Transcript Document
Jean Templeton St Basils THE VISION… • To see adequate provision made in homelessness services facilitating effective treatment for psychological issues within homelessness • To ensure that staff are adequately equipped to effectively deal with complex problems • 2008 Rough Sleepers Strategy A number of terms used interchangeably Complex Trauma Complex PTSD Type II Trauma Disorders of Extreme Stress Not Otherwise Specified (DESNOS; DSM-IV (APA, 1999)) Describes observations of: Alterations in emotion and impulse regulation Dissociation Changes in self-perception Difficulties relating to others Somatisation Alterations in belief systems held by the individual Interpersonal issues Attachment Emotion regulation Negative beliefs about self and others Impulsivity Other trauma experiences Flashbacks, rumination Complicated by natural processes in adolescence Identity formation (beliefs, belonging) Emotion regulation ‘Separation’ PSYCHOLOGICAL, EMOTIONAL AND BEHAVIOURAL PATHWAY TO REPEAT HOMELESSNESS Triggers: Shame, guilt Emotion dysregulation Experiential avoidance Drug and alcohol use •Release from prison •Relationship breakdown •Discharge from armed services •Loss of tenancy Rumination Maladaptive coping style (externalising) Asocial and antisocial behaviour Modelling Childhood abuse / neglect Attachment problems Lack of social and practical functioning skills Repeat tenancy breakdown Whole environment operates according to an agreed psychological framework Keywork sessions Use of reflective practice Residents’ meetings Peer mentors Environment may also reflect psychological thinking Residents’ input into surroundings Residents’ use of facilities Effects are monitored (measured) Meaningful Need to be clear about what it is we expect to change For clients For staff For service Clarity about how we expect to facilitate change Emotional change Behavioural change Cognitive change Change in attachment experience PI E AIMS AT ST BASILS • Improve positive outcomes for young people, build resilience and capability and enable them to move on and sustain their independence in an increasingly challenging environment • Ensure staff have skills, attitudes, behaviours and resilience to cope and support positive outcomes for young people 1. Core training in psychological skills for all staff 2. Specialist training for some 3. Development of evaluation framework and infrastructure and review and analyse data over 3 year period 4. Reflective Practice groups in collaboration with NHS partners 5. Review tools and working methods to ensure they support an approach consistent with Psychologically informed environment Professional Standards Personal Effectiveness Organisational Effectiveness Reflective Practice Young People’s Voice Co-Production Personalisation Outcome-Led Approaches Payment by Results Dr Nick Maguire, Senior Clinical Psychologist, Southampton University Birmingham and Solihull Mental Health Foundation Trust Department of Communities and Local Government Pro Bono Economics London Housing Foundation University of Birmingham – Mental Health Study positive outcomes for young people Reflective practice in consistent groups is absolutely critical Embed techniques and approach in all your work Part of induction and regular refresh Year 1 KPIs: 13% reduction in serious incidents 50% reduction in NTQs for behavioural issues 19% reduction in unplanned departures 26% reduction in sickness absence 7% reduction in grievance and disciplinary actions Youth Involvement Review Integrated Approach to LSW Equality and Diversity Action Plan Training and L& D Programme Outcomes Star PIE at St Basils Asset Management Strategy Reflective Practice Lifeskills programme 3 year monitoring and review Mental Health First Aid Programme DCLG – Psychologically Informed Services for Homeless People- Good Practice Guide February 2012 www.stbasils.org.uk/publications#external [email protected]