PERSONALITY DISORDER - Scottish Personality Disorder

Report
PERSONALITY
DISORDER
Managed
Clinical
Network
within a
Regional
Development
Programme
(i) What is a managed clinical network?
 “A set
of autonomous organisations come
together to reach goals that no one
organisation can reach separately.”






Leeds Mental Health Trust
Community Links
Touchstone
Survivor Led Crisis Service
M H Advocacy Group
West Yorkshire Probation
(ii) What does the MCN do?
AIMS TO:

Work effectively with individuals who present
with personality disorder, complexity of need and
significant risk issues.

Support others across agencies to work
effectively with people who present with
personality disorder and who seek or require
input from their services.
We offer:
 CONSULTATION
 ASSESSMENT AND
FORMULATION
 FUNCTIONAL GROUPWORK
 CARE
CO-ORDINATION
 TRAINING
(iii) How do we do it?
Theoretical framework of W John Livesley:
“helping people to develop a coherent sense
of self or identity, and the capacity for
effective relationships”.
Applied General Therapeutic Strategies
 Build
and maintain a collaborative
relationship
 Maintain a consistent treatment process
 Establish and maintain a validating
treatment process
 Build and maintain motivation for change.
Through Five Phases of Treatment
 Safety
and managing crises
 Containment
 Control
and regulation
 Exploration
 Integration
and change
and synthesis
The Managed Clinical Network
User Led Crisis Service
Probation
Consultation
Resource Pack
Training
Narratives in crisis
Working agreement
Accommodation
Consultation
Phased assessment process
Training
Care Co-ordination
Consultation
Shared Care protocols
Occupational
Therapist
Functional Groupwork
Programme
Health Support
Workers
The Allotment and
engagement strategies
Therapists
MH Advocacy
Clinical Supervision
Psychological thinking
Training
User focussed conference
Involvement group
newsletter
Voluntary Sector
Quarterly Forum
Occupation and
Social Inclusion service
(iv) What have we learned?
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All community mental health teams refer, and on average each
clinician has 5 on caseload with personality disorder
66% of referrals are female
Referrers’ perception of need differs for males and females
People offered assessment complete the process and value
autobiographical narrative as outcome
Staff in other services are working well, but require support to
undertake the work
Consultation and training have been well received
Commissioners are supportive of the MCN model and its impact
upon out of area placements.
Within a Regional Development Programme?
Policy Guidance
DSPD
High Support Hostels
Regional Training Involvement
Capacity Plans
Capability Framework
Forensic Pilots
Community Pilots
NSCAG funds
LIT Autumn Assessments
SUMMARY OF YORKSHIRE PROGRAMME –
PERSONALITY DISORDER 2007
SERVICES

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Independent secure/non-secure
Medium secure assessment/treatment
Clinical pathway/gatekeeping
Women’s High Support
Managed Clinical Network
Day Therapeutic Community/Functional
Groupwork
1
2
3
4
5
6
7
8
Development of Clinical Services
Development of evaluation of effectiveness
and impact
Development of core service standards
Development of commissioning
arrangements
Developing meaningful user involvement
Workforce skills development
Managing the mainstream – IMPACT,
CHANGE
Multi-agency Strategy 2008-12.

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