Boston University Study Abroad Health and Wellness through the Lifespan SAR HP 522 (Elective B) Spring 2016

Instructor Information A. Names Professors Stephen Clift and Claudia Hammond B. Day and Time Mondays, 1.15-5.15pm C. Location Bell Room, Crofton D. Telephone 07764 761 510 E. Email [email protected] and [email protected] F. Office hours By appointment

Course Objectives This course aims to explore concepts of health and wellbeing and to examine important social, cultural and psychological factors impacting on health and wellbeing across the lifespan. Particular attention will be given to issues and research relating to the UK but discussion will be set within a wider global and European context. A theme running through the course will be the value of engagement in creative arts activities for wellbeing and health. Efforts will also be made to link reading and discussion within the course, to students’ on-going experiences in their internship placements.

Assessment There are two aspects to the assessment of this course:

A takeaway exam (50%) and a paper of 2,000 words (50%) based on the issues addressed during the course

Paper due 5pm Thursday 21 April by email to Stephen Clift. The title of the paper should be discussed and agreed with the course tutor.

Exam will be received by email on Thursday 21 April by email at 9am. Script to be send by email to Stephen Clift by 5pm that day.

The Examination Section 1 of the examination will involve discussion of an individual case study drawing on the conceptual frameworks outlined in key texts on the lifespan perspective on health and wellness.

Section 2 will involve answering a question based on course content, including the various visits involved in the course.

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Grading Please refer to the Academic Handbook for detailed grading criteria and policies on plagiarism: http://www.bu.edu/london/current-semester

* Final Grades are subject to deductions by the Academic Affairs Office due to unauthorised absences.

Attendance Policy

Classes All Boston University Study Abroad London Programme students are expected to attend each and every class session, tutorial, and field trip in order to fulfill the required course contact hours and receive course credit. Any student that has been absent from two class sessions (whether authorised or unauthorised) will need to meet with the Directors to discuss their continued participation on the programme.

Authorised Absence: Students who expect to be absent from any class should notify a member of Academic Affairs and complete an Authorized Absence Approval Form 10 working days in advance of the class date (except in the case of absence due to illness, for which students should submit the Authorised Absence Approval Form with the required doctor’s note as soon as possible). Please note: Submitting an Authorised Absence Approval Form does not guarantee an authorised absence

Students may apply for an authorised absence only under the following circumstances: • Illness, supported by a local London doctor’s note (submitted with Authorised Absence Approval Form). • Important placement event that clashes with a class (verified by internship supervisor) • Special circumstances which have been approved by the Directors (see note below).

The Directors will only in the most extreme cases allow students to leave the programme early or for a significant break.

Unauthorised Absence: Any student to miss a class due to an unauthorised absence will receive a 4% grade penalty to their final grade for the course whose class was missed. This grade penalty will be applied by the Academic Affairs office to the final grade at the end of the course. As stated above, any student that has missed two classes will need to meet with the Directors to discuss their participation on the programme as excessive absences may result in a ‘Fail’ in the class and therefore expulsion from the programme.

Lateness Students arriving more than 15 minutes after the posted class start time will be marked as late. Any student with irregular class attendance (more than two late arrivals to class) will be required to meet with the Assistant Director of Academic Affairs and if the lateness continues, may have his/her final grade penalised.

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Session 1 ConcepIntroductionts of health to the andcourse: wellbeing Health and wellness across the lifespan Monday Stephen Clift 2219 FebruaryOctober DetailsConcepts of thisof health session and have wellness already been circulated. We will consider the definition of health included in the preamble of the World WeHealth will Organisation begin by discussing constitution, the concept and the of criticisms health contained levelled atin thisthe preambledefinition of thesince constitution it was first of formulated the World in Health 1946. Organisation We will pay (1946)particular attention to the arguments presented in: http://www.who.int/about/definition/en/print.htmlHuber et al. (2011) How should we define health? British Medical Journal doi: 10.1136/bmj.d4163 This has not been revised in the constitution, but since 1946 has been a subject of repeatedThe WHOQOOL debate. project We will examine the WHOQOL project conducted by the WHO to create a Themeasure most of recent different example dimensions of such of discussions health. can be found in:

Huberhttp://depts.washington.edu/seaqol/WHOQOL et al. (2011) How should we define health?-BREF http://www.psych-sci.manchester.ac.uk/staff/SuzanneSkevington/ We will consider some of the arguments they present. Defining and measuring mental distress and wellbeing TheWe willWHO also itself examine has undertaken ways of defining important wellbeing, work to andmeasure discuss health a number as they of understandexamples of it measures – and details constructed can be found to measure at: mental distress and mental wellbeing, including the Warwick Edinburgh Mental Wellbeing Scale: http://www.who.int/substance_abuse/research_tools/whoqolbref/en/ http://depts.washington.edu/seaqol/docs/WHOQOL_Info.pdfGAD7 Generalised Anxiety Disorder http://patient.info/doctor/generalised-anxiety-disorder-assessment-gad-7 DoesPHQ9 regular Patient singing Health improveQuestionnaire mental wellbeing? http://patient.info/doctor/patient-health-questionnaire-phq-9 TwoCORE widely Clinical used Outcomes instruments in Routinein the UK Evaluation will be examined and details of their use inhttp://www.coreims.co.uk/About_Core_System_Outcome_Measure.html a project I am conducting on the value of singing for people with enduring mentalWEMWBS health Warwick issues will Edinburgh be outlined Mental Wellbeing Scale http://www2.warwick.ac.uk/fac/med/research/platform/wemwbs/ CORE Clinical Outcomes in Routine Evaluation WEMWBSSinging for Warwickmental health Edinburgh and wellbeing Mental Wellbeing Scale I am currently engaged in a programme of research on singing, wellbeing and Forhealth. details In one of theof thes De eHaan projects Centre's focused work on see: mental health, the CORE and http://wwWEMWBSw.canterbury.ac.uk/health questionnaires were used.-and Some-wellbeing/sidney of the data gathered-de-haan will-research be - centre/sidneypresented together-de-haan with-research a short -filmcentre.aspx of participants in the project speaking about their experiences. For a singing for wellbeing project in Kensington and Chelsea 'Sing to Live, Live toFor Sing' more see: information see: https://www.canterbury.ac.uk/health-and- https://www.rbkc.gov.uk/leisurewellbeing/sidney-de-haan-research-and-centre/sidney-culture/culture/sing-de-haan-live-research-live-sing-centre.aspx

The National Wellbeing Initiative This was introduced by David Cameron when he became Prime Minister. We will look at this initiative and reflect on the ways in which wellbeing is being monitored. http://www.ons.gov.uk/ons/guide-method/user-guidance/well-being/index.html

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Session 2 Concepts of health and wellbeing across the lifespan Monday Stephen Clift 29 February We will continue the discussion of concepts of health and wellbeing by introducing a lifecourse perspective. For this session read the papers by Halfon and Hochstein (2002) and Ryff, Singer and Love (2004). We will apply their ideas in a discussion of the account provided by Sarah Graham of her experience of drug addiction.

For Sarah account see: http://www.independent.co.uk/life-style/health-and- families/health-news/from-groucho-club-to-rehab-one-womans-battle-to-beat- cocaine-addiction-468765.html

Social and health inequalities

A major preoccupation of health policy in the UK over the last 15 years has been ‘health inequalities’. We will consider the key contributions to the debate about health inequalities in the UK and the contribution of Sir Michael Marmot.

See: http://www.instituteofhealthequity.org/

Before the session look at the website of Sir Michael Marmot’s Centre learn more about the work of the ‘Strategic Review of Health Inequalities post 2010’:

http://www.marmotreview.org/

Heath inequalities in Kensington and Chelsea

As a local application of Marmot's perspective we will look at the Joint Strategic Needs Assessment for Kensington and Chelsea and allocate some research to undertaken on this document for the session on Monday 21 March, when we will visit the Golborne Ward in Kensington and Chelsea to meet with the leader on the Labour Group on the Borough Council.

Session 3 Mental health in the UK Monday Claudia Hammond 7 March This session will focus on concepts of mental health and wellbeing, the nature and scale of mental health problems in the UK, and the challenges facing the NHS in helping people in distress.

Attention will be given to innovative projects working with people with acute and longterm mental health issues, with reference to the BBC All in the Mind awards programme.

A film of an on-going innovative project working with young adults experiencing psychosis through contemporary dance will be shown. Details of the project can be found here described by psychiatrist Dr. Lauren Gavaghan:

http://www.rcpsych.ac.uk/discoverpsychiatry/blogzone/thealchemyproject.aspx

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Session 4 The Royal Society for Public Health Monday Stephen Clift 14 March A visit to the headquarters of the Royal Society for Public Health to meet with the Chief Executive Shirley Cramer and other senior figures in the Society. This session will introduce the work of the Society with a particular focus on recent reports and campaigns. We will also look at the work on the Society in the field of Arts and Health

Session 5 Kensington and Chelsea JSNA – a case study in health inequalities Monday Stephen Clift 21 March From 1-2pm Allocated group work

2-5pm Walk to Golborne to meet with Councillor Emma Dent Coad at the Baalbak Restaurant, 91 Golborne Road.

