Working Towards a new Philosophy of Care & Treatment.

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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: