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Service development: Systemic principles and working with High Intensity Users 服务发展:系统原则和与高强度用户合作
Q4 Psychology Pub Date : 2024-02-14 DOI: 10.53841/bpscpf.2024.1.372.22
Sarah Cross, Georgia Bodfish
PHOTO CREDIT: Cottonbro StudioHigh intensity users are described as individuals who repeatedly use mental health services across both inpatient and urgent care settings. Services that are designed to meet the needs of high intensity users are often set up to reflect an individual position. Locating the problem within the person did not reflect the challenges faced by either the individuals themselves or the services that are designed to meet their needs. Systemic thinking was applied to consider the multiple factors contributing to the individuals’ presentations to services and a service was designed to ensure the individual felt all services were collaborating to meet their needs most effectively.
图片来源:Cottonbro Studio 高强度使用者是指在住院和紧急护理环境中反复使用心理健康服务的人。为满足高强度使用者需求而设计的服务往往是为了反映个人的立场而设置的。将问题定位在个人身上,并不能反映出个人本身或为满足其需求而设计的服务所面临的挑战。我们运用了系统性思维,考虑了导致个人向服务机构求助的多种因素,并设计了一项服务,以确保个人感到所有服务机构都在相互协作,以最有效地满足他们的需求。
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引用次数: 0
From training to practice: Reflections on implementing open dialogue across secondary mental health services 从培训到实践:关于在二级心理健康服务中实施开放式对话的思考
Q4 Psychology Pub Date : 2024-02-14 DOI: 10.53841/bpscpf.2024.1.372.48
Claire Ellis, Sophie Collin, Jon Crossley
PHOTO CREDIT: George MiltonThis article describes the implementation of Open Dialogue, an integrative approach drawn from systemic family therapy, dialogical theory, and social constructionism, across a range of mental health services within an NHS Trust. Reflections are given from staff working in Early Intervention in Psychosis and Acute Inpatient services, on the experience of training and the feasibility of implementing this approach. The conclusion draws together the learning gained and challenges experienced, as well as identifying areas for future development.
本文介绍了 "开放式对话 "的实施情况。"开放式对话 "是一种综合方法,源自系统家庭治疗、对话理论和社会建构主义。文章介绍了精神病早期干预和急诊住院病人服务部门的工作人员对培训经验和实施这种方法的可行性的反思。最后总结了所学到的知识和所经历的挑战,并指出了未来发展的方向。
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引用次数: 0
Sitting with uncertainty to create a rich nourishment for clinicians: Developing a systemic family therapy clinic for psychosis in community adult mental health team 与不确定性共处,为临床医生提供丰富的营养:在社区成人精神健康团队中开发针对精神病的系统性家庭治疗诊所
Q4 Psychology Pub Date : 2024-02-14 DOI: 10.53841/bpscpf.2024.1.372.35
Jo Allen, Funmi Oshatogbe
PHOTO CREDIT: Priscilla Du PreezSystemic practice can be a rich source of fuel for services, nourishing clinicians and families. To us, systemic thinking supports the creation of space, taking pause, being with and seeing the bigger picture. It is about multiplicity, of idea, of voices, of people and cultures coming together to make sense together. In a culture which is struggling under the weight of austerity, the pandemic and ongoing limitations of practice due to staff shortages and limited resources at a time of extreme demand, we need something to open ourselves and our clients to new possibilities and build trust and safety.This paper will describe systemic family therapy within a secondary care community mental health team. You will hear the voice of Jo, a consultant clinical psychologist and systemic psychotherapist and Funmi, an assistant psychologist in the team. We will discuss decision-making in this work and explore the experiences of the reflecting team, highlighting the value of a systemic approach in secondary adult mental health. The straightest route is not always the most effective or nourishing, sometimes it takes the windy path to get the richest source of progress.
图片来源:Priscilla Du Preez 系统性实践可以为服务提供丰富的燃料,滋养临床医生和家庭。对我们来说,系统性思维支持创造空间、暂停、与大局同在并看到大局。它是关于多元性、想法、声音、人与文化的汇聚,共同创造意义。在这种文化中,我们正挣扎在财政紧缩、大流行病的重压之下,在需求极度旺盛的时候,由于人手短缺和资源有限,我们的实践不断受到限制,我们需要一些东西来打开我们自己和我们的客户,让他们看到新的可能性,并建立信任和安全感。您将听到临床心理咨询师兼系统心理治疗师乔(Jo)和团队中的心理助理芬米(Funmi)的声音。我们将讨论这项工作中的决策制定,并探讨反思团队的经验,突出系统方法在二级成人心理健康中的价值。最直的路线不一定最有效,也不一定最有营养,有时需要走弯路才能获得最丰富的进步源泉。
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引用次数: 0
Who and what supports systemic working in a learning disabilities context? 在学习障碍背景下,谁在支持系统性工作?
