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Creating a Psychologically Informed Environment in Sheltered / Extra Care

Psychologically Informed Environments. Creating a Psychologically Informed Environment in Sheltered / Extra Care. Kim Scott Places for People 17/02/2015. Psychologically Informed Environments. WHY?. Staff development & well being

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Creating a Psychologically Informed Environment in Sheltered / Extra Care

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  1. Psychologically Informed Environments Creating a Psychologically Informed Environment in Sheltered / Extra Care Kim Scott Places for People 17/02/2015

  2. Psychologically Informed Environments WHY? • Staff development & well being • Customers with a higher threshold of needs/ complex needs presenting at services/ schemes • Increase in issues related to substance misuse / mental health • Fits with the culture /ethos (SPIRIT values) of Places for People

  3. Psychologically Informed Environments Complex Trauma – associated behaviours •Self-harm •Uncontrolled drug or alcohol use •Withdrawn, reluctant to engage / isolated •Anti-social behaviour / aggression • Lacking daily structure or routine • Inability to sustain work or education • Bullying, or being a victim • Offending • Unstable / inability to sustain relationships

  4. Psychologically Informed Environments HOW? 4 stages

  5. Psychologically Informed Environments WHAT? • 4 main aspects – • Psychology theory & mental health awareness / recovery approach • Skills – mental health & person centred support planning tools & outcome based support planning • Environment - Leeds Holistic Assessment/ Enabling Environments • Reflective practice

  6. Psychologically Informed Environments WHAT DIFFERENCE? • Improved customer satisfaction & engagement • Improved customer outcomes – health & wellbeing & planned move-on • Services able to support customers with higher complex needs • Improved staff engagement / reduced absence i.e. stress related • Improved physical / cultural environment • tenancy sustainment

  7. Psychologically Informed Environments Examples – Improved outcomes Salford Foyer Project (16-25 year olds) Support staff held reflective practice sessions with local Drugs & Alcohol Team / shared PIE learning Outcomes: staff delivering level 1 screening & level 2 interventions to customers by using tools used in PIE approach e.g. motivational interviewing, chain analysis and force field analysis , wheel of change. Approx 50% reduction in incidents and Anti-social behaviour Higher levels of customer engagement Lower threshold needs met

  8. Psychologically Informed Environments Examples continued Bristol Complex Needs Service Service model includes a part time Reflective Practice Manager and a part time substance misuse counsellor . Outcomes: Onsite advice Initial assessments for treatment processed quickly Lower referral refusal rates- able to support higher complex needs

  9. ANY QUESTIONS?

  10. Useful links Johnson R & Haigh R, (2011) “Social Psychiatry and Social Policy for the 21st Century - new concepts for new needs: enabling environments” in Mental Health & Social Inclusion, Vol 15 Iss 1. Available at: http://www.rjaconsultancy.org.uk/publications.html. Keats H, Cockersell P, Johnson R & Maguire N (2012) Psychologically informed services for homeless people (Good Practice Guide) Now available at: http://www.rjaconsultancy.org.uk/PIEconcept.html Peter Cockersell, (2011),"More for less? Using PIEs and recovery to improve efficiency in supported housing", Housing, Care and Support, Vol. 14 Iss: 2 pp. 45 – 50 KUF programme www.personalitydisorder.org.uk/training/kuf/awareness-level l

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