Meeting-The-Challenge-Making-a-Difference-Practitioner-Guide

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and the longer it lasts. It is assumed that everyone can relate to at least some of the schemas described in the model, although these may be more rigid and extreme in service users who seek treatment. Cognitive and behavioural techniques are core aspects of the intervention, but the model gives equal weight to emotionfocused work, experiential techniques and the therapeutic relationship. ST is a normally a long-term intervention (2-3 years); even with people with less severe personality disorders, fewer than 20 sessions is rarely enough. Therapy involves a gradual weakening of the dysfunctional parts of the personality structure through the strengthening of the healthy, adult part of the person. H) INTENSIVE THERAPEUTIC PROGRAMMES Most psychological therapies are provided on an out-patient basis, with appointments once or twice weekly as in DBT and in MBT Many people can benefit from these approaches, but a few people find they struggle in the gap between appointments, and need more intensive help. Some localities have day hospital or day programmes, where people attend up to 5 days per week, usually for a programme of different therapeutic groups and activities such as art and music therapy. I) THERAPEUTIC COMMUNITIES TCs were started during World War II, as a way of treating veterans who were psychologically traumatised by war. Therapeutic communities can be residential, or sometimes run as a day programme over a number of days a week. They operate a programme of different therapeutic groups and activities. TCs challenge the rigid split which sometimes exists between ‘professionals’ and ‘patients’ and aim to work as a community in which every member is seen to have a valuable contribution to make to other people’s development. Service users usually have a say in day-to-day decision making about how the community is run, and staff and service users will together make decisions about handling crises, or when someone is ready to leave. The aim is that individuals will be helped with their own problems, but will also be empowered by discovering their capacity to take responsibility and to help others. J) ARTS THERAPIES There are different forms of arts therapy, most common are art therapy, music therapy, drama therapy and dance movement therapy. They usually take place in a group and service users do not need any prior experience, skills, or abilities in the particular art. They are all based on the principle of creating a safe and trusting environment where an individual can access and express strong emotions. They enable people to express emotions non-verbally that they might not otherwise feel able to express. 78
Appendix 2: References and resources REFERENCES: Moran, P., Leese, M., Lee, T., Walters,P., and Thornicroft, G. (2003) Standardised assessment of personality – Abbreviated Scale (SAPAS): preliminary validation of a brief screen for personality disorder. British Journal of Psychiatry, 183, 228-232 Turner,K., Lovell, K. and Brooker, A. (2011) ’...And they all lived happily ever after’: ‘Recovery’ or discovery of the self in personality disorder? Psychodynamic Practice: Individuals, Groups and organisations, 17 (3), 341-346 USEFUL RESOURCES: For immediate help: Call 111 if someone needs medical help fast but it’s not a 999 emergency. A team of advisors, supported by nurses and paramedics, will ask questions to assess the situation and give healthcare advice or will direct the person to a suitable local service. With a life-threatening emergency, call 999 or go to the nearest A&E. The person’s GP may be able to offer support themselves, or refer the person to specialist mental health services. If the GP surgery is closed they will have an out of hours’ service that can be contacted instead. The Samaritans are there to listen 24 hours a day. Call on 08457 90 90 90. The Samaritans’ website gives information about call charges www.samaritans.org Saneline offers emotional support out of office hours and is open every day 6pm to 11pm on 0845 767 8000. Most areas have a mental health crisis team available 24 hours a day; their contact details should be available via the local council or social services, or they can be contacted via A&E. GENERAL SUPPORT: Local mental health charities – most local mental health charities have information about support available in the area. Many also run services such as day centres and social groups themselves. To find out about local mental health charities check the local phone book, contact MIND www.mind.org.uk to see if they have an organisation in your area, ask at a local GP surgery or local library. Emergence is a specialist service-user-led organisation supporting all people affected by personality disorder through support, advice and education. The Emergence network as a whole has access to a large amount of information about personality disorder, different treatments and services. If you cannot find the information you need on their website please do contact them at admin@emergenceplus.org.uk and they will try their best to help. GOVERNMENT POLICY DOCUMENTS AND GUIDANCE: National personality disorder website: www.personalitydisorder.org.uk Personality Disorder: No longer a diagnosis of exclusion. NIHME, 2003. Available online: www.personalitydisorder.org.uk/ assets/resources/56.pdf 79
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Working effectively to support peop
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Contents Foreword .................
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Executive summary It’s not person
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INTRODUCTION THE PURPOSE OF THIS GU
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WORKING TOGETHER Professionals have
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BACKGROUND Each person’s personal
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BACKGROUND • People with personal
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BACKGROUND taken overdoses is stock
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BACKGROUND How do we describe and u
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BACKGROUND 1) Openness (seeking out
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BACKGROUND “Music has got me thro
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LEARNING POINTS FROM CHAPTER 1 —
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BACKGROUND There is no underlying
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BACKGROUND The notion of treatabili
Page 29 and 30: BACKGROUND For many years, because
Page 31 and 32: Learning points from Chapter 2 —
Page 33 and 34: BACKGROUND Most professionals agree
Page 35 and 36: BACKGROUND soothing, responsive car
Page 37 and 38: BACKGROUND THE THEORY OF MENTALIZAT
Page 41 and 42: PRACTICAL GUIDANCE RECEIVING GOOD C
Page 43 and 44: PRACTICAL GUIDANCE What might get i
Page 45 and 46: PRACTICAL GUIDANCE THERE ARE MANY R
Page 47 and 48: PRACTICAL GUIDANCE HELPFUL THINGS T
Page 51 and 52: PRACTICAL GUIDANCE Here are some ex
Page 53 and 54: PRACTICAL GUIDANCE Some teams will
Page 55 and 56: PRACTICAL GUIDANCE Specific psychol
Page 57 and 58: PRACTICAL GUIDANCE borderline and a
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Page 63 and 64: PRACTICAL GUIDANCE It is extremely
Page 65 and 66: PRACTICAL GUIDANCE 6) ISSUES OF POW
Page 69 and 70: PRACTICAL GUIDANCE We all know that
Page 71 and 72: PRACTICAL GUIDANCE Common defences
Page 73 and 74: PRACTICAL GUIDANCE It is possible t
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Page 79: therapist and client is a collabora
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