DAFT presentation 2016 th 12 MICHAEL NAPTHINE May

DAFT presentation 2016 th 12 MICHAEL NAPTHINE May

Exercise What has made you interested in attending todays conference? What do you already know about family therapy in adult settings? What are you hoping to get from today?

The social and relational orientation is inspiring important developments in mental health in the UK within and beyond the NHS. (Jones 2013) AFT open letter

AFT recognises that difficulties can occur at any stage of peoples lives and that mental health problems experienced by one family member are likely to impact on all family members, That many stresses experienced within families can trigger fuel, and/or maintain mental health and other difficulties and that family relationships can be key to recovery. AFT information sheet 2011

Evidence base Systemic family therapy was found to be efficacious for the treatment of: Moods disorders Eating disorders Substance use disorders Mental and social factors related to medical and physical conditions Psychosis Anxiety disorders Sydow et al (2010)

Evidence base Good support found for family therapy for: Relationship distress Psychosocial problems Domestic abuse Adjustment to chronic physical illness Carr (2009)

Evidence base In a separate earlier study family therapy found to be useful for: Agoraphobia Panic disorder Depression Bi polar OCD Carr (2000)

Recommended and used models of family therapy Systemic family therapy Behavioural family therapy Multi-systemic Family Therapy Open dialogue Exeter Model

Challenges of working in Adult mental health settings Family and systemic therapy model is less well known Family therapy is less well funded Dominance of the medical model Teams set up individually with limited joint working at times

Agency Map GP Pathfinder Crisis team Early Interventions team Recovery team Inpatient unit

Areas covered �Early intervention team (city and south county) 2 days a week �Acute care (Radbourne unit and crisis team) 1 day a week �Swadlincote adult recovery team 1 day a week �Swadlincote CAMHS team 1 day a week

Total/overall statistics 2015 Total amount of families. Total appointments offered Total events (families seen, meetings, contact) Total cancellations Did not attend Professional supervision Teaching 64 257 197 35 25 18 6

Adult recovery team Appointmen Events Cancellation Appointmen ts offered (direct s ts not contact with attended families or meetings) 65 56 3 6

Early intervention team Appointmen Events Cancellation Appointmen ts offered (direct s ts not contact with attended families or meetings) 70 49 10 11

Acute care inpatient unit and crisis team. Appointmen Events Cancellation Appointmen ts offered (direct s ts not contact with attended families or meetings) 79 59 15 5

Introducing the family Tina 49 Phil 51 Chris 26 Stewart 25 Josh 20