Q4 Psychology Pub Date : 2024-02-14 DOI: 10.53841/bpscpf.2024.1.372.60
Bethan Ramsey, Sandra Baum, Hannah Shilling, Anna Bodicoat, Arnas Zujus, Becky Cooper, Shona Daynes, Karin Fuchs, Mark Haydon-Laurelut, Laura Darbyshire, Lisa Morris, Laura Carrington, Katharina Bucher, Hatice Yildiran, Lorna Robbins
PHOTO CREDIT: Hannah Busing, UnsplashThis article sets out some of the many ways in which systemic working can find a place in Learning Disability (LD) services. It covers ways in which systemic working can influence different aspects of work in an LD service, possibilities for embedding systemic approaches in Positive Behaviour Support (PBS) work in an Enhanced Support Service (ESS), systemic consultation in an LD team, systemic working in a forensic LD service and a specialist LD family therapy service. We hope the article offers a range of ideas which others can draw upon in thinking about their own context, practice and future possibilities.
图片来源:Hannah Busing, Unsplash本文介绍了系统性工作在学习障碍(LD)服务中发挥作用的多种方式。文章涵盖了系统性工作影响学习障碍服务工作不同方面的方式、在增强支持服务(ESS)的积极行为支持(PBS)工作中嵌入系统性方法的可能性、学习障碍团队中的系统性咨询、法医学习障碍服务中的系统性工作以及专业学习障碍家庭治疗服务。我们希望这篇文章能够提供一系列想法,供其他人在思考自己的背景、实践和未来可能性时借鉴。
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引用次数: 0
A new kid on the block? The current state of solution focused practice 街区里的新生力量?以解决方案为重点的实践现状
Q4 Psychology Pub Date : 2024-02-14 DOI: 10.53841/bpscpf.2024.1.372.10
John Wheeler
In the following account, the author reflects on an evolution in Solution Focused Practice he has observed since first learning the approach, including a change in the naming of the approach, the extent to which the approach is now used around the world, a more explicit theoretical foundation and signs of credibility. The account questions whether the approach might still be as novel for some clinicians now as it was for him when he first used it in CAMHS. The account also includes refinements in key tools, developed over time through practice-based learning.
在下面的叙述中,作者回顾了他自首次学习 "焦点解决实践"(Solution Focused Practice)以来所观察到的该方法的演变,包括该方法命名的变化、该方法目前在世界各地的使用程度、更明确的理论基础以及可信度的迹象。该报告质疑这种方法对某些临床医生来说是否仍像他第一次在儿童心理保健中心使用时那样新颖。报告还介绍了通过实践学习逐步完善的主要工具。
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引用次数: 0
A tale of reluctance, ambivalence, reassurance and restoration on the journey towards creating a Systemic Interventions Service for Older people 在创建老年人系统干预服务的过程中,不情愿、矛盾、放心和恢复的故事
Q4 Psychology Pub Date : 2024-02-14 DOI: 10.53841/bpscpf.2024.1.372.41
Sherley M. Tordoff, Joy Bates
PHOTO CREDIT: vlada KarpovichThis is a brief tale of two systemic practitioners describing their journey from Foundation-Level systemic training, initially using it to help older clients clinically, followed by journeying towards Systemic Practitioner status and creation of an Older People’s Systemic Service. Whilst the authors were initially pushed outside their own professional zone of proximal development, sourcing of adequate professional parenting facilitated emergence of a ‘good enough’ systemic service for clients.
图片来源:vlada Karpovich 这是两个系统实践者的简短故事,讲述了他们从基础级系统培训开始的历程,他们最初利用系统培训帮助老年客户进行临床治疗,随后成为系统实践者,并创建了老年人系统服务。虽然作者最初被推到了他们自己的专业近端发展区之外,但充足的专业养育资源促进了为客户提供 "足够好的 "系统服务的出现。
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引用次数: 0
What else to read 还有什么可读的?