Read about Emma and her work at:

http://www.independent.co.uk/news/uk/home-news/britains-widening-poverty- gap-should-be-causing-outrage-at-the-start-of-the-election-campaign- 10016052.html

Go Golborne

Kensington and Chelsea is currently running a community project in Golborne to promote exercise and healthy eating especially among children and young people. For further details see:

https://www.rbkc.gov.uk/subsites/citylivinglocallife/gogolborne.aspx

Monday 28 M\arch EASTER MONDAY – NO SESSION

Session 6 The fetal hypothesis – the work of David Barker Monday 4 April The first half of the session will examine the seminal work of the British epidemiologist David Barker who is known internationally for his work on the life-long consequences of nutritional deficiencies affecting the growth and development of babies before birth and during the first two years of life.

For details see: http://www.thebarkertheory.org/

BBC The first 1000 days: http://www.bbc.co.uk/programmes/b0137z06

Lifestyle and health risks across the lifespan

The second half of the session will explore the growing evidence that lifestyle factors – diet, exercise, substance use etc. play a substantial role in determining health and wellbeing across the life span

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The work of Peter Elwood

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3857242/pdf/pone.0081877.pdf

BBC news coverage: http://www.bbc.co.uk/news/uk-wales-29820916 Video on the Caerphilly Study: https://www.youtube.com/watch?v=U6Uj6K9MFKg

Session 7 Ageing and the psychology of time Monday Claudia Hammond 11 April This session will focus on the work on middle age by Michael Marmot and will also look at the ways in which our perception of time passing can influence well- being in middle age. People often remark that time appears to speed up as they get older. Before the session please read this classic British paper on the topic:

Crawley, S.E. & Pring, L. (2000) When did Mrs Thatcher resign? The effects of ageing on the dating of public events. Memory 8 (2), 111-21. (This paper is available through the ejournals section of the Boston Library website).

Reading: Hammond, C. (2012) Time Warped See: http://www.claudiahammond.com/

For Claudia talking about her book on the psychology of time see: http://www.youtube.com/watch?v=QDyLN6Ze5k0

Session 8 Poverty, homelessness and health Monday Stephen Clift 12 April Increasingly levels of social and health inequality exist in the UK today. In this session we will look at the health challenges facing people living in poverty and those who find themselves homeless. The work of a wide range of charities endeavouring to help people in this situation will be considered.

Some innovative arts projects working with homeless people will be examined.

Session 9 Group Presentations on Health in Kensington and Chelsea Monday 18 April Group presentations on social determinants of heath and health inequities in Kensington and Chelsea

*Contingency Class Date: Wednesday 20th April. Students are obligated to keep these dates free to attend class should any class dates need to be rescheduled. Exam Final Examination Thursday 21 April Take away exam. Paper will be sent to you by email at 9am for submission of answers by 5pm the same day.

Students must check their email and the weekly Student Newsletter for field trip updates and reminders.

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Reading Course reading will be provided or is readily available on line.

Health and Wellbeing across the Lifespan – Concepts, Theories and Methods

Ben-Schlomo, Y and Kuh, D. (2002) A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives. International Journal of Epidemiology, 32, 285-293.

Donovan, N. and Halpern, D. (2002) Life Satisfaction: The State of Knowledge and Implications for Government. London: Strategy Unit.

Halfon, N and Hochstein, M. (2002) Life course health development: an integrated framework for developing health, policy and research, The Millbank Quarterly, 80, 3, 433-497.

Hird, S (2003) What is Wellbeing? A Brief Review of Current Literature and Concepts. Edinburgh: NHS Scotland.

Kuh, D., Ben-Schlomo, Y., Lynch, J., Hallqvist, J. and Power, C. (2003) Lifespan epidemiology – a glossary. Journal of Epidemiology and Community Health, 57, 778-783.

Reeves, R. (2003) The Politics of Happiness, London: New Economics Foundation.

Ryan, R.M. and Deci, E.L. (2001) On happiness and human potentials: a review of research on hedonic and eudaimonic well-being, Annual Review of Psychology, 52, 141-166.

Ryff, C., Singer, B. and Love, G.D. (2004) Positive health: connecting well-being with biology. Philosophical Transactions of the Royal Society London B, 359, 1383-1394.

Heath inequalities in Kensington and Chelsea

As a local application of Marmot's perspective we will explore the issues highlighted in the Joint Strategic Needs Assessment for Kensington and Chelsea (jointly with two adjoining boroughs Wesminster and and Fulham) http://www.jsna.info/

See the highlight report for Kensington and Chelsea here: http://www.jsna.info/document/highlight-reports-2013-14

I would like you to work in small groups exploring specific topics which will be allocated in this session. Organisations of interest supporting the community in Kensington and Chelsea Kensington and Chelsea Social Council http://www.kcsc.org.uk/ Poverty and inequality in Kensington and Chelsea http://www.kcsc.org.uk/kc-pin Trussell Trust Food Bank http://kensingtonchelsea.foodbank.org.uk/

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