Prevail intervention
depression, CMD, anxiety
DISORDER, DISORDERS
The Prevail intervention programmes were conceptualised and written by two of the authors (NSG, RJS) who also served to train the trainers that delivered the Prevail Staff Intervention and to deliver the Prevail Managers intervention. NSG is a Consultant Clinical and Forensic Psychologist with over 25 years of experience working with people with mental health problems within both the NHS and with independent healthcare providers. She is a Professor of Psychology at Swansea University teaching courses to masters students on Clinical Psychology and mental health. She has over 100 peer reviewed publications in this area of research. RJS is a Professor of Psychology at Cardiff University with over 25 years of teaching and research in diverse areas of psychology, including mental health.The Prevail intervention consists of two parts. Part one, the Prevail Staff Intervention, is targeted at all staff. This involves attendance at a one-day intervention programme that incorporates a number of psychological techniques designed to: (1) improve knowledge about mental health and cover the basics of mental health literacy; (2) enhance the normalization of common mental disorder; (3) reduce stigma associated with common mental disorder, with an emphasis on self-stigma; and (4) assist staff to learn how to formulate a plan of managing common mental disorder within the workplace to reduce distress and workplace functional impairment. The Prevail Staff Intervention includes information about evidence-based low intensity psychological interventions for common mental health disorders. This includes intervention strategies for depression, anxiety, stress, and distress (including bereavement). The intervention also actively encourages disclosure of mental health difficulties and appropriate help seeking behaviour.Part two, The Prevail Managers Intervention, teaches managers the skills of active problem-solving interventions, formulation-based approaches to intervention, and co-production of solution-focussed management in order to support and intervene with staff currently experiencing, or at risk of developing, a CMD. The philosophy behind this managerial intervention is that mental health difficulties do not occur in a social vacuum and that if staff and their managers can be taught evidence-based active problem-solving interventions and the methodology of co-production [