Personality Disorder Knowledge and Understanding Framework (KUF)

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Transcript of Personality Disorder Knowledge and Understanding Framework (KUF)

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    .

    Professor Eddie KaneDr Neil Gordon

    Mrs Victoria Baldwin

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    Aims

    Introduction to the KUF : what it is, who it is designedfor and how is being implemented

    The central role of service user in the developmentand implementation

    Experience in the field delivery so far

    Strategic linking to wider policy development

    Future development and re-purposing of thematerials

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    1,000,000

    Dec 2007: Department of Health and Ministry ofJustice commissioned the development of a nationaltraining framework to support people to work moreeffectively with personality disorder

    The key goal is to improve service user experiencethrough developing the capabilities, skills andknowledge of the multi-agency workforces in Health,Social Care and Criminal Justice who are dealing

    with the challenges of Personality Disorder

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    The tipping point?

    DSM V?

    The

    BradleyReview &

    The CorstonReport

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    Working withPersonality Disorder:Raising Awareness

    (6modules)

    Key Staff

    Working with PersonalityDisorder: Extending Expertise

    and Enhancing Practice(6 Modules and Dissertation)

    Lead and Specialist Staff

    All Frontline staff

    What is available?

    Working with Personality Disorder:Developing Understanding and

    Effectiveness(9 modules)

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    Educational themes

    Self awareness andreflective skills

    Sensitivity to service userexperience

    Communicatingeffectively

    Making sense ofreactions and responses

    Understanding workplaces and teams

    Connecting past experienceand current behaviours

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    The serviceuser at the

    heart

    Making a real difference

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    The Online Awareness level Modules

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    Educational Philosophy

    Things that I can do which relate to

    specific situations or particularservice users who I have workedwith over a period of time

    Things that I know which relate to

    specific situations or particularpeople (including myself) which Ihave discovered from my personal

    experiences

    Personal Knowledge

    Things that I can do that I have

    worked out for myself based onpersonal experience of workingwith service users and reflective

    clinical supervision

    Things that I know which haveemerged from my personal

    experience of this service usergroup, which I have worked out for

    myself

    ExperientialKnowledge

    Things I can do learnt from books,instruction from others, or guided byprocedural guidelines and evidence

    based research findings

    Things that I know about this typeof service user from reading,

    journals/books and attendingformal lectures

    AcademicKnowledge

    Knowing howKnowing that

    EFFECTIVEPRACTICE

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    Phase 1 Delivery AW TTNewcastle 60 60

    Yorks & Humber 28

    Wigan 180 60Liverpool 40 20

    Rampton Peaks Unit 20

    Stoke 60 20

    Birmingham 60 20

    Millfields 20 20

    CANDI 60 12

    Oxleas Trust 20

    Partnerships in Care 60 40

    BUK 10Paddocks 20 20

    Caswell Clinic 20 20

    580 37

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    Feedback from deliveryin the field

    I was not that keen on attending but this is the mostuseful training I have undertaken over the last tenyears (probation officer)

    At Last an educational model I can relate to that hasthe potential to make a real difference ( CarerConsultant)

    I think an approach that engages at an emotional levelis essential when teaching about personality disorder

    as much of the need is to encourage more positiveattitudes and emotions on the part of the workerengaging with the person with personality disorder(Psychologist)

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    Feedback from deliveryin the field

    The training the trainers programme was intense, inspiring,exciting and exhausting. It really did open up our thinkingconcerning the learning materials and the many ways in

    which they could be used to facilitate meaningful learning

    across a range of staff groups. We were also struck by thepotential for the KUF materials to be used creatively to bring

    about a change in how people think about and respond topersonality disorder, be they carers, commissioners,

    practitioners or managers. We look forward to having theopportunity to share the KUF with others in the coming

    years.Tom Mullen, Leeds clinical Network

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    KUF Strategic Links

    Delivery of the Bradley PD recommendations agreed by the HCPDB on personalitydisorder to the CJ workforce.

    Awareness level for multi-agency staff inc. CJS, third sector, social care, housing, healthetc.

    Build capacity of service users and carers to co-facilitate training and take opportunitiesfor personal development and a return to training/employment

    Get BCs and MSc off the ground by Jan 2010 in order to begin the process of developingexpertise and leadership that will shift professional cultures and service delivery.

    Develop leadership in the field of PD as a means of improving care pathways, servicesand systems.

    KUF in place to support discussions with commissioners about giving PD a higher priorityand encouraging collaborative approaches.

    Stimulate a more joined up system between services for children and families, adult

    community provision and forensic/secure/prison services. Design robust evaluation measures to prove the impact of the KUF on service users and

    carers and the behaviour/practice of staff.

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    Further development of the KUF

    Public Information

    International development

    Opportunities to link in with CLAHRC

    Use in general mental health

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    Further development of the KUF

    Public Information:

    From the responses that we have received from service users andothers who have accessed the materials it is clear they also havepotential to be adapted to meet the information needs of the widerpublic.

    International development:

    We are currently exploring with a range of international partners, (forexample the Nebraska prison system) the possibility of adapting thesematerials to be used in a range of research and practice innovations in

    criminal justice, health and social care contexts.

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    Further development of the KUF

    Opportunities to link in with CLAHRC:

    Involving adaptation of the VLE materials to be used in developingtreatment protocols and enhancing engagement with treatmentprocesses through psycho-educational interventions

    Use in general mental health:

    The learning materials has great potential to be used in educatingpublic service workforces who have to deal with challenging membersof the public, e.g. managing difficult interactions, dealing with

    complaints, understanding your own reactions in stressful situations.

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