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Creating a Psychologically Informed Environment in Sheltered / Extra Care Housing

Psychologically Informed Environments. Creating a Psychologically Informed Environment in Sheltered / Extra Care Housing. Andy Warriner - Area Manager, Places for People 16 th September 2015. Psychologically Informed Environments. Psychologically Informed Environments… PIE.

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Creating a Psychologically Informed Environment in Sheltered / Extra Care Housing

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  1. Psychologically Informed Environments Creating a Psychologically Informed Environment in Sheltered / Extra Care Housing Andy Warriner - Area Manager, Places for People 16th September 2015

  2. Psychologically Informed Environments Psychologically Informed Environments… PIE A different type of PIE

  3. Psychologically Informed Environments Psychologically Informed Environments PIEs aim to create: “an empowering and calming environment where people can feel emotionally as well as physically safe, and can gain an understanding of their behaviour and an ability to take responsibility for themselves.” Peter Cockersell Director of Health and Recovery St Mungo’s

  4. Psychologically Informed Environments Psychologically Informed Environments Key areas to consider: • Psychological Framework - holistic • Environment – staff and customers • Staff Training / Support • Managing Relationships • Evaluation of Outcomes

  5. Psychologically Informed Environments Why? • Staff development, well being & increased set of skills e.g. greater awareness of some psychological theories and application of these • Customers with a higher threshold of needs/ complex needs presenting at services/ schemes • Increase in issues related to substance misuse / mental health • Fits with the culture / ethos (SPIRIT values) of Places for People

  6. Psychologically Informed Environments Complex Trauma & Associated Behaviours • Major life events e.g. bereavement, homelessness, relationship breakdown • Long term health conditions • Uncontrolled substance misuse e.g. alcohol use • Withdrawn, reluctant to engage / isolated • Anti-social behaviour • Lacking daily structure or routine • Unstable / inability to sustain relationships

  7. Psychologically Informed Environments How? 4 stages

  8. Psychologically Informed Environments What? • 4 main aspects to the approach • Psychology theory & mental health awareness / recovery approach • Skills – mental health & person centred support planning tools & outcome based support planning • Creating an enabling environment • Reflective Practice –consistent approach

  9. Psychologically Informed Environments What difference? • Improved customer engagement • Improved customer outcomes – health & wellbeing & reduction in incidents/ ASB • Services able to support customers with higher complex needs for longer • Improved staff engagement & morale • Improved physical / cultural environment • Tenancy sustainment • Reduced hospital admissions

  10. Psychologically Informed Environments Examples – Improved outcomes Salford Foyer Project (16-25 year olds) Support staff held reflective practice sessions with local Drugs & Alcohol Team / shared PIE learning Outcomes: Staff delivering level 1 screening & level 2 interventions to customers by using tools used in PIE approach e.g. motivational interviewing, chain analysis and force field analysis, wheel of change. Approx 50% reduction in incidents and Anti-social behaviour Higher levels of customer engagement Lower threshold needs met

  11. Psychologically Informed Environments Examples - continued Bristol Complex Needs Service Service model includes a part time Reflective Practice Manager and a part time Substance Misuse Counsellor. Outcomes: Onsite advice Initial assessments for treatment processed quickly Lower referral refusal rates- able to support higher complex needs

  12. Psychologically Informed Environments Examples - continued Older Persons PIE Further customised training for older person staff to make the PIE concept meaningful for them Application of 'elastic tolerance' principle Revised practices in procurement of furniture, furnishings and redecoration Allocation policy review

  13. Thank you ANY QUESTIONS ? Contact details: Andy.warriner@placesforpeople.co.uk

  14. Useful links Johnson R & Haigh R, (2011) “Social Psychiatry and Social Policy for the 21st Century - new concepts for new needs: enabling environments” in Mental Health & Social Inclusion, Vol 15 Issue 1. Available at: http://www.rjaconsultancy.org.uk/publications.html. Keats H, Cockersell P, Johnson R & Maguire N (2012) Psychologically informed services for homeless people (Good Practice Guide) Now available at: http://www.rjaconsultancy.org.uk/PIEconcept.html Peter Cockersell, (2011),"More for less? Using PIEs and recovery to improve efficiency in supported housing", Housing, Care and Support, Vol. 14 Issue: 2 pp. 45 – 50

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