Pub Date : 2024-02-01DOI: 10.53841/bpsfpop.2024.1.165.46
Hester Bowers, Megan Holden, Joanna Marshall
Non-pharmacological interventions are recommended as a first line treatment for the management of Behaviour that Challenges in Dementia (BtC). For the past decade, The Durham and Darlington Care Home Liaison (CHL) Hub have developed Behaviour Support Plans (BSPs), providing guidance on staff approaches and recommending specific, individualised, non-pharmacological interventions. Until recently, it was left to residents’ families to pay for and provide any items recommended. Clinicians knew what interventions could help, but they could not prescribe them. The CHL Hub was awarded non-recurrent funding in 2021 to prescribe a range of non-pharmacological interventions. This evaluation presents 12 months of routine outcome data for residents receiving such interventions.Proxy-rated measures of behaviour that challenges (Challenging Behaviour Scale, CBS, Moniz-Cook et al., 2001) and Quality of Life in Dementia Scale (QUALID, Weiner et al., 2000) were completed as part of routine care pre and post non-pharmacological intervention. Qualitative feedback .from care home staff and families of residents receiving non-pharmacological interventions was collected via telephone interview.Results show a significant difference between pre and post intervention CBS (z=1.28, p<.01) and QUALID scores (z=1.03, p<.01), with large effect sizes (r=.82, CI [.74-.87] and r=.67, CI [.5-.81], respectively).Care home residents showed reduced BtC and improved quality of life following the introduction of non-pharmacological interventions as part of BSPs. Recommendations are discussed.
{"title":"Non-pharmacological prescribing for behaviour that challenges in dementia: An evaluation of 12 months of outcome data","authors":"Hester Bowers, Megan Holden, Joanna Marshall","doi":"10.53841/bpsfpop.2024.1.165.46","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.165.46","url":null,"abstract":"Non-pharmacological interventions are recommended as a first line treatment for the management of Behaviour that Challenges in Dementia (BtC). For the past decade, The Durham and Darlington Care Home Liaison (CHL) Hub have developed Behaviour Support Plans (BSPs), providing guidance on staff approaches and recommending specific, individualised, non-pharmacological interventions. Until recently, it was left to residents’ families to pay for and provide any items recommended. Clinicians knew what interventions could help, but they could not prescribe them. The CHL Hub was awarded non-recurrent funding in 2021 to prescribe a range of non-pharmacological interventions. This evaluation presents 12 months of routine outcome data for residents receiving such interventions.Proxy-rated measures of behaviour that challenges (Challenging Behaviour Scale, CBS, Moniz-Cook et al., 2001) and Quality of Life in Dementia Scale (QUALID, Weiner et al., 2000) were completed as part of routine care pre and post non-pharmacological intervention. Qualitative feedback .from care home staff and families of residents receiving non-pharmacological interventions was collected via telephone interview.Results show a significant difference between pre and post intervention CBS (z=1.28, p<.01) and QUALID scores (z=1.03, p<.01), with large effect sizes (r=.82, CI [.74-.87] and r=.67, CI [.5-.81], respectively).Care home residents showed reduced BtC and improved quality of life following the introduction of non-pharmacological interventions as part of BSPs. Recommendations are discussed.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"55 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139887912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.53841/bpsfpop.2024.1.165.33
Asesha Morjaria-Keval
In this paper I share my experiences of ‘doing things differently’ with our Living Well with Dementia (LWWD) groups, through drawing a balance between psychoeducation and information sharing, and giving space for people to share and have witnessed their own stories, skills and knowledges of living alongside dementia, using the collective narrative practice of therapeutic documenting. LWWD lends itself well to narrative therapy practices that focus on supporting people to draw upon their own lived experiences and relationships in ways that are sustaining and acknowledging, and can reconnect them to preferred identities and storylines. Here I outline the process of developing and using collective therapeutic documents which hold an intention to strengthen a sense of connectedness and solidarity for people attending our groups, and in turn reduce the sense of isolation and the experience of ‘being on your own’ with living with dementia that people often speak of experiencing. The therapeutic collective documents developed in these sessions took the form of poetry or prose, and were written in ways that spoke directly to the unique and shared experiences of people in each group. In this paper I also share poems written in one of our groups and share feedback from group members of their experience of this novel approach to a psychosocial intervention for dementia.
