Kath Lovell

1. The National Personality Disorder Development Programme The Forensic and Non-Forensic Knowledge and Understanding Frameworks Regional Event Kath Lovell

2. Dec 2007: Department of Health and Ministry of Justice commissioned the development of a national training framework to support people to work more effectively with personality disorder • The key goal is to improve service user experience through developing the capabilities, skills and knowledge of the multi-agency workforces in Health, Social Care and Criminal Justice who are dealing with the challenges of Personality Disorder

3. Two Government Publications (2003)National Institute for Mental Health for England (NIMHE)

4. New MHA The Bradley Review & The Corston Report DSM V? The tipping point?

5. PDi OU PORTMAN BUK BUK A High Functioning Partnership

6. What do the overall frameworks aim to do? The goals of the Knowledge and Understanding Framework are to: • Design accessible, relevant and quality assured developmental pathways, making ‘breaking the cycle of rejection’ a practical reality • Raise awareness and shift pejorative attitudes • Build on service user experience • Ensure informed and responsive leadership and management • Improve interagency and inter-professional collaboration

7. The service user at the heart Making a real difference

8. Working with Personality Disorder: Raising Awareness (6modules) Working with Personality Disorder: Developing Understanding and Effectiveness (9 modules) Working with Personality Disorder: Extending Expertise and Enhancing Practice (6 Modules and Dissertation) Lead and Specialist Staff All Frontline staff Key Staff What is available?

9. Connecting past experience and current behaviours Making sense of reactions and responses Communicating effectively Sensitivity to service user experience Self awareness and reflective skills Understanding work places and teams The learning journey

10. Leading ,developing and supervising Teams/individuals Improving psychological well-being and increased awareness of Therapeutic models Assessing and managing risk to self and others and fulfilling demands of job role PD/Self awareness and self management skills and promoting pro social behaviour through interpersonal engagement Capability and the ‘contact hypothesis’

11. It always ends in ‘Tiers’

12. Facilitated Programmes STAGE 1 (Basic) STAGE 2 (Trainer) AWARENESS VLE 1 Introduction 1 Introduction 2 Modules 1, 2 & 3 3 Midway review 3 Midway review 4 Modules 4, 5 & 6 5 Final Review and Evaluation 5 Final Review and Evaluation Structured Implementation and Embedding

13. Working with Personality Disorder: Developing understanding and effectiveness The goals of the Undergraduate Framework are to: • Challenge stigma through raising awareness and developing empathic responses of frontline workers • Highlight the interpersonal nature of working with PD • Ensure informed and responsive leadership and management • Develop improved interagency and interprofessional collaboration • Equip workers with the necessary knowledge and skills that help assess and manage risk in relation to complex presentations • Develop an appreciation of the importance of effective team work and staff support

14. 60 credits L6 60 credits L6 Introduction to Intervening effectively: Management, treatment and support Effective teamwork and Supervision Developing Context sensitive approaches 40 credits L5 40 credits L5 40 credits L5 Responding to issues of complexity and risk Responding effectively: making sense of reactions and relationships Facilitating positive Change Working with people and context 30 credits L4 30 credits L4 30 credits L4 30 credits L4 Developing a shared Understanding of personality disorder Challenges of PD: An interpersonal perspective Personality disorder: Across multiagency contexts Working positively with PD: Building lives challenging stigma Awareness training with APEL Portal Working with Personality Disorder: Developing understanding and effectiveness

15. Working with Personality Disorder Extending expertise, enhancing practice The Masters Framework: • Designed to meet the professional development needs of people already working in the field who may have responsibilities in the following areas • Leading Services or service development • Team Management and team consultation • Developing research and evaluation • Developing involvement and network strategies • The principle aim is to provide training that will lead to an effective improvement in service provision. This is most directly achieved through practice based training and skill based learning outcomes

16. Research Based Taught Doctorate (360 L8) MSc A further 60 Credits L7 PD Services in Action: Improving Practice Dissertation/Project 60 credits L7 MSc A further 60 Credits L7 20 credits L7 20 credits L7 20 credits L7 PG Dip A further 60 Credits L7 PG Dip A further 60 Credits L7 Leadership and service development Developing and Extending Therapeutic Practice Consulting to Teams and Organisations 20 credits L7 20 credits L7 20 credits L7 PG Cert 60 Credits L7 PG Cert 60 Credits L7 Developing research and audit Facilitating Learning About PD Involvement strategies Developing links and networks Working with Personality Disorder Extending expertise, enhancing practice

17. Facilitated Programmes • A facilitated package of the awareness level modules: • An online seven module programme designed with a range of additional facilitated learning activities focused on different contexts and professions • A facilitated package of a train the trainers programme: • This programme will support students to develop the foundation knowledge and understanding in relation to personality at the same time as exploring their potential role in facilitating others through the learning journey.

18. The Virtual Learning Environment • The awareness level modules are also supported by a number of other online activities including: • Wikis: . • Blogs: - • Discussion Forums: -. • ‘My Notes’: -. • Online Resources: -

19. Context relevant Videos Related Videos Context Characters Forensic unit Prison Community forensic service Criminal Justice Mark CMHT A&E GP Surgery Psychology – DBT Health Claire Housing unit Housing office Community Housing project Social Care Shania

20. Following Claire‘s Journey Trying to get an appointment at the GP surgery (Module 1) Visiting her CPN (Module 2) Living in a Community Residential Unit (Module 6) In supported accommodation (Module 4)

21. Demonstrating some of the video materials

22. Implementation!

23. kathlovell@mac.com neilfran@aol.com Victoria.essler@nottshc.nhs.uk