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Mental Health Good Practice Guide May 2010

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Mental Health Good Practice Guide May 2010 Mental health Good practice guide May 2010 Click to go to Æ Meeting the psychological and Document map emotional needs of homeless people Introduction Section 1: Non-statutory guidance on dealing with complex psychological and An outline of emotional needs from the National Mental Health Development Unit the key issues and the Department for Communities and Local Government Section 2: Case studies Section 3: Acknowledgments Definitions and We are very grateful indeed to the many colleagues around the country weblinks who contributed so much to this guide. Section 4: Particular thanks are offered to: Guidance and good practice Dr Nick Maguire, Chartered Clinical Psychologist and Deputy Director, PG Dip/Cert in Cognitive Behaviour Therapy, University of Southampton Section 5: Research Robin Johnson, RJA Consultancy Section 6: Panos Vostanis, Professor of Child and Adolescent Psychiatry, University of Leicester Glossary For further information on any aspect of the good practice guide please contact: [email protected] 1 Mental health Good practice guide Document map Document map This document is interactive and has been linked for easy navigation and use. Link through pages using the document map below or the colour coded menus. Introduction Section 1: Introduction J New Directions Team Assessment 35 An outline of The purpose of the guide 4 J Homeless Link Outcomes Programme 42 the key issues Schemes for young people 44 Who is this guide for? 4 Section 2: J Intensive Fostering – Youth Justice Board 44 How to use the guide 5 Case studies J Family liaison pilots – Youth Justice Board 45 Section 1: An outline of the key issues J High support hostels – Depaul UK 46 Section 3: The national policy context 8 J Kids Company, London 49 Definitions and Importance of agencies working together 11 J The Zone, Plymouth 51 weblinks New research and practice from pilot projects 13 High support schemes for adults 53 Section 4: Issues for accommodation and support providers 15 J 90 Lancaster Street, Multiple Needs Unit, Guidance and Importance of well-trained frontline staff 19 Birmingham 53 good practice The Psychologically Informed Environment J Home Base – Community Housing and Therapy 55 Section 5: approach (PIE) 20 J St George’s Crypt, Leeds 57 Research Drugs and alcohol 21 J Leeds NFA Health Centre 59 Best practice tips 22 J Lifeworks – St Mungo’s psychotherapy service 60 Section 6: Section 2: Case studies J Leicester Homeless Mental Health Service 63 Glossary Clinical assessment tools 24 J The Old Theatre, Broadway, London 66 J Leeds Holistic Framework 25 Staff capacity building and support 68 J New Directions Assessment – J Coaching Skills Training Course – Foyer Foundation 68 South West London Mental Health NHS Trust 28 J Westminster Cognitive Behaviour Therapy Project 69 2 Mental health Good practice guide Document map Document map J The Department of Health's Knowledge and Section 4: Guidance and good practice Understanding Framework 71 The psychologically informed environment (PIE) 88 Introduction J Behaviour Support Service, Brighton and Hove 72 Reflective practice 91 J Art of Defusing training, Bedford 75 Personalisation pilots and invest to save 92 Section 1: J Novas Scarman psychological skills training 76 J 1. Case studies from around England 93 An outline of J Framework Housing Association, Nottingham 78 J 2. The case for investment 101 the key issues J Young People in Focus: J 3. Longitudinal studies and evidence 108 Section 2: health and wellbeing scheme 80 Working with people with complex needs 109 Case studies Section 3: Definitions and weblinks CBT project, Derby Road, Southampton 113 Section 3: The use of medication 116 Psychological disorders which can predict Definitions and homelessness – some key definitions 81 Childhood experiences 116 weblinks J Complex trauma 80 Collaboration models for complex trauma and Section 4: J Personality disorder 80 severe social exclusion 117 Guidance and J Post traumatic stress disorder 81 Section 5: Research good practice J Conduct disorder 81 Cognitive and behavioural therapeutic interventions J Oppositional disorder 82 to tackle homelessness – research synopsis 122 Section 5: J Persistent, pervasive problems 82 How psychological factors related to traumatic Research J Co-morbidity 83 experience and personality disorder are Section 6: associated with chronic homelessness 131 J Attachment 83 Glossary J Emotion regulation 84 Research synopsis 138 Psychological techniques and approaches – Section 6: Glossary useful weblinks 86 Glossary of acronyms 142 3 Mental health Good practice guide Introduction Click to go to Æ Document map The purpose of the guide Who is this guide for? The purpose of the guide