pro viding a ne w wa y to suppo rt pe o ple living with me nta - - PowerPoint PPT Presentation

pro viding a ne w wa y to suppo rt pe o ple living with me nta l he a lth pro b le ms

KAY MAT

HIUS AND HE AT HE R MARIE NIMAN

SE

VE RN AND WYE R E COVE RY C OL L E GE S

histo ry a nd the o ry

• patie nt c e ntr

e dne ss d e sc rib e s the re la tio nship b e twe e n c linic ia ns a nd pa tie nts a s a me e ting o f two e xpe rts, e a c h with the ir re spe c tive kno wle d g e

a nd skills… re c o ve ry me a ns d iffe re nt thing s to d iffe re nt pe o ple a nd sho uld b e de fine d by the pe r

son e xpe r ie nc ing me ntal illne ss… fo r ma ny pe o ple

it me a ns a wa y o f living a sa tisfying a nd me a ning ful life within the limits o f me nta l illne ss

• a c e r

tain le ve l of we llne ss is ne e d e d a nd a willingne ss to me e t c halle nge s a nd se e the m a s o ppo rtunitie s fo r g ro wth… c o lla b o ra tive c o -pro d uc tio n

re q uire s use rs to b e e xpe rts in the ir o wn c irc umsta nc e s a nd c a pa b le o f ma king d e c isio ns, while pro fe ssio na ls must mo ve fro m b e ing fixe rs to fa c ilita to rs

• F
• r Se ve r

n and Wye Re c ove r y Colle ge s - Anna Burho use fro m 2g e the r NHSF

T (a nd no w WE AHSN) ma d e a suc c e ssful a pplic a tio n fo r a n a wa rd fro m Shine to d e ve lo p a re c o ve ry c o urse with c o a c hing a s a fund a me nta l pa rt o f the pro c e ss.

• Anna , with pe e r fa c ilita to rs with live d e xpe rie nc e K

e ith Co upla nd a nd Susie Wild , d e ve lo pe d the c o urse with a sso c ia te s inc lud ing Ad ult E d uc a tio n, Mind , Artlift a nd o the rs a nd the c o urse wa s first pre se nte d in Glo uc e ste r a nd He re fo rd in Autumn 2013

• Jo De nne y, he a d o f So c ia l Inc lusio n a t 2g e the r, o b ta ine d o n-g o ing fund ing fro m the c linic a l c o mmissio ne rs fo r Glo uc e ste rshire in 2015
• We pub lishe d a BMJ pa pe r in 2015: Co a c hing fo r re c o ve ry: a q ua lity impro ve me nt pro je c t in me nta l he a lthc a re (BMJ Qua l Impro v Re po rt 2015;4:

d o i:10.1136)

• As we ll a s c o ntinuing to d e ve lo p a nd run the Re c o ve ry Co lle g e , o ng o ing c yc le s o f c o pro d uc tio n ha ve re sulte d in the a d ult te a m no w d e ve lo ping

a fo llo w-o n c o urse c a lle d “Ne xt Ste ps 2g e the r”, b uilding re silie nc e , a nd CAMHS in Glo uc e ste rshire a lso no w o ffe r a n a d o le sc e nt a nd yo ung a d ult’ s c o urse …

a sha re d e xpe rie nc e …

• L

e a rning fo r o urse lve s ho w to re b uild o ur live s

• Cha ng ing re la tio nships with pra c titio ne rs fro m b e ing ‘ o n to p’ to

b e ing ‘ o n ta p’

• We a re the e xpe rts in o ur c o nditio n a nd c a n use o ur sha re d

e xpe rie nc e to le a rn fro m e a c h o the r thro ug h c o -pro duc tio n a nd c o -de live ry

• Othe r so urc e s fo r le a rning inc lude pra c titio ne rs, c a re rs a nd

Adult E duc a tio n

T he se ar e c ite d among the fundame ntal fe atur e s of Re c ove r y Colle ge s (Pe r kins, Re ppe r , Rinaldi and Br

• wn, 2012)
• I

a tte nde d o ne o f the se c o nd wa ve o f c o urse s tha t de ve lo pe d using the CHI ME a c ro nym (L e a my e t a l 2011) Jo ’ s Smith’ s pho e nix a rising fro m the a she s

this mo de l c hime d fo r me !

• T

he CHIME ac ronym (Mary L e amy and c olle ague s, 2011)

• Conne c ting with o urse lve s a nd o the rs
• Hope fo r the future
• Ide ntity c ha ng e (fro m sic k o r me nta lly ill to a c tive pe rso n o n a

jo urne y)

• Me aning is fo und in o ur e xpe rie nc e s
• E

mpowe rme nt to find e ne rg y a nd purpo se to mo ve fo rwa rds

…a nd se rvic e use rs c o uld c o ntrib ute !

