what they thought, and what bits worked and what didn’t.
Gaye reminds me all the me that it is important to be crical – for us to
accept cricism. But honestly I don’t see it so much as cricism as really
useful feedback and an opportunity to try something else. Isn’t that what
creavity is all about?
Slide 41: Presenter & Arst: Helen Wilding
We have also played with the concept of a kombi van as an analogy for OHP.
Just imagine geng your van ready for a big adventure:
How would you prepare?
What would you pack?
What would you do if you broke down or the van needed a service?
Where would you plan to go?
Slide 42: Presenter & Arst: Helen Wilding
That kombi van brings me nicely to this 3 minute video I’m going to nish
with. Gaye plays it in her workshops and you can also see it on the website -
at hp://www.frameworksforhealth.com/resources/
I inially made it for an art compeon at St Vincent’s during Research Week.
The theme was to show the connecon between science and art. To me, that
was exactly what OHP and recovery, was about.
I hope you like it J
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Slides and presentaon notes from TheMHS 2016 - Gaye Moore and Helen Wilding. All imagery is subject to copyright of either
the arst (Helen Wilding) or Frameworks for Health and may not be copied or reproduced without permission
Slide 43: Presenter & Arst: Helen Wilding
Contact Details:
Dr Gaye Moore
Program Manager
Frameworks for Health
gaye.moore@svha.org.au
Acknowledgment:
Frameworks for Health (FFH), St Vincent's Hospital, Melbourne (SVHM), has
been dedicated to translang the Opmal Health Program (OHP) into the
everyday clinical pracce through program development, research and
training. The team was formerly known as the Collaborave Therapy Unit
based at the Mental Health Research Instute. The team members were
Kamal Bekhazi, Catherine Bunton, David Castle, James Chamberlain, Kathleen
Crowley, Monica Gilbert, Velma Ho, Brendan Pawsey, Amanda Tabone and
Carolynne White. Funding was provided by Baker Foundaon, Beyond Blue,
Medical Benets Foundaon (MBF/BUPA). Naonal Health and Medical
Research Council (NHMRC), Eli Lilly, Alfred Felton, Australian Catholic
University, Swinburne University and Research Endowment Fund SVHM. The
recent revision of the OHP workbook in 2013 was under the auspice of FFH,
SVHM; directed by Professor David Castle; coordinated and developed by Dr
Gaye Moore; supported by FFH Steering Commiee; designed by Liisa Vurma,
Thick and Susan Mackie, de Bono Instute and a signicant contribuon by
Marco De Ieso, Training Coordinator, Neami Naonal. The current FFH team
would like to thank everyone who has collaborated in the development of
OHP.
ResearchGate has not been able to resolve any citations for this publication.
ResearchGate has not been able to resolve any references for this publication.