Transcript Working Towards a new Philosophy of Care & Treatment.
Working Towards a new Philosophy of Care & Treatment. Arran Ward Female Service Ayr Clinic. 12 bedded designated low secure female service : Ayr : Scotland Adapting TC working to bring improvements to ward culture and working environment : Stage 1 • Not a new philosophy but restoring a therapeutic balance within the staff : patient working relationships • Distress : Anger : Hope & Hopelessness are embedded in social relationships and improve or deteriorate within this context Overarching ‘Cement’ : Psychodynamic Reflective Practice Groups for all members of staff Foundation Blocks of the Service : • Patient Forum • Ward Activity Development Group • Relationships Group • Patient Rep Roles • Arran Ward Program • Real Work Opportunities in clinic An average day on Arran 6 Morning briefing meeting Rehabilitation v Recreation : striking the right balance Low intensity and open skills-based groups Higher intensity groups and 1:1 work Mindfulness, Relaxation, Social skills/communication group, Managing Emotions DBT skills group / Anger Management / Anxiety Management / Coping with mental illness / Drug & Alcohol / Community Living skills Art Psychotherapy Group & 1:1 work Escorted Physical Wellbeing groups : Swimming / Cycling / Bowls The Ayr Clinic, Partnerships in Care Into the future ! • Stage 2 : Developing mentalising approach across all disciplines • Stage 3 : Developing a small MBT psychotherapy team • Stage 4 : Increasing access to non-verbal Psychotherapy inputs Early outcome evaluations : 100 90 80 70 60 50 40 30 20 10 0 All Pts Core group Over to our patient representatives: