Module Specification An online version of this specification is available to prospective students at www.lshtm.ac.uk/study/msc_module_handbook/section3_moduledescript/modules.html GENERAL INFORMATION Module name Design and evaluation of mental health programmes Module code 2342 Module Organisers Mary De Silva and Daniela Fuhr Contact email mary.desilva@lshtm.ac.uk or daniela.fuhr@lshtm.ac.uk Home Faculty Faculty of Epidemiology and Population Health Level This module is at Level 7 (postgraduate Masters ‘M’ level) of the QAA Framework for Higher Education Qualifications in England, Wales & Northern Ireland (FHEQ) Credit LSHTM award 15 credits on successful completion of this module Accreditation Not currently accredited by any other body Keywords Mental health problems, research, interventions, planning and programming AIMS, OBJECTIVES AND AUDIENCE Overall aim To attract and work with students who are committed to integrating packages of care for mental disorders into routine platforms of care. For students taking the MSc in Global Mental health, this module will provide an excellent foundation for ‘Scaling up packages of care’ module (run in term 3), as well as providing an excellent grounding in intervention development and evaluation for other students. Intended learning outcomes By the end of this module, students should be able to: Describe and critically assess the integration of packages of care for mental disorders into different platforms of care (for e.g. into primary care, maternal healthcare or into platforms of care for other communicable and non-communicable diseases such as HIV or diabetes) to create mental health programmes, with a focus on low resource settings; Be fluent in the application of Theory of Change to design a mental health programme and to use it as a framework to evaluate the effectiveness and process of delivering the programme; Understand how to integrate a package of care for a specific mental disorder into a platform of healthcare delivery, provide an accompanying formative research plan and evaluation strategy, with a 1 supporting rationale based upon a synthesis of the knowledge gained from the module overall and provide a critical evaluation of the strengths and limitations of the approach. Target audience This module is intended for students who wish to be able to design mental health programmes. MSc Global Mental Health students (compulsory module) and students from Kings College London Institute of Psychiatry, taking the Mental Health Services and Population Research MSc program, may take the module. Students should have taken the Fundamentals in Global Mental Health module in Term 1, and the Principles of Psychiatric Epidemiology module at the IoP to be eligible to take this course. Exceptions may be made taking into account the previous experience of a student who has not taken these modules. CONTENT Session content The module is expected to include sessions addressing the following topics linked directly to the Intended Learning Outcomes (ILO) (please note that these may be subject to change). The topics are listed in the order that they will be taught in the module. ILO 1 Principles of integrating packages of care for mental disorders into platforms of care. To create mental health programmes Resources (human, financial and other) required for delivery of mental health programmes ILOs 2 & 3 A series of case studies illustrating mental health programmes which integrate packages of care for mental disorders into platforms of care (for e.g. HIV, maternal health care, NCD care or humanitarian contexts). Formative research and piloting to design a mental health programme by integrating a package of care for a mental disorder into a platform of healthcare delivery Evaluation of mental health programmes including effectiveness and process evaluations Group work assignment, (30%) and individual report (70%). TEACHING, LEARNING AND ASSESSMENT Study resources provided or required Module reader with key readings, a library box with additional readings Teaching and learning methods Lectures, seminars, and group work exercises. The main further avenues of student learning comprise private study of material in readers or on reading list, research and reading beyond provided material, and preparation of their group and individual coursework. 2 Assessment details The assessment will focus on an explicit assessment of ILOs 2 & 3. ILOs 1 will simultaneously be assessed as it is the foundation of ILOs 2 & 3. Development of a mental health programme | Instructions for students Please choose a package of care delivered through a routine platform of care from the following list: 1. A package of care for alcohol use disorders delivered in primary care facilities. 2. A package of care for perinatal depression delivered through maternal health care settings. 3. A package of care for depression and HIV delivered through HIV clinics. 4. A package of care for psychosis delivered by an NGO in a community setting. 5. A package of care for the promotion and prevention of childhood mental health problems delivered in schools. You will be placed in groups of 3 – 5 students based on your choice of platform at the start of week 2. You can choose which country you want to deliver the programme in. We recommend that you use the country that you developed a profile for in Fundamentals in Global Mental Health, but you are free to choose another setting you are familiar with if you would like. Non-Global Mental Health students who did not take the Fundamentals in Global Mental Health module in term 1 are allowed to use a country profile developed by students who took this module, or use another setting of their choice. Country profiles are available on Moodle. Please choose a particular district within the country you have chosen in which to develop your chosen mental health progamme. The assessment will be in two parts: PART I | Theory of Change map | group assessment The group will work together in weeks 2 and 3 of the module to develop a Theory of Change map outlining what the package of care is and how it will be integrated into a platform of care in the setting of their choice. If students in the same group have chosen different countries, then the group will have to decide which country to base the Theory of Change map in. The group will submit a Theory of Change map and key (can be printed on A3 for ease of reading) by the end of the 4th week of the module. This will be worth 30% of the marks. Everyone in the group will receive the same grade. PART II | Intervention development research proposal | individual assessment Students will work individually to write a formative research proposal to test the mental health programme described in the Theory of Change map they worked on in groups. Students can choose to work in a different setting from that used by their Theory of Change group, but they should use the same mental health programme. Students will complete all sections of the proposal form. The research proposal will include: the rationale for developing the programme; an outline of the mental health programme to be developed; the aims and objectives of the research; the research questions to be answered based on the assumptions in the Theory of Change; the formative research methods to be used to answer the questions, and an outline of the methods to be used to pilot the intervention. This will be worth 70% of the marks and will be individually assessed. 3 Assessment dates The Theory of Change map will be due on Friday 18 March 2016. The individual report will be due on Thursday 24 March 2016. For students who are required to re-sit, or granted a deferral or new attempt, the next assessment deadline will be the standard School-recommended date in mid/late September 2015. The assignment for re-sits will be issued at the start of September after the exam boards have sat and decided which students are required to re-sit. The re sit assessment will be an individual intervention development proposal including a Theory of Change map on a different topic from the set for the module assessment. Language of study and assessment English. TIMING AND MODE OF STUDY Duration The module runs for 5 weeks at 2.5 days per week; this module runs between Wednesday afternoon and Friday. Dates For 2015-16, the module will start on Wednesday 24 February 2016 and finish on Thursday 24 March 2016. Timetable slot The module runs in LSHTM timetable slot D2. Mode of Study The module is taught face-to-face in London. Both full-time and part-time students follow the same schedule. For full-time students, other LSHTM modules are available in the other half of the week in the D1 slot. Learning time The notional learning time for the module totals [150] hours, consisting of: Contact time ≈ [65] hours Directed self-study ≈ [25] hours Self-directed learning ≈ [30] hours Assessment, review and revision ≈ [30] hours APPLICATION, ADMISSION AND FEES Pre-requisites None – other than that standard LSHTM entry criteria apply. English language requirements A strong command of the English language is necessary to benefit from studying the module. Applicants whose first language is not English or whose prior university studies have not been conducted wholly in English must fulfil LSHTM’s English language requirements, with an acceptable score in an approved test taken in the two years prior to entry. Applicants may be asked to take a test even if the standard conditions have been met. Student numbers In 2014, 33 students took the module (25 from the MSc in GMH and 8 from other MSc programmes in the School). In 2015 we expect a similar number of students, though the number of applications for the MSc has increased so it is possible that we will have more than 25 MSc GMH students. Numbers may be capped due to limitations in facilities or staffing. 4 Student selection Preference will be given to LSHTM MSc students, beginning with those registered for the MSc in Global Mental Health, and LSHTM research degree students. Other applicants meeting the entry criteria will usually be offered a place in the order applications are received, until any cap on numbers is reached. Applicants may be placed on a waiting list and given priority the next time the module is run. Students on the Mental Health Service and Population Research MSc at the Institute of Psychiatry will also be able to register for this module, and will pay a fee (to be decided) to attend. Fees For registered LSHTM MSc students, fees for the module are included within MSc fees (given on individual course prospectus pages). If registering specifically for this module, as a stand-alone short course (from 2014), individual module fees will apply. Tuition fees must be paid in full before commencing the module, or by any fee deadline set by the Registry. Scholarships Scholarships are not available for individual modules. Some potential sources of funding for the MSc in Global Mental Health are detailed on the LSHTM website. Admission deadlines For 2015-16: For registered LSHTM MSc students, the module choice deadline (for Term 2 and 3 modules) is Friday 20 November 2015. This deadline will also be the same for students on the Mental Health Service and Population Research MSc at the Institute of Psychiatry. If registering specifically for this module, applications should be submitted at the latest 8 weeks prior to the start of the module. However as places are limited, applications ahead of the MSc deadline are strongly advised. Formal registration will take place on the morning of the first day of the module. ABOUT THIS DOCUMENT This module specification applies for the academic year 2015-16 Last revised 23 June 2015, by Mary De Silva London School of Hygiene & Tropical Medicine, Keppel St., London WC1E 7HT. www.lshtm.ac.uk 5