Holis&c  Family  Mental  Health  Approach    

Community  Interest  Company  

What  is  My  Time  CIC?    •  Award  winning  service  user  owned  mental  health  services  for  individuals  &  families  suffering  from  depression,  low  self  esteem  ,  anxiety  and  mental  health  problems.  My  Time    “fits”  to  the  needs  of  the  service  user  not  the  service  user  “fi@ng”  the  service.    

•  Community  Services  •  Family  &  Counselling              Services  •  Training  &  Research  

Family  Need  •  Rise  in  Family  breakdowns  

•  DomesGc  Violence  •  Increase  in  mental  health  problems  across  World  

•  TraumaGc  Events  •  Risk  of  children  going  into  care  –  Neglect  &  Abuse  

•  Offending  &  AddicGons  

Big  Wide  World  Perspec&ve  to  Family  Therapy  

•  Family  Group  Conferencing  (Maori  –  New  Zealand)  

•  Peer  Support  &  NarraGve  (Namibia)  

•  Family  Therapy  (Finland)  

•  MulG  Systemic  Therapy  (USA)  

•  Morita  Therapy  (Japan)  •  Islamic  Approaches  

FACT  –  Family  Ac&on  for  Choice  Tomorrow  

Family  Therapy  Team:  •  Family  Therapists/Case  

Managers  •  Counsellors  in  Mother-­‐

Tongue  &  Gender  •  DomesGc  Violence  

Counsellors  •  DomesGc  Violence  

Perpetrator  Programmes  •  1-­‐2-­‐1  and  Group  Work  •  Family  Group  Conferencing  •  Peer  Support  

My  Time’s  Intercultural  Mul&-­‐Systemic  Therapy  (MST)    

•  Problem-­‐focused  and  change  orientated  within  cultural    context  and  mother-­‐tongue  

•  Many  different  paths  can  lead  to            same  outcomes    •  AcGve  Lead  therapist/case  manager  and              involvement  of  other  agencies  

•  Develop  IntervenGons  within  context            of  the  presenGng  problems    •  Changing    interacGons  in  relaGonships  

Family  Ac&on  for  Choice  Tomorrow  

• MulG-­‐Lingual  Counsellors  • Gender  Specific  • Children  

• Access  to  Support  Worker  to  assist  with  pracGcal  issues  such  as  housing,    finance  • Peer  Support  Groups  

• DomesGc  Violence  Counsellors  • DV  Perpetrators  Programme  

• Family  Therapists  &  Case  Managers  • Family  Group  Conferencing  • ParenGng  Skills  

Family  Therapy  

DomesGc  Violence  

Programme  

Counselling  PracGcal  Family  Support  

My Time Team

Family Issues

(External)

 Homelessness  &  Housing Housing  Departments  & Housing  AssociaGons

Educa&on  &  Employment  &  Language Job  Centre,  Training  Agencies,  Local  Colleges

 Health  &  Social  Care GP,  Mental  Health  Trust,  Hospital,  Specialists,  Adult  Services

Children  &  Family  Services  –  Social  Workers,  CAMHS.  Child  ProtecGon

           Paren&ng Children  Centres Assessment  Centres

                 Legal Mental  Health  Act Mental  Health  Trust

                 Legal Family  Courts  &  Children  &  Family  Services,  Divorce,  Contact

                     Legal Criminal  JusGce  System  &  ProbaGon,  DomesGc  Violence  /  ImmigraGon,  Safeguarding

       Drugs  &  Addic&ons Support  Agencies  such  as  Aquarius  

                     Debt  &  Benefits Money  Advice  Agencies  &  Benefit  Agencies

My Time CIC – Family Trauma Centre Team’s Multi-Agency Approach and Agencies/Issues

My Time Team

Family Issues

(Internal)

 Mental  Health  Diagnosis Long-­‐Term  Condi&ons  such  as  Bipolar,  Post  Trauma&c  Stress  Disorder

Skills  to  Problem  Solve,  Be  Crea&ve,  Ability  to  organise,  seek  help,  to  learn,  to  advocate  and  become  an  ac&ve  &  economic  ci&zen

 Paren&ng                                                        Neglect  &  Abuse Capacity  for  Dimensions  of  Paren&ng                                                          Child  Behaviour

Rela&onships  between  parents,  children,  and  other  Family  Members  Asser&veness  &  Dealing  with  Conflict

Socialisa&on  &  Interac&on  with  

others Cultural  &  Gender  

Issues

Func&oning &  Independent  Living  Skills

Domes&c  Violence VicGm  and/or  Perpetrator

                     Phobias Obsessive  Compulsive  Disorder,  Social  Phobia

       Situa&onal  Depression  &  Anxiety Self-­‐Esteem  &  Confidence

Managing  Physical  Health                                  Addic&ons Long-­‐Term  Illness

My Time CIC – Family Trauma Centre Team – Human/Mental Health Tackled By Team

Key  Aspects  of  Approach    •  Immediate  Response  &  Help  at  Gme  of  crisis  •  Assessment  that  is  flexible  and  develops  over  Gme  •  Flexibility  &  Mobility    •  ConGnuity  –  Psychological  &  Social  •  Responsibility  of  all  involved  •  Social  Network  PerspecGve  –  “We”  &  “I”            cultures  •  Tolerance  of  Uncertainty  •  Dialogism    &  NarraGve      •  Fit  needs  including  gender  &  culture  