Q4 Psychology Pub Date : 2023-10-01 DOI: 10.53841/bpscpf.2023.1.369.116
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引用次数: 0
Bridging the gap between foster care and birth families: How the Circle of Security Parenting Programme™ inspired change within a therapeutic service for looked after children and young people 弥合寄养家庭和出生家庭之间的差距:安全圈育儿计划™如何在被照顾的儿童和年轻人的治疗服务中激发变化
Q4 Psychology Pub Date : 2023-10-01 DOI: 10.53841/bpscpf.2023.1.369.67
Sarah Hobson, Grace Heasley, Abigail Evans
The 8 week Circle of Security Parenting Programme™ (COSP) was delivered to parents who were working with Children’s Services in Monmouthshire. The group was delivered to help support children’s transition back to birth parents following a period of time in foster care. This process highlighted the impact on parent’s human rights; not only through having their children removed from their care but their experience of parenting a child alongside a corporate parent (Children’s Services). Parents reported feeling scrutinised, unsupported and degraded at times. This led us to consider how we can promote the human rights of parents to continue to parent their child whilst also balance the rights of the child to receive safe, nurturing, predictable care. Changes to service delivery followed with more consideration and open discussion about the human rights of both parent and child during our regular consultations. In addition, we are working more closely with the Family Time Team who supervise contact between families. This work is to promote the human rights of parents and children to continue to have a positive relationship and to share this approach with our foster carers, bridging the gap between them and the birth family.
为期8周的安全育儿计划™(COSP)被交付给在蒙茅斯郡儿童服务机构工作的父母。该小组的目的是帮助儿童在寄养一段时间后重新回到亲生父母身边。这一进程突出了对父母人权的影响;不仅通过让孩子脱离他们的照顾,而且通过他们与企业家长一起养育孩子的经历(儿童服务机构)。父母们报告说,他们有时会感到被审视、不被支持和被贬低。这促使我们考虑如何促进父母继续养育孩子的人权,同时平衡孩子获得安全、养育和可预见的照顾的权利。在我们的定期磋商中,服务提供的变化伴随着对父母和儿童人权的更多考虑和公开讨论。此外,我们正在与家庭时间小组更密切地合作,他们监督家庭之间的联系。这项工作是为了促进父母和儿童的人权,继续保持积极的关系,并与我们的寄养照顾者分享这种方法,弥合他们与出生家庭之间的差距。
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引用次数: 0
Cultural adaptation of CBT as a human rights issue: A UK study CBT的文化适应作为一个人权问题:一项英国研究
Q4 Psychology Pub Date : 2023-10-01 DOI: 10.53841/bpscpf.2023.1.369.75
Haripriya Dalmia, Shounak Bhattacharjee, Clara Calia
Cognitive behaviour therapies have been used widely across the world and have been recommended as the first line of psychotherapeutic treatment for multiple mental health disorders. However, such blanket guidelines for use of Western-generated psychotherapies discount the socio-cultural determinants and aspects of mental health when recommended unadapted across ethnicities, eventually creating disparities in the quality of care available to different populations. Examining the cultural relevance of these therapies for ethnic minority groups has therefore become an important avenue of inquiry. Recent decades have brought a revolution of cultural competency and adaptation research for such psychotherapies. Despite recent advances in cultural competency and adaptation research, the available body of literature in this domain remains limited and heterogenous. Furthermore, the lack of mandatory cultural competence training and the ineffectiveness of existing programmes increase the obvious discrepancy in the provision of mental healthcare services for certain minority groups, jeopardising equitable access and raising concerns about human rights protection. Aims This study aimed to explore UK-based CBT therapists’ use of adaptations in their own practice, and understand what elements they tend to adapt, the impact and feasibility of their approaches, and the challenges faced by those who adapt and those who do not. The larger intention was to be able to gather information to recommend basic direction for policy and research to create plans for the benefit of ethnic minority groups for whom access to quality, tailored healthcare is currently largely overlooked. Method The study involved developing a survey informed by existing literature and distributing it to UK-based CBT therapists. Results This study found that CBT therapists and their clients value cultural competency. It also found that therapists tend to believe that adapting CBT techniques and implementation and using culturally significant idioms and stories are impactful for their clients and practical to achieve as therapists. It further found that current barriers to adapting CBT for ethnic minority clients involves a lack of resources to study the efficacy of adaptations as well as a lack of well-established evidence-based adaptations in existing literature. Conclusion The authors recommend that policymakers and service managers prioritise the regulation of cultural competence in psychotherapy and afford resources and incentive to researchers and clinicians that would eventually help to improve the effectiveness of their approaches and enhance mental health outcomes for ethnic minority groups. Future research could build on this study using qualitative methods or creating more robust surveys, using random sampling, and drawing larger sample sizes.