Introduction This guide describes effective ways of recognising The good practice guide is designed to assist: Who is this guide for? and meeting the psychological and emotional needs • Supported accommodation key workers and managers How to use the guide Section 1: of people who have experienced homelessness, are Local authority housing options teams and managers An outline of sleeping rough or living in insecure accommodation, • the key issues in particular young people and rough sleepers with • Supported accommodation providers histories of complex trauma (see below for a definition • Day centre staff Section 2: of complex trauma). The guide outlines the national • NHS homelessness healthcare services Case studies policy context, the research evidence which informs Social workers developing practice, and explores the issues for service • Section 3: Drug and alcohol workers providers and commissioners. • Definitions and Prison and probation housing advice staff • weblinks The guide describes the common psychological • Offender managers problems associated with complex trauma and offers • Assertive outreach teams Section 4: examples of treatment models available. The case Health staff in A+E departments Guidance and studies describe a variety of existing services for rough • good practice Hospital discharge coordinators sleepers and young people which address emotional and • psychological problems. These illustrate the wide range • Psychiatrists and psychologists Section 5: of techniques and approaches that are commissioned • GPs and practice managers Research across the country, with contact details. For further • Health visitors information on any aspect of the guide please contact: Section 6: Community Psychiatric Nurses (CPNs) [email protected] • Glossary • Local commissioners of housing, health or support services • Local councillors We hope you find it useful. 4 Mental health Good practice guide Introduction Click to go to Æ Document map How to use the guide The purpose of the guide Introduction The guide is divided into six sections: Who is this guide for? How to use the guide Section 1: An outline of Section 1: An outline of the key issues Section 3: Definitions and weblinks the key issues The national policy context A look at some of the key definitions of • • Section 2: • Importance of agencies working together different psychological disorders which can predict homelessness Case studies • New research and practice from pilot projects Some useful weblinks to give you more Issues for accommodation and support providers • Section 3: • information on psychological techniques Definitions and Importance of well-trained frontline staff and approaches • weblinks • The Psychologically Informed Environment approach (PIE) Section 4: Guidance and good practice Section 4: • Drugs and alcohol Some very helpful papers that outline more on Guidance and The Psychologically Informed Environment (PIE) and good practice Section 2: Case studies reflective practice – as well as some strong stories about individual clients and good practice around the UK. Section 5: There are four groups of wide-ranging case studies The psychologically informed environment (PIE) Research showing good practice in action that cover: • Reflective practice Section 6: Clinical assessment tools • • Personalisation pilots and invest to save Glossary Schemes for young people • • CBT Project at Derby Road, Southampton High support schemes for adults • • The use of medication Staff capacity building and support • • • Childhood experiences 5 Mental health Good practice guide Introduction Click to go to Æ Document map Section 5: Research The purpose of Some key papers (presented in their original form) that the guide Introduction offer top-level research to help commissioners explore a Who is this guide for? wide range of issues surrounding complex trauma. How to use the guide Section 1: • Collaboration models for complex trauma and severe An outline of social exclusion the key issues • Cognitive and behavioural therapeutic interventions to tackle homelessness – research synopsis Section 2: • How psychological factors related to traumatic Case studies experience and personality disorder are associated Section 3: with chronic homelessness – a paper Definitions and • Bio-psychosocial influences in complex trauma and weblinks repeat homelessness: the evidence base and the implications for future research and practice – Section 4: a synopsis Guidance and good practice Section 6: Glossary Section 5: Acronyms spelled out. Research Section 6: Glossary 6 Mental health Good practice guide Section 1: An outline of the key issues Click to go to Æ Document map The causes of homelessness can be complex. For some The prevalence of personality disorders in the general The national people it may result from social or mental
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