{"title":"Developing collective therapeutic documents with people living alongside dementia in an NHS context","authors":"Asesha Morjaria-Keval","doi":"10.53841/bpsfpop.2024.1.165.33","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.165.33","url":null,"abstract":"In this paper I share my experiences of ‘doing things differently’ with our Living Well with Dementia (LWWD) groups, through drawing a balance between psychoeducation and information sharing, and giving space for people to share and have witnessed their own stories, skills and knowledges of living alongside dementia, using the collective narrative practice of therapeutic documenting. LWWD lends itself well to narrative therapy practices that focus on supporting people to draw upon their own lived experiences and relationships in ways that are sustaining and acknowledging, and can reconnect them to preferred identities and storylines. Here I outline the process of developing and using collective therapeutic documents which hold an intention to strengthen a sense of connectedness and solidarity for people attending our groups, and in turn reduce the sense of isolation and the experience of ‘being on your own’ with living with dementia that people often speak of experiencing. The therapeutic collective documents developed in these sessions took the form of poetry or prose, and were written in ways that spoke directly to the unique and shared experiences of people in each group. In this paper I also share poems written in one of our groups and share feedback from group members of their experience of this novel approach to a psychosocial intervention for dementia.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"39 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139889784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.53841/bpsfpop.2024.1.165.46
Hester Bowers, Megan Holden, Joanna Marshall
Non-pharmacological interventions are recommended as a first line treatment for the management of Behaviour that Challenges in Dementia (BtC). For the past decade, The Durham and Darlington Care Home Liaison (CHL) Hub have developed Behaviour Support Plans (BSPs), providing guidance on staff approaches and recommending specific, individualised, non-pharmacological interventions. Until recently, it was left to residents’ families to pay for and provide any items recommended. Clinicians knew what interventions could help, but they could not prescribe them. The CHL Hub was awarded non-recurrent funding in 2021 to prescribe a range of non-pharmacological interventions. This evaluation presents 12 months of routine outcome data for residents receiving such interventions.Proxy-rated measures of behaviour that challenges (Challenging Behaviour Scale, CBS, Moniz-Cook et al., 2001) and Quality of Life in Dementia Scale (QUALID, Weiner et al., 2000) were completed as part of routine care pre and post non-pharmacological intervention. Qualitative feedback .from care home staff and families of residents receiving non-pharmacological interventions was collected via telephone interview.Results show a significant difference between pre and post intervention CBS (z=1.28, p<.01) and QUALID scores (z=1.03, p<.01), with large effect sizes (r=.82, CI [.74-.87] and r=.67, CI [.5-.81], respectively).Care home residents showed reduced BtC and improved quality of life following the introduction of non-pharmacological interventions as part of BSPs. Recommendations are discussed.
{"title":"Non-pharmacological prescribing for behaviour that challenges in dementia: An evaluation of 12 months of outcome data","authors":"Hester Bowers, Megan Holden, Joanna Marshall","doi":"10.53841/bpsfpop.2024.1.165.46","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.165.46","url":null,"abstract":"Non-pharmacological interventions are recommended as a first line treatment for the management of Behaviour that Challenges in Dementia (BtC). For the past decade, The Durham and Darlington Care Home Liaison (CHL) Hub have developed Behaviour Support Plans (BSPs), providing guidance on staff approaches and recommending specific, individualised, non-pharmacological interventions. Until recently, it was left to residents’ families to pay for and provide any items recommended. Clinicians knew what interventions could help, but they could not prescribe them. The CHL Hub was awarded non-recurrent funding in 2021 to prescribe a range of non-pharmacological interventions. This evaluation presents 12 months of routine outcome data for residents receiving such interventions.Proxy-rated measures of behaviour that challenges (Challenging Behaviour Scale, CBS, Moniz-Cook et al., 2001) and Quality of Life in Dementia Scale (QUALID, Weiner et al., 2000) were completed as part of routine care pre and post non-pharmacological intervention. Qualitative feedback .from care home staff and families of residents receiving non-pharmacological interventions was collected via telephone interview.Results show a significant difference between pre and post intervention CBS (z=1.28, p<.01) and QUALID scores (z=1.03, p<.01), with large effect sizes (r=.82, CI [.74-.87] and r=.67, CI [.5-.81], respectively).Care home residents showed reduced BtC and improved quality of life following the introduction of non-pharmacological interventions as part of BSPs. Recommendations are discussed.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"330 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139828255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.53841/bpsfpop.2024.1.165.41
Louise Saunders, Jacqueline Bryant
Comprehensive person-centred support plans are completed for all people living with dementia admitted to Holbrook ward, a dementia specialist unit in the Oxleas NHS Foundation Trust. However, staff have faced barriers in using these effectively for person-centred care due to the demanding and busy nature of the ward environment. It has also been challenging for new, bank, and agency staff to find time to read about and understand the person living with dementia, leading to escalation in situations which could have been avoided. In collaboration with nursing staff, the psychology team developed support plan flash cards that serve the purpose of being a ‘grab and go’ style resource. These are targeted at individuals with more complex presentations and used during handovers and when staff are on one-to-one observations, providing a useful snippet of information about the person living with dementia. The psychology team also developed a wellbeing support plan for staff, with tips for keeping well and supporting their own mental health and wellbeing.
