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James Dalrymple Crisis Service Project Manager SAMH

James Dalrymple Crisis Service Project Manager SAMH. “The impact of personality disorder for a person in crisis, voluntary sector perspective”. A Voluntary Sector Perspective on Personality Disorder?. What we do. Work with people

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James Dalrymple Crisis Service Project Manager SAMH

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  1. James Dalrymple Crisis Service Project Manager SAMH “The impact of personality disorder for a person in crisis, voluntary sector perspective”

  2. A Voluntary Sector Perspective on Personality Disorder?

  3. What we do • Work with people • We believe everyone has the right to be treated with dignity, respect and equality. • We believe everyone is entitled to hope and choice and to achieve personal fulfilment. • Promote a culture of recovery and involvement

  4. Numbers • 83 Services • 3217 Service Users • 1483(46%) Recorded Diagnosis • 68 (4.5%) Diagnosis Includes Personality Disorder • 26 (38%) Single diagnosis of PD. • Active problems = Anxiety, Self Harm & -ve Psychotic Symptoms • Significant Social Factors = Social Isolation & Vulnerability

  5. Where do we fit in?

  6. “This is an NHS guideline. It will comment on the interface with other services such as: prison health services, forensic services, social services and the voluntary sector”. BPD final scope NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCEMarch 2007

  7. Where do we fit? 2003

  8. 2003 ?

  9. Integrated Care Pathways

  10. What has worked? • Ethos of meaningful collaboration • Structured approaches. • Practical stuff • Using same and few staff • Agreeing best place to meet • Being honest • Spidergram

  11. Obstacles • Risk • Perceptions from other agencies • Building Trust • Disengaging

  12. What are we doing? • Contribute to National Forums • Integrated service in Borders

  13. Risk & Vulnerability Workshops • Awareness of the wider context of risk, the organisational and national agendas • Understand risk within a recovery ethos • Appreciate the impact of values, beliefs and attitudes on risk assessment • Standardise risk paperwork across all services. • Managers can provide learning opportunities for staff around risk issues • Supports staff to work collaboratively with service users to positively factor risk into support planning

  14. Structured Reflection • Staff attend a group for an hour once a month @ venue away from workplace. • A ‘case scenario’ is presented by a member of the team • The group discuss their learning from this situation • Common themes are ‘reflected’ via the facilitator to the group. • Evaluation in process

  15. Considerations • Communication • Clarity • Reciprocal Learning • ‘Add on’ no more

  16. Thank you • James.dalrymple@samh.org.uk • 0141 568 7201

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