1 / 14

Psychologically Informed Environments

Psychologically Informed Environments. Jean Templeton St Basils. The Vision…. To see adequate provision made in homelessness services facilitating effective treatment for psychological issues within homelessness

lan
Télécharger la présentation

Psychologically Informed Environments

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Psychologically Informed Environments Jean Templeton St Basils

  2. 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

  3. What is Complex Trauma? • 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

  4. Issues • 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’

  5. Psychological, emotional and behavioural pathway to repeat homelessness • Triggers: • Release • from prison • Relationship • breakdown • Discharge from • armed services • Loss of • tenancy Shame, guilt Emotion dysregulation Drug and alcohol use Experiential avoidance Rumination Asocial and antisocial behaviour Maladaptive coping style (externalising) Modelling Childhood abuse / neglect Repeat tenancy breakdown Lack of social and practical functioning skills Attachment problems

  6. Psychologically Informed Environments (PIEs) • 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

  7. Change • 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

  8. PIPIE Aims at St BasilsE 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

  9. Elements of the Programme • Core training in psychological skills for all staff • Specialist training for some • Development of evaluation framework and infrastructure and review and analyse data over 3 year period • Reflective Practice groups in collaboration with NHS partners • Review tools and working methods to ensure they support an approach consistent with Psychologically informed environment

  10. Our Partners • 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

  11. Learning and Impacts • 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

  12. references DCLG – Psychologically Informed Services for Homeless People- Good Practice Guide February 2012 www.stbasils.org.uk/publications#external jean.templeton@stbasils.org.uk

More Related