{"title":"Person-centred support plans and staff wellbeing innovations for in-patient dementia care: A service development project","authors":"Louise Saunders, Jacqueline Bryant","doi":"10.53841/bpsfpop.2024.1.165.41","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.165.41","url":null,"abstract":"Comprehensive person-centred support plans are completed for all people living with dementia admitted to Holbrook ward, a dementia specialist unit in the Oxleas NHS Foundation Trust. However, staff have faced barriers in using these effectively for person-centred care due to the demanding and busy nature of the ward environment. It has also been challenging for new, bank, and agency staff to find time to read about and understand the person living with dementia, leading to escalation in situations which could have been avoided. In collaboration with nursing staff, the psychology team developed support plan flash cards that serve the purpose of being a ‘grab and go’ style resource. These are targeted at individuals with more complex presentations and used during handovers and when staff are on one-to-one observations, providing a useful snippet of information about the person living with dementia. The psychology team also developed a wellbeing support plan for staff, with tips for keeping well and supporting their own mental health and wellbeing.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"818 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139831358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.53841/bpsfpop.2024.1.165.62
Susan Ferry
The therapeutic use of creative writing across the age span with individuals experiencing a variety of physical and mental health conditions has been well documented (e.g. Pennebaker, 1990; Bolton, Howlett, Lago & Wright, 2004; Den Elzen & Lengelle, 2023). This paper will reflect on the use of creative writing in helping older adults navigate shame. Three key ways shame can show up in therapy: voice, validation and vision, will be explored through the use of anonymised case examples.
创造性写作在不同年龄段对经历各种身体和心理健康问题的人的治疗作用已被充分证明（如 Pennebaker, 1990; Bolton, Howlett, Lago & Wright, 2004; Den Elzen & Lengelle, 2023）。本文将反思如何利用创意写作帮助老年人克服羞耻感。本文将通过匿名案例探讨羞耻感在治疗中的三种主要表现形式：声音、验证和愿景。
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Pub Date : 2024-02-01DOI: 10.53841/bpsfpop.2024.1.165.53
Amber Scotting, Lewis Slade
The Greenwich and Bexley dementia Care Home Team is a novel test-and-learn service designed to upskill care home staff and support residents living with dementia with behaviours that challenge. Clinical outcomes and qualitative feedback suggest a positive impact on care home staffs’ self-efficacy in the application of biopsychosocial approaches in reducing or understanding behaviours that challenge. Limitations and future directions are discussed.
{"title":"Supporting care homes with behaviour that challenges: A psychosocial approach","authors":"Amber Scotting, Lewis Slade","doi":"10.53841/bpsfpop.2024.1.165.53","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.165.53","url":null,"abstract":"The Greenwich and Bexley dementia Care Home Team is a novel test-and-learn service designed to upskill care home staff and support residents living with dementia with behaviours that challenge. Clinical outcomes and qualitative feedback suggest a positive impact on care home staffs’ self-efficacy in the application of biopsychosocial approaches in reducing or understanding behaviours that challenge. Limitations and future directions are discussed.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"533 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139824205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.53841/bpsfpop.2024.1.165.33
Asesha Morjaria-Keval
In this paper I share my experiences of ‘doing things differently’ with our Living Well with Dementia (LWWD) groups, through drawing a balance between psychoeducation and information sharing, and giving space for people to share and have witnessed their own stories, skills and knowledges of living alongside dementia, using the collective narrative practice of therapeutic documenting. LWWD lends itself well to narrative therapy practices that focus on supporting people to draw upon their own lived experiences and relationships in ways that are sustaining and acknowledging, and can reconnect them to preferred identities and storylines. Here I outline the process of developing and using collective therapeutic documents which hold an intention to strengthen a sense of connectedness and solidarity for people attending our groups, and in turn reduce the sense of isolation and the experience of ‘being on your own’ with living with dementia that people often speak of experiencing. The therapeutic collective documents developed in these sessions took the form of poetry or prose, and were written in ways that spoke directly to the unique and shared experiences of people in each group. In this paper I also share poems written in one of our groups and share feedback from group members of their experience of this novel approach to a psychosocial intervention for dementia.
