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What accounts do young people give of their experience of person-centred Annual Review meetings
No full textThey’re helpful because it tells you about all the stuff you need to work on and what stuff you are good at already (Nick aged 10. Following recent reform in special educational needs (SEN) education in England, schools and settings are expected to include children with SEN in statutory meetings about their progress. In the London Borough of Tower Hamlets (LBTH), a model of ‘person-centred annual review’ meetings has been developed. The meeting centres on the young person and includes discussion of strengths, difficulties and future plans. Information is presented in accessible language and using visual representations. Children are encouraged to participate fully in the meeting. This idiographic and exploratory study sought the perspectives of six young people about their experience of these meetings. All the children had SEN and attended a single primary school in LBTH. Narrative interviews were conducted: children were asked to describe and draw the review. Interviews were transcribed verbatim and a narrative analysis was conducted incorporating psychodynamic concepts. Interviews were converted into ‘rough verse’; a condensed way of presenting the children’s words and interviewer’s prompts. Children presented a largely positive view of their experience of such meetings; all children described their own strengths and positive characteristics, most described difficulties and what they were working on, all described changes that they attributed to the meeting. The children’s accounts support the view that the meeting was an ‘intervention’, in that these children felt the meeting changed aspects of their experience of school, including practical benefits and feeling better understood and supported. Implications for educational settings are outlined, and the value of meaningful pupil participation in reviews is considered
Diagnosing levels of distress in specialist palliative care
Get PDFThis paper makes the case for the use of the Distress Thermometer (DT) as a standardised diagnostic tool in End of Life Care. It explores the current situation in palliative care health services, building an argument that there is an under-diagnosis of depression and mental distress in the fields of palliative care due to a lack of standardisation and screening. The paper sets out its hypothesis and follows this with an account of repeat audit cycles and action research interventions in the implementation and use of the DT within a National Health Service and voluntary sector context
Dyskusja artykułu Johna Steinera “Opór i odrzucenie kobiecości” [Discussion of John Steiner's paper “The repudiation of femininity and the reluctance to relinquish omnipotence”]
No full textRichard Graham and Laverne Antrobus on Channel 4 News. Digital device usage among teenagers. 22 September 2015 [Starts at 00:03 with interviews starting at 01:33]
No full textParadigms, politics and pragmatics: Psychotherapy in primary Care in City and Hackney – a new model for the NHS. Part 1: The historical, political and economic drivers behind the creation of the service
No full textThe City and Hackney Primary Care Psychotherapy Consultation Service is an innovative, public sector service designed to support GPs in meeting the needs of patients with complex psychological/physical health issues throughout the London Boroughs of Hackney and the City. This paper provides an account of how this new model for the National Health Service (NHS) developed in the context of psychotherapy provision within the NHS, within the national and local context in the UK and gives an overview of some the service's key features and how it differs from other services operating in primary and secondary care. A linked paper, in this journal, explores the reality within which the service functions and describes clinical outcomes, health economic data, the modifications to the original model and prospects for the future
Where Ayanle is: Helping a school class prepare for loss
No full textThis paper presents child psychotherapeutic work with a primary school class facing the terminal illness of a classmate. Following consultation to the class teacher and other school staff, groups for the class of nine and ten year olds were co-facilitated by the class teacher and therapist to help the children to think about their experience, and to explore their feelings about the ill child and his family. Positive changes in classroom dynamics as well as a growth in the therapist’s confidence about a child psychotherapy approach emerged from this process
The uses of emotion maps in research and clinical practice with families and couples: Methodological innovation and critical inquiry
No full textWe explore how “emotion maps” can be productively used in clinical assessment and clinical practice with families and couples. This graphic participatory method was developed in sociological studies to examine everyday family relationships. Emotion maps enable us to effectively “see” the dynamic experience and emotional repertoires of family life. Through the use of a case example, in this article we illustrate how emotion maps can add to the systemic clinicians’ repertoire of visual methods. For clinicians working with families, couples, and young people, the importance of gaining insight into how lives are lived, at home, cannot be understated. Producing emotion maps can encourage critical personal reflection and expedite change in family practice. Hot spots in the household become visualized, facilitating dialogue on prevailing issues and how these events may be perceived differently by different family members. As emotion maps are not reliant on literacy or language skills they can be equally completed by parents and children alike, enabling children's perspective to be heard. Emotion maps can be used as assessment tools, to demonstrate the process of change within families. Furthermore, emotion maps can be extended to use through technology and hence are well suited particularly to working with young people. We end the article with a wider discussion of the place of emotions and emotion maps within systemic psychotherapy
Working with the complexities of adolescent mental health problems: Applying time-limited adolescent psychodynamic psychotherapy (TAPP)
No full textThis article discusses the application in a CAMHS setting of a distinctive intervention for adolescent mental health difficulties, time-limited adolescent psychodynamic psychotherapy (TAPP). TAPP has been developed specifically for working with adolescents and the characteristic developmental and psychosocial complexities they present to mental health services. It is widely recognised that supporting the developmental process in adolescence is central to therapeutic interventions and the therapeutic aim of TAPP is to enable recovery of the capacity to meet developmental challenges. The key factors of TAPP are described, including the formulation and working with a developmental focus, the therapeutic stance, working with transference and counter-transference, working with time limits, and the emphasis is placed on engagement of adolescents in therapy in TAPP. The experiences of introducing and developing TAPP in the CAMHS service are discussed with two brief and one extended case examples and this leads to a discussion of the kinds of outcomes achieved. It is concluded that TAPP is a key and relevant intervention for adolescents in complex and vulnerable situations; further work will be undertaken to continue its application in these settings and to formally assess outcomes
A family consultation service: Single session intervention to build the mental health and wellbeing of children and their families
No full textBackground: The Family Consultation Service (FCS) is a community mental health intervention for children and young people (CYP) which uses psychological consultation with families to address mental health concerns. In the context of increasingly constrained Local Authority finances, it was set up by educational psychologists (EPs) as a response to demands for both increased efficiency and accessibility of mental health services. Aims: This paper demonstrates how EPs can use consultation skills directly with clients within a mental health context and presents a theoretical rationale for this. Method: The FCS model is described and located within the frames of both national and local strategy. Following this, data from the first 150 referrals is analysed using descriptive statistics and the outcomes of a client survey are reported. Findings: A large majority of families referred reported that they achieved their goals after a single session with the FCS and did not take up the offer of additional involvement. This suggests that psychological consultation could potentially contribute towards a national agenda for mental health services that are responsive and preventative in focus. The model is proposed as an alternative to the established medical approaches and may be of interest to EPs and their managers who are looking for innovative ways of delivering systemically orientated psychological services within constrained financial circumstances. Conclusions: Dilemmas arising from the project are considered and subsequently addressed through the introduction of the Common Factors perspective: A paradigm which is gaining interest within the helping professions