Psychologically Informed Environments Creating a Psychologically Informed Environment

Psychologically Informed Environments Creating a Psychologically Informed Environment in Sheltered / Extra Care Kim Scott Places for People 17/02/2015

Psychologically Informed Environments WHY? Ø Staff development & well being Ø Customers with a higher threshold of needs/ complex needs presenting at services/ schemes Ø Increase in issues related to substance misuse / mental health Ø Fits with the culture /ethos (SPIRIT values) of Places for People

Psychologically Informed Environments Complex Trauma – associated behaviours • Self-harm • Uncontrolled drug or alcohol use • Withdrawn, reluctant to engage / isolated • Anti-social behaviour / aggression • Lacking daily structure or routine • Inability to sustain work or education • Bullying, or being a victim • Offending • Unstable / inability to sustain relationships

Psychologically Informed Environments HOW? 4 stages Research CLG Good practice guide and Robin Johnson, RJA Consultancy Training 6 bespoke sessions for managers/team leaders & cascade training Embed Business plan/ongoing training/support & role of champions Monitor and review Current position & longer term evaluation & validation

Psychologically Informed Environments WHAT? 4 main aspects – Ø Psychology theory & mental health awareness / recovery approach Ø Skills – mental health & person centred support planning tools & outcome based support planning Ø Environment - Leeds Holistic Assessment/ Enabling Environments Ø Reflective practice

Psychologically Informed Environments WHAT DIFFERENCE? Ø Improved customer satisfaction & engagement Ø Improved customer outcomes – health & wellbeing & planned move-on Ø Services able to support customers with higher complex needs Ø Improved staff engagement / reduced absence i. e. stress related Ø Improved physical / cultural environment Ø tenancy sustainment

Psychologically Informed Environments Examples – Improved outcomes Salford Foyer Project (16 -25 year olds) • Support staff held reflective practice sessions with local Drugs & Alcohol Team / shared PIE learning Outcomes: • staff delivering level 1 screening & level 2 interventions to customers by using tools used in PIE approach e. g. motivational interviewing, chain analysis and force field analysis , wheel of change. • Approx 50% reduction in incidents and Anti-social behaviour • Higher levels of customer engagement • Lower threshold needs met

Psychologically Informed Environments Examples continued Bristol Complex Needs Service model includes a part time Reflective Practice Manager and a part time substance misuse counsellor. Outcomes: • Onsite advice • Initial assessments for treatment processed quickly • Lower referral refusal rates- able to support higher complex needs

ANY QUESTIONS?

Useful links Johnson R & Haigh R, (2011) “Social Psychiatry and Social Policy for the 21 st Century - new concepts for new needs: enabling environments” in Mental Health & Social Inclusion, Vol 15 Iss 1. Available at: http: //www. rjaconsultancy. org. uk/publications. html. Keats H, Cockersell P, Johnson R & Maguire N (2012) Psychologically informed services for homeless people (Good Practice Guide) Now available at: http: //www. rjaconsultancy. org. uk/PIEconcept. html Peter Cockersell, (2011), "More for less? Using PIEs and recovery to improve efficiency in supported housing", Housing, Care and Support, Vol. 14 Iss: 2 pp. 45 – 50 KUF programme www. personalitydisorder. org. uk/training/kuf/awarenesslevel