{"title":"Developing collective therapeutic documents with people living alongside dementia in an NHS context","authors":"Asesha Morjaria-Keval","doi":"10.53841/bpsfpop.2024.1.165.33","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.165.33","url":null,"abstract":"In this paper I share my experiences of ‘doing things differently’ with our Living Well with Dementia (LWWD) groups, through drawing a balance between psychoeducation and information sharing, and giving space for people to share and have witnessed their own stories, skills and knowledges of living alongside dementia, using the collective narrative practice of therapeutic documenting. LWWD lends itself well to narrative therapy practices that focus on supporting people to draw upon their own lived experiences and relationships in ways that are sustaining and acknowledging, and can reconnect them to preferred identities and storylines. Here I outline the process of developing and using collective therapeutic documents which hold an intention to strengthen a sense of connectedness and solidarity for people attending our groups, and in turn reduce the sense of isolation and the experience of ‘being on your own’ with living with dementia that people often speak of experiencing. The therapeutic collective documents developed in these sessions took the form of poetry or prose, and were written in ways that spoke directly to the unique and shared experiences of people in each group. In this paper I also share poems written in one of our groups and share feedback from group members of their experience of this novel approach to a psychosocial intervention for dementia.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"51 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139829642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.53841/bpsfpop.2024.1.165.62
Susan Ferry
The therapeutic use of creative writing across the age span with individuals experiencing a variety of physical and mental health conditions has been well documented (e.g. Pennebaker, 1990; Bolton, Howlett, Lago & Wright, 2004; Den Elzen & Lengelle, 2023). This paper will reflect on the use of creative writing in helping older adults navigate shame. Three key ways shame can show up in therapy: voice, validation and vision, will be explored through the use of anonymised case examples.
创造性写作在不同年龄段对经历各种身体和心理健康问题的人的治疗作用已被充分证明（如 Pennebaker, 1990; Bolton, Howlett, Lago & Wright, 2004; Den Elzen & Lengelle, 2023）。本文将反思如何利用创意写作帮助老年人克服羞耻感。本文将通过匿名案例探讨羞耻感在治疗中的三种主要表现形式：声音、验证和愿景。
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Pub Date : 2024-02-01DOI: 10.53841/bpsfpop.2024.1.165.67
Kelsey Jerrett, Lowri Mizen
The Welsh language has garnered increasing recognition and importance in Welsh healthcare. This study uses a mixed methods design to understand the use and development of the Welsh language within therapeutic services. 113 staff members from the psychology, counselling, and arts therapies service in Aneurin Bevan University Health Board completed a survey, exploring participants’ proficiency and confidence using the Welsh language, and their perspectives of the Welsh language within their respective services. Preliminary findings displayed a range of Welsh language proficiencies, from fluency to non-proficiency. Participants reported a lack of confidence in utilising the language, and resources, in their work. Qualitative findings further explicate the need to encourage development of proficiency by providing time for learning work-related skills and networking with other Welsh speakers. The findings illustrate a need to recognise language diversity and to understand the needs and development of multilingual practice within the therapeutic context.
{"title":"Cymraeg yn y Gweithle? An exploration into the proficiency and development of the Welsh language in psychology, counselling, and arts therapy services","authors":"Kelsey Jerrett, Lowri Mizen","doi":"10.53841/bpsfpop.2024.1.165.67","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.165.67","url":null,"abstract":"The Welsh language has garnered increasing recognition and importance in Welsh healthcare. This study uses a mixed methods design to understand the use and development of the Welsh language within therapeutic services. 113 staff members from the psychology, counselling, and arts therapies service in Aneurin Bevan University Health Board completed a survey, exploring participants’ proficiency and confidence using the Welsh language, and their perspectives of the Welsh language within their respective services. Preliminary findings displayed a range of Welsh language proficiencies, from fluency to non-proficiency. Participants reported a lack of confidence in utilising the language, and resources, in their work. Qualitative findings further explicate the need to encourage development of proficiency by providing time for learning work-related skills and networking with other Welsh speakers. The findings illustrate a need to recognise language diversity and to understand the needs and development of multilingual practice within the therapeutic context.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"30 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139876589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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