Feeling good Slipping down Rock bottom Picking up Things are okay T im Cuss’ slinky mo d e l [APT 2013]

the b e st a spe c ts o f the Re c o ve ry Co lle g e mo de l fo r me …

• I

ha d a lre a dy a tte nde d a n e mo tio na l skills le a rning g ro up a nd T

he L ine han Mode l, 1990, wa s a g a in use d to he lp us to unde rsta nd the ro le o f stre ss

a nd tra uma o n the le a rning pro c e ss)…

• I

fo und the e mpha sis o n hope , holding hope a nd Re c ove r

y He r

• e s

inspiring fo r me

• We a lso ha d a ta lk fro m a ve ry inspiring a thle te a nd I

le a rne d o f the lite ra ture o n r

e silie nc e a nd positive psyc hology

• I

fo und the suppo rt o f a c oac h fro m the Re c o ve ry Co lle g e to b e a n inva lua b le a id to he lping me se e tha t I wa s a lre a dy we ll into my re c o ve ring jo urne y

• I

fe e l tha t I no w ha ve a diffe r

e nt r e lationship with the me ntal he alth se r vic e that I or iginally fe lt de pe nde nt upon

• I

a lso use o the r a spe c ts o f the c o urse , mindfulne ss, c ompassion a nd se lf so o thing

WISE MIND (Pre-frontal cortex) Thinking about thinking, reflection, empathy and understanding RATIONAL MIND (Frontal cortex) Problem solving EMOTIONAL MIND (limbic system) Flight, fight, freeze

…a nd my o ng o ing c o mmitme nt to se rvic e impro ve me nt

• I

wa s inspire d to … vo lunte e r to c o-produc e furthe r

c ourse s, o b ta in my BT E C le ve l 3 E duc ation and T raining c e rtific ate a nd pe e r fac ilitate furthe r c o urse s… I

re g ula rly c o ntrib ute to the lo c a l Re c o ve ry Co lle g e wo rk a nd I a m b e ing tra ine d to ta ke pa rt in the KUF (K no wle dg e a nd Unde rsta nding F ra me wo rk), UK wide wo rk o n c ha ng ing the a ppro a c h to pe rso na lity diso rde rs.

• I

wro te se ve ra l poe ms tha t a re no w a n inte g ra l pa rt o f the c o urse lite ra ture

the o ne whe re we a ll b e c a me filmsta rs… …e ve n the she e p!

fro m re c o ve ry to disc o ve ry…

• ur a ma zing te a m!

why is it ne e de d? o ur fa vo urite thre e re a so ns……

1.

• ne in 10 yo ung pe o ple ha s a me nta l he a lth diso rde r a nd ma ny lo ng te rm a nd

e nduring me nta l illne sse s e me rg e in a do le sc e nc e so it ma ke s se nse to suppo rt pe o ple e a rly o n… the c o nc e pt o f ‘ re c o ve ry’ wa s no t q uite rig ht fo r a do le sc e nts, whe re fo r ma ny the se nse o f a fixe d ide ntity tha t yo u c o uld ‘ re c o ve r to ’ wa s no t ye t fo rme d 2. mo st ma instre a m UK NHS me nta l he a lth se rvic e s fo r yo ung pe o ple sto p a t 18 a nd, unle ss yo u ha ve psyc ho sis, the tra nsitio n into a dult me nta l he a lth se rvic e s is

• fte n pro b le ma tic … no t e no ug h spe c ia list se rvic e s e xist fo r yo ung pe o ple o f this

a g e … a nd the e vide nc e b a se is a lmo st to ta lly la c king ! 3. I n ne uro sc ie nc e ; o ur b ra ins g o thro ug h a no the r ma jo r re o rg a nisa tio n in a do le sc e nc e , ma king it b o th a vulne ra b le time in o ur de ve lo pme nt b ut a lso a n

• ppo rtunity fo r g o o d c ha ng e s a s ne uro pla stic ity is he ig hte ne d… we ha ve a lso

fo und tha t fo r a lmo st a ll o f o ur stude nts, disc o ve ring the sc ie nc e b e hind this is e xtre me ly he lpful

fo r us disc ove r

ing is…

• an attitude not an outc ome
• a journe y not a de stination
• ‘one ste p at a time ’ and ‘baby ste ps’ too
• se e ing the pe rson not just the illne ss
• re c ognising and managing distre ss
• finding c onne c tions with othe rs and be ing a part of a c ommunity
• finding me aning
• finding purpose , voc ation and or oc c upation
• finding safe plac e s and pe ople who e nc ourage you to be your amazing -se lf

so me o f o ur inno va tio ns…

We would both like to e nd our pr e se ntation with one of Ke ith’s pe r sonal he r

• e s…

Br ian Ble sse d giving the T humbs Up to r e c ove r ing thr

• ugh le ar

ning! With tha nks to … K e ith Co upla nd Anna Burho use Suzie Wa ll Jo De nne y Adult E duc a tio n in Glo uc e ste rshire Ma ddie Ro wla nd Mike y Je nkins L isa Cro o ks …a nd a ll o ur wo nde rful stude nts!!