 

Sharing  the  Journey  

My  Time  Therapists  walk  alongside  the  parent  and  family  members  as  they    make  the  steps  on  a  journey  from  crisis  that  has  put  their  children  and  themselves  at  risk.  It  is  acGon  psychology  –  See,  Judge,  Act,  Evaluate    &  Celebrate  

Case:    Family  –  Iranian  Father  (Muslim)  and  Polish  Mother  (Catholic)  with  2  Twins  (aged  2)  –  Mother  tragically  died  and  family  traumaGsed.  Wider  family  lived  abroad  and  father  with  serious  PTSD  and  Twins  at  risk  of  going  into  care.

Step  1  -­‐  Referral   Immediate  Help  –  48hr  Response  –  Able  to  work  in  Farsi  &  Polish

Step  2  –  Emergency  Common  Assessment  Framework  (CAF)  MeeGng  with  Family  &  all  agencies

Step  3  -­‐  Psychological  Assessment  &  Care  Plan   Case  Manager  appointed  &  Care  Plan  agreed  with  Father                                           Assessment                  

Step  4  –  Case  Manager  *  Support  Worker • Housing • ImmigraGon • Finance

Mee&ngs  in  home,  nursery,  at  agencies  -­‐  Flexibility  &  Mobility

Step  5  –  Cogni&ve  Behavioural  Therapy  (CBT)  for  Father  (Post-­‐Trauma&c  Stress  Disorder)  in  Farsi Con&nuity

Step  6  –  Family  Therapy  Sessions  with  Dad  &  Twins  -­‐Paren&ng

Responsibility

Step  7    Common    Assessment  Review  Mee&ngs  &  Interim  Assessment

Step  9  -­‐  Family  Group  Conferencing      All  family  members  involved  including  maternal  Polish  –  Polish  &  Farsi  Workers Dialogism

Step  10 Emergency  Support  /  Relapse  –  Tolerance  of  Uncertainty

Step  11    Final  Assessment,  Mee&ng,  &  Evalua&on  

Step  8  -­‐  Men  &  Fathers’  –  Peer  Support  Group  –  Social  Network  Perspec&ve

Step  12  –  Outcome Father  is  taking  full  responsibility  for  Twins  and  making  pracGcal  and  sensible  decisions  about  their  development  &  care.  Twins  deregistered  as  risk.                                        

My  Time  CIC  –  Family  Trauma  Centre  Case  Study  that  shows  Process,  Interven&ons,  Distanced  Travelled  and  Outcome

Who  is  Carer  &  Who  is  the  Cared  for?  

There  is  a  need  to  highlight  the  complex  Carer/Cared  for  relaGonship  and  that  there  is  a  balance  between  giving  care  and  needing  care.  

In  many  families  the  Children  are  the  Carers  of  their  parents.    

Needing  Care  

Giving  Care  

Parents  loosing  contact  with  children    In  Family  Breakdown,  the  reality  is  that  the  family  unit  has  

one  resident  parent  and  one  absent  parent.    In  the  UK,  the  absent  parent  in  92%  of  cases  is  the  Father  

and  a  variety  of  studies  have  shown  that  this  Dad  Loss  has  a  deep  affect  on  the  child  and  father  and  effects  other  relaGonships.    

Father’s  Journey  to  Recovery  &  Reconnec&on  with  Child  

HospitalisaGon  &    Homeless,  No  Access  to  Daughter  

Stay  Safe  

Help  to  find  &  sustaine  supported  housing  

Achieve  Economic  Well-­‐Being  

Access  Benefits  and  Disability  Living  

Allowance  

Be  Healthy  

Weekly  Therapy  with  

male  counsellor  

Be  Included  &  SocialisaGon  

Weekly  Men's  Group  &  

Joined  Gym  

Enjoy  and  Achieve  

Voluntray  work  helping  other    SUs  and  history  project  

Make  a  PosiGve  ContribuGon  to  

Society    Employed  &  Reunited  with  Daughter  

Social  Network  Perspec&ve    •  Deliver  Self  esteem  and  Confidence  building  courses  for  families  and  parents  that  bring  them  together  

•  Gender  Specific  Groups  for  Men  and  Women  to  build  peer  support  and  posiGve  role  models  

•  Groups  of  parents  learn  together  how  to  balance  personal,  family  and  social  concerns    

•  SupporGng  each  other  and  building  relaGonships  

Future  Development    •   Development  of  Family  Social  Impact  Bond  –  A  new  form  of  social  investment  where  private  investors  fund  intervenGon  and  on  outcome  are  paid  through  the  savings  made  by  the  State.  

•  An  InternaGonal  Conference  of  World  Wide  Approaches  to  Family  Mental  Health  

•  Detailed  acGon  research  study  on  approaches  working  across  cultures  

 

     

Thank  you    

Please  feel  free  to  ask  a  quesGon........  www.my&me.org.uk