认知行为疗法在世界范围内得到广泛应用,并被推荐为多种精神健康障碍心理治疗的第一线。然而,这种使用西方产生的心理治疗的一揽子指导方针在推荐时不考虑社会文化决定因素和心理健康的各个方面,而不针对不同种族进行调整,最终造成不同人群可获得的护理质量的差异。因此,研究这些治疗对少数民族群体的文化相关性已成为研究的重要途径。近几十年来,这类心理治疗的文化能力和适应研究掀起了一场革命。尽管最近在文化能力和适应研究方面取得了进展,但这一领域的文献仍然有限且异质性。此外,缺乏强制性的文化能力培训和现有方案的无效增加了在向某些少数群体提供精神保健服务方面的明显差异,危及公平获得服务的机会,并引起对人权保护的关切。本研究旨在探讨英国CBT治疗师在自身实践中对适应性的使用,了解他们倾向于适应哪些因素,他们的方法的影响和可行性,以及适应者和不适应者面临的挑战。更大的目的是能够收集信息,为政策和研究的基本方向提出建议,为少数民族群体的利益制定计划,他们目前在很大程度上忽视了获得高质量、量身定制的医疗保健的机会。方法根据现有文献进行调查,并将调查结果分发给英国的CBT治疗师。结果本研究发现CBT治疗师及其来访者重视文化能力。研究还发现,治疗师倾向于相信,适应CBT技术和实施,使用具有文化意义的习语和故事,对他们的客户有影响,对治疗师来说是实用的。研究进一步发现,目前少数民族患者适应CBT的障碍包括缺乏资源来研究适应的有效性,以及在现有文献中缺乏成熟的循证适应。作者建议政策制定者和服务管理者优先考虑心理治疗中的文化能力调节,并为研究人员和临床医生提供资源和激励,最终有助于提高其方法的有效性,并改善少数民族群体的心理健康结果。未来的研究可以在此研究的基础上,使用定性方法或创建更有力的调查,使用随机抽样,并绘制更大的样本量。
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引用次数: 0
Diversity and inclusion in UK psychology: A nationwide survey 英国心理学的多样性和包容性:一项全国性调查
Q4 Psychology Pub Date : 2023-10-01 DOI: 10.53841/bpscpf.2023.1.369.15
Dan Kanceljak, Clara Calia
Recently, there has been a resurgence of interest regarding diversity and inclusion (D&I) movements within psychology in the UK. However, there haven’t been any attempts made thus far at gathering insights into the attitudes held by the members of the UK psychology community towards such initiatives. To this end, the authors conducted a nationwide survey with the purpose of identifying the levels of support towards D&I movements, the members’ view on their progression as well as what obstacles the movements may be currently facing. The authors found that the members of the UK psychology community overwhelmingly support D&I movements. Furthermore, survey participants (N=82) proposed curriculum diversification and re-conceptualisation of expertise, as two policies likely to advance the D&I cause. Accordingly, the authors argue that a unified movement with a clearly set agenda aimed at challenging the systems underpinning contemporary psychology may bring about further improvement to the field.
最近,在英国心理学领域,对多样性和包容性(D&I)运动的兴趣重新抬头。然而,到目前为止,还没有任何尝试来收集英国心理学社区成员对这些倡议所持态度的见解。为此,作者进行了一项全国性的调查,目的是确定对D&I运动的支持程度,成员对其进展的看法以及运动目前可能面临的障碍。作者发现,英国心理学界的成员绝大多数支持D&I运动。此外,调查参与者(N=82)建议课程多样化和专业知识的重新概念化,作为两项可能推进D&I事业的政策。因此,作者认为,一个具有明确议程的统一运动,旨在挑战支撑当代心理学的系统,可能会给该领域带来进一步的改善。
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引用次数: 0
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Clinical Psychology Forum
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