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Restoring Therapeutic Balance on Arran Ward: A New Philosophy

Working towards a new philosophy of care and treatment on Arran Ward Female Service in Ayr Clinic, Scotland. Adapting Therapeutic Community (TC) methods to improve ward culture. Focus on restoring a therapeutic balance within staff-patient relationships. Enhancing patient care through psychodynamic reflective practices and structured patient involvement programs. Offering real work opportunities, groups, and activities for holistic treatment. Future plans include developing mentalizing approaches and non-verbal psychotherapy inputs. Early outcome evaluations guided by patient representatives.

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Restoring Therapeutic Balance on Arran Ward: A New Philosophy

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  1. Working Towards a new Philosophy of Care & Treatment. Arran Ward Female Service Ayr Clinic.

  2. 12 bedded designated low secure female service : Ayr : Scotland

  3. Adapting TC working to bring improvements to ward culture and working environment : Stage 1 • Not a new philosophy but restoring a therapeutic balance within the staff : patient working relationships • Distress : Anger : Hope & Hopelessness are embedded in social relationships and improve or deteriorate within this context

  4. Overarching ‘Cement’ : • Psychodynamic Reflective Practice Groups for all members of staff

  5. Foundation Blocks of the Service : Patient Forum Ward Activity Development Group Relationships Group Patient Rep Roles Arran Ward Program Real Work Opportunities in clinic

  6. An average day on Arran • Morning briefing meeting • Rehabilitation v Recreation : striking the right balance • Low intensity and open skills-based groups • Higher intensity groups and 1:1 work • Mindfulness, Relaxation, Social skills/communication group, Managing Emotions • DBT skills group / Anger Management / Anxiety Management / Coping with mental illness / Drug & Alcohol / Community Living skills • Art Psychotherapy Group & 1:1 work • Escorted Physical Wellbeing groups : Swimming / Cycling / Bowls The Ayr Clinic, Partnerships in Care

  7. Into the future ! • Stage 2 : Developing mentalising approach across all disciplines • Stage 3 : Developing a small MBT psychotherapy team • Stage 4 : Increasing access to non-verbal Psychotherapy inputs

  8. Early outcome evaluations :

  9. Over to our patient representatives:

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