making sense of the chaos developing borderline personality disorder services in clackmannanshire
TRANSCRIPT
Making Sense of The Chaos
Developing Borderline Personality Disorder Services in Clackmannanshire
Why we’re here…
Who we are,
where we are
and what we’re up to
FORTH VALLEYINPATIENT/OUTPATIENT SPLIT MODEL
INPATIENT WARDSINTENSIVE HOME TREATMENT
TRAUMA CLINIC
DYNAMIC PSYCHOTHERAPY
SOUTH SECTOR
NORTH SECTOR
CLACKMANNANSHIRE
PSYCHIATRY SERVICES
COMUNNITY MENTAL HEALTH TEAM
DAY UNIT
OUT PATIENT
PSYCHOLOGY
GPMENTAL HEALTH
SERVICES
PHOENIX CENTRE
COUNSELLING
COMMUNITY ACCESS TEAM
CBT
SUPPORTED EMPLOYMENT TEAM
DEVON HOUSE
GPPRIMARY CARE PSYCHOLOGY
ON CALL PSYCHIATRIST
MENTAL HEALTH SERVICES
PSYCHIATRY SERVICES
IHTT LIAISON
REHABILITATION TEAMTRAUMA CLINIC
INPATIENT CARE: W1, W2, W3
DYNAMIC PSYCHOTHERAPY
SERVICES
Service Development
Collaboration between
psychologists
Solution-focused
therapy (SFT) group
BPD Working Party
Training
Model of Care
Model of Care
Shared, consistent care
Trust and understanding
Empowerment and recovery
Service DevelopmentCollaboration
between psychologists
Solution-focused therapy
(SFT) group
BPD Working Party
Training
Model of Care
Audit
Complex Case
Discussion
Resource Pack
Mentalisation Training
Groups
Groups
A positive, collegial, solution-
focused stance
Looking for previous solutions
Present- and future-focus
Use of questions
Looking for exceptions
Use of compliments
Solution-focused goals
Guided by Solution-focused principles
Main interventions
Group Development
Original pilot group Clackmannanshire
Second Clackmannanshire group and further
SFT training
Third group in Clackmannanshire
Pilot group within CMHT
in Falkirk area
Further evaluation of groups
Ongoing Work
Groups
Database and referral systemDissemination of audit findingsCompletion of Resource Pack
Outcomes
GPPRIMARY
CARE PSYCHOLOGY
ON CALL PSYCHIATRI
ST
MENTAL HEALTH
SERVICES
PSYCHIATRY SERVICES IHTT LIAISON REHABILITA
TION TEAM
TRAUMA CLINIC
INPATIENT CARE: W1,
W2, W3
DYNAMIC PSYCHOTHERAPY SERVICES
Outcomes (2)“My ideal model is similar to the existing model that is in Clacks – a team approach that involves the consultant, psychologist and keyworker…Work should be clear and consistent between the staff team and also with the patient. This approach feels safer for managing risk and clinical judgements because it helps you to feel more supported, more included in decisions, promotes equality amongst staff groups and it helps to provide a consistent and professional approach. Everyone is working in the same way and the patient is aware of this and they learn they need to work within these boundaries.”
Clinician’s perspectives
Outcomes (3)“A team approach - honesty in the relationship is valuable. Integrity is fundamental. I've been put back together in a way that is sustainable. I trust the team and know that putting someone together is the treatment.”
Service-users’
perspectives
“It is great to have three competent individuals working with me - a safety net. The four of us work together and conversations go on between all of us. I will take their advice. Sometimes someone lets the safety net go a bit slack but this can be a good learning exercise. I have faith that the safety net is always there.”