2500 WORD HEALTH INTERVENTION Guidelines for writing your health intervention This coursework is a problem-based learning exercise, which requires you to write a case study report containing an evaluation of the problem (i.e. the case study) and your proposals for what action you think should be taken to address the problem (i.e. a treatment intervention or management plan for that case). Choose ONE case study and think about how it relates to the material taught in this module. It is important that you read the guidelines for writing your report and the marking criteria before you start writing your case study report. The coursework will be supported by lectures and small group teaching sessions to allow you to develop both breadth and depth of learning. You are expected to carry out this piece of coursework using material from as many of the relevant lecture topics covered as you see appropriate for your particular case study. During the workshop you will have the opportunity 13 to discuss your case study and work as a group in coming up with a solution to your problem. However, you must submit an individual case study report that you have written independently. Each case study has been created to reflect a different area or topic that is covered in the module. Case studies have been designed to present realistic problems that exist within different populations. The level of detail presented is probably more than you would usually get unless you saw your client on a one-to-one basis. It is strongly recommend that you do not just suggest one-to-one counselling as your answer to the problem. For this report you are a health practitioner working within a team who have been given a case study to look at and asked to come up with a solution to the problem. Explain what you think: ? The health intervention should consist of ? How it is based on psychological theory ? How it is tailored to the client group ? What behaviours or cognitions it will target ? How it will be delivered ? How it will be evaluated Questions that you may need to consider are: ? What is the incidence of the disorder? ? What other social/cultural/ethnic factors might influence how I address the problem? ? What type of intervention would be most effective based on theory and research? ? Where should I deliver this to the person? ? What factors should I consider in my design, based on previous research? ? How am I going to design it and what will it look like? ? How will I assess whether it works? ? What issues might I need to consider in the design and delivery of the intervention? ? How successful will the intervention be and why? ? How could I improve or develop the intervention? ? What are the implications? As part of this coursework you will develop skills in problem solving, critical evaluation, viable/effective intervention design and identifying pros, cons and the implications of your work. When evaluating the case study, select relevant points for coming up with a solution to the problem. It is important that you reflect on the literature before you design your intervention. The report should contain the following sections: ? Background to the problem. The following points may be discussed: o Knowledge of the case problem described o Historical and conceptual background of the problem and any psychological, environmental and social issues associated with it o The nature of the problem being addressed in the intervention o The role of culture, gender, ethnicity and age ? Design of intervention. The following points may be discussed: o Background to the type of intervention being used o Reference to where the intervention is going to be delivered 14 o A clear justification for the type of intervention o The theoretical basis of the intervention o The pros and cons of the theory used and justification for the theoretical background used. o Psychological and social factors relevant to the intervention o A clear description of the intervention to enable replication o Effectiveness of the intervention o Summary of the expected outcome of the intervention with clear justification ? Problems to be envisaged in the application: This may contain a discussion of the following: o Any relevant issues in carrying out the intervention o An appreciation of what could be done next o Critical appreciation of the benefits of the intervention NOTE: These instructions are for guidance only. You may find that some sections become integrated together. This is acceptable as long as you demonstrate an awareness of the relevant factors in justifying, designing and carrying out your study. However, bear in mind: ? This is NOT an essay ? Use headings ? Appropriate referencing should be used throughout the report ? You must supply a reference section at the end ? YOU MUST NOT EXCEED THE WORD LIMIT! HEALTH INTERVENTION CASE STUDIES – CHOOSE ONE CASE ONLY CASE A Francis Grant is 39 years old and has recently returned to full-time work as the manager of a busy sales team following the birth of her first child. She enjoyed her maternity leave and was unsure about going back to work full-time. However, Francis has always been very ambitious, having worked her way up the ranks in this company since she left school, and felt that having a baby should not interfere with her plans. She is finding the workload hard to manage, has difficulty concentrating at times and in prioritising tasks. Since returning to work she has experienced several acute episodes of palpitations and sweating. She recently brought the wrong USB stick with her to an important presentation and was unable to give the sales pitch on time, the presentation had to be couriered over which caused delays and meant that the customer did not offer her company the contract. Francis??s husband, Charles (44), has always been supportive but has recently lost his job in the City and though he was initially pleased about the baby now seems distracted and withdrawn and appears to have lost interest in both of them. Charles hasn??t looked into finding a new job, gets up late, and does nothing to help with the baby. Francis has to take the baby to the nursery on the way to work and pick her up again. Francis has tried to encourage Charles to go to the GP but he refuses to go saying that there??s nothing wrong with him. Francis feels quite socially isolated, struggling with her role as a new mum and the pressures of her job, and is worried that Charles appears to be depressed. Her parents and brother live in Australia and she hasn??t got friends nearby as they moved to London for Charles??s job. She visits her GP who diagnoses anxiety caused by stress and discusses treatment options with her, suggesting trying either CBT or counselling. OR 15 CASE B Ruben is a 30 year old homosexual man living in Brixton with his mother. He smokes 20 cigarettes a day, does not exercise and is currently unemployed. Ruben was aware of his sexuality when he was in his teens; and was bullied at school as a consequence of his emerging sexuality. Whilst his mother had been supportive of Ruben??s sexuality, his father had refused to talk to him, where arguments between his parents had erupted. Ruben??s mother had been given an ultimatum by her husband stating its ??either me or him??. She decided to protect and support her son, which resulted in divorce. Ruben has feelings of guilt and depression and blames himself for his parent??s divorce. Also, he has had recent concerns that since he is the only child, he would not provide his parents with any grandchildren. Ruben began binge eating large amounts of food within two hour periods. Most of his food binges are sweet foods where his dietary intake has gradually deteriorated. Ruben reports a total loss of control during such episodes. This is followed by inappropriate and recurrent compensatory behaviours in order to avoid gaining weight. Ruben goes through a combination of fasting (including diet drinks and the substitution of food for vitamins and herbal medications including diuretics) and laxatives including very high doses of vitamin C. This pattern of binging and compensatory behaviours has lasted for several years. Whilst he tried to keep his eating behaviour from his mother, she has become aware of the situation and wishes to organise treatment for him. Ruben is close to his mother, but at times he feels that she can be overpowering and overbearing at times. The G.P has referred Ruben to you for treatment.
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