holis&c(family(mental(health( approach(( · 2017-11-12 · my time team family issues...
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Holis&c Family Mental Health Approach
Community Interest Company
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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.
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Needing Care
Giving Care
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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.
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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
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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
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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
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Thank you
Please feel free to ask a quesGon........ www.my&me.org.uk