Occupation

Abstracts
Posters
This has benefited service users through access to holistic OT
prison assessments, OT treatment for clients in the national
stalking clinic, the provision of an occupation focused guide
for prisoners to use in cells and an enablement programme
to deliver unique workshops and modules in an accessible
framework.
If OT services are to survive in the new NHS it is essential that
OT leaders have a strong voice, confident in the vision that their
services are essential. Without drive and determination none
of these new services would have been achieved. OTs cannot
wait to be asked to contribute to the future it has to come from
within the profession. The authors believe that OTs need to grab
the opportunities, even if this feels out of the OT remit, as there
is nothing that OTs can’t do.
References
Health and Social Care Act 2012. Available at: www.legislation.
gov.uk/ukpga/2012/7/enacted (Accessed 14 September 2015)
Department of Health (2014) The NHS Five Year Forward View.
Available at www.england.nhs.uk (Accessed 14 september 2015)
Keywords
Forensic practice, Service improvement or transformation,
Leadership, NHS
Contact E-mail Addresses
emma.nicklin@beh-mht.nhs.uk
Author Biographies
Emma Nicklin is a therapy and service development lead in a
London trust who has over 18 years experience predominantly
in mental health settings, she has been an OT manager for
the last 8 years and is heavily involved in trust bid writing,
commissioning new services and OT practice in non traditional
areas.
Sarah Tozer is a principal occupational therapist in a London trust
who has worked in forensic and learning dissablilty practice for
many years. She is a progressive and innovative manager who is
committed to exploring new opportunities for OTs.
P50
Feasibility of creative clinical intervention groups in
reducing depression and anxiety in prisons
Ajayi M, Institute of Psychiatry, King’s College
Background: There has been little research to measure the
effectiveness of creative art groups in reducing symptoms of
depression and anxiety in the prison environment. This study
seeks to evaluate specific therapeutic groups within a prison.
The study will focus on existing groups, creative music, urban
(graffiti) arts, and creative arts groups. The study aims to provide
evidence for the therapeutic and clinical benefits of these groups
and the issues that arise when delivering these interventions
within prison mental health settings. The study will incorporate
participant treatment evaluation and focus group feedback.
The study will examine if the groups can help bring about a
reduction in levels of symptoms relating to depression and
anxiety in prisoners.
Method: Groups were held weekly. Individual participation was
evaluated by analysing completed pre and post of IAPT screening
forms on PHQ-9 and GAD-7 of each group. Group members had
completed the screening in the first and last sessions of each
group. The measures were also taken at 3–6 months follow up.
Result: Evaluation of participants’ scores revealed significant
reductions in severity of symptoms on the GAD-7 and the
PHQ-9. Positive evaluations were also found on feedback
questionnaires of users’ satisfaction. Findings of depression and
anxiety levels in post-groups are limited in that some prisoners
that competed groups were not available for the 3–6months
post group screening due to either being released or transferred
to another prison.
Conclusion: Engagement in creative clinical intervention groups
should reduce levels of symptoms relating to depression and
anxiety in prisoners.
References
Meekums, B. & Daniel, J. (2011). Arts with offenders: A
literature synthesis. The Arts in Psychotherapy. Volume 38, Issue
4, September 2011, pp.229 . DOI: 10.1016/j.aip.2011.06.003.
ELSEVIER.
Keywords
Forensic practice, Audit, New or emerging roles, NHS
Contact E-mail Addresses
faymod@yahoo.co.uk, felicia.modupe.ajayi@oxleas.nhs.uk
Author Biographies
Modupe, F Ajayi, HMP & YOI Rochester, Dickens Therapy Centre,
Inreach Mental Health Team, Oxleas NHS Foundation Trust.
P51
The highs and lows of the recovery and enablement
programme within a forensic service
Zamecnikova J, Morgaon-Jones N, North London Forensic
Service
This poster aims to outline the development and implementation
of the Recovery & Enablement Programme (REP) within an inpatient
low and medium secure service, North London Forensic
Service (NLFS).
In 2012, The Occupational Therapy department created a
referral-based psycho-education group programme which
was accessible to all patients (170) in a pre-planned timetable
for the year. It allowed the OT department to streamline and
pool resources to operate more effectively. Having a scheduled
programme in place for the whole year allowed MDTs and
patients to better plan interventions and treatment on and off
the ward.
Following feedback from staff and patients the programme
evolved and the REP was created in 2015. The REP was designed
to implement some of the recovery college principles, and to
translate these principles into the forensic service, taking the
existing programme forward (MHN NHS Confederation, 2012).
It was the normalising nature of the recovery colleges and
the collaboration of staff and mental health service users in
developing and delivering such courses that makes a project like
this appealing and sellable, partly due to the evident financial
squeeze in the NHS.
This project relied on the OT staff to deliver the programme
without a significant additional cost. Due to the specific nature
of the service and its client group, it was unfeasible to simply
copy the blueprint of the established Recovery Colleges. All of
our courses and workshops were designed to contribute towards
wellbeing and recovery however, it was not always possible to
co-delivered workshops with peer recovery trainers.
The aims of the project were to reinforce the value of OT by
showing outcomes, as well as streamline resources, offer equal
access to groups for our patients, improve efficiency, co-working
& personal development. We have successfully run the pilot,
started the autumn term and are hoping for a positive recoverycollege
inspired year.
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