Pub Date : 2023-10-10DOI: 10.53841/bpscypf.2023.1.8.92
Shevaun Carter, Laura Hadgett, Katy Phillips, Clare Snodgrass
The Psychologically Informed Partnership Approach (PIPA) is a partnership between North Yorkshire Council (NYC) and Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV). PIPA aims to provide a flexible, psychological and trauma-informed service to meet a wide range of needs of vulnerable children across Children and Families Services (C&FS) within North Yorkshire. PIPA consists of Clinical and Forensic Psychologists, and Advanced Practitioners working across NYC. The service considers the individual needs, complexities and experiences of children, young people, family members and practitioners, whilst also holding in mind broader systemic and organisational perspectives. This paper outlines how PIPA applies a range of models and frameworks to support innovative, non-blaming approaches with children, young people and their families, and the outcome of this approach thus far. A variety of measures are used to evaluate how PIPA involvement has influenced a range of outcomes for children, young people and families, as seen in the Outcomes and Feedback section . Two case studies are also included to demonstrate how this approach works in practise. The paper concludes with reflections on our learning and recommendations for similar practices to be embedded across other children and families’ services in the country.
{"title":"Working in partnership to support trauma informed care for children, young people and their families in North Yorkshire","authors":"Shevaun Carter, Laura Hadgett, Katy Phillips, Clare Snodgrass","doi":"10.53841/bpscypf.2023.1.8.92","DOIUrl":"https://doi.org/10.53841/bpscypf.2023.1.8.92","url":null,"abstract":"The Psychologically Informed Partnership Approach (PIPA) is a partnership between North Yorkshire Council (NYC) and Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV). PIPA aims to provide a flexible, psychological and trauma-informed service to meet a wide range of needs of vulnerable children across Children and Families Services (C&FS) within North Yorkshire. PIPA consists of Clinical and Forensic Psychologists, and Advanced Practitioners working across NYC. The service considers the individual needs, complexities and experiences of children, young people, family members and practitioners, whilst also holding in mind broader systemic and organisational perspectives. This paper outlines how PIPA applies a range of models and frameworks to support innovative, non-blaming approaches with children, young people and their families, and the outcome of this approach thus far. A variety of measures are used to evaluate how PIPA involvement has influenced a range of outcomes for children, young people and families, as seen in the Outcomes and Feedback section . Two case studies are also included to demonstrate how this approach works in practise. The paper concludes with reflections on our learning and recommendations for similar practices to be embedded across other children and families’ services in the country.","PeriodicalId":471563,"journal":{"name":"The Child & Family Clinical Psychology Review","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136357938","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 : 2023-10-10DOI: 10.53841/bpscypf.2023.1.8.53
Chloe Morris, Poppy Cliff
Young people with eating disorders can present with physical health risks that require admission to a general hospital ward which can be a negative experience. As part of a service development initiative within the CAMHS Community Eating Disorder Service for Rotherham Doncaster and South Humber NHS Foundation Trust, we co-produced a Medical Admission Pack for Young People. It was designed based on assimilated data from a focus group, an interview and surveys, gathered from young people who had experienced an admission to a general ward, their parents/carers and ward staff. Thematic analysis was conducted to derive the three key themes: uncertainty, negative experiences and having a voice. The themes were used to guide the construction of The Medical Admission Pack, which was co-produced between the service and expert by experience service users, in line with the six principles of trauma-informed care (safety, trust, choice, collaboration, empowerment and cultural consideration). The packs were developed to help reduce the negative experiences during admissions by resolving uncertainty – to promote psychological safety and trust – as well as empowering young people. Anecdotal evidence suggests that the aims of the pack were met, however further evaluation is still needed. A further advancement of this pack was an edition for parents/carers, based on similar principles but suited to the needs of the parent/carer The parent/carer pack is relatively new and requires evaluation to determine the effectiveness.
{"title":"Development of the medical admission pack project: Utilising the expert-by-experience voice to improve experiences of medical admissions in young people with eating disorders","authors":"Chloe Morris, Poppy Cliff","doi":"10.53841/bpscypf.2023.1.8.53","DOIUrl":"https://doi.org/10.53841/bpscypf.2023.1.8.53","url":null,"abstract":"Young people with eating disorders can present with physical health risks that require admission to a general hospital ward which can be a negative experience. As part of a service development initiative within the CAMHS Community Eating Disorder Service for Rotherham Doncaster and South Humber NHS Foundation Trust, we co-produced a Medical Admission Pack for Young People. It was designed based on assimilated data from a focus group, an interview and surveys, gathered from young people who had experienced an admission to a general ward, their parents/carers and ward staff. Thematic analysis was conducted to derive the three key themes: uncertainty, negative experiences and having a voice. The themes were used to guide the construction of The Medical Admission Pack, which was co-produced between the service and expert by experience service users, in line with the six principles of trauma-informed care (safety, trust, choice, collaboration, empowerment and cultural consideration). The packs were developed to help reduce the negative experiences during admissions by resolving uncertainty – to promote psychological safety and trust – as well as empowering young people. Anecdotal evidence suggests that the aims of the pack were met, however further evaluation is still needed. A further advancement of this pack was an edition for parents/carers, based on similar principles but suited to the needs of the parent/carer The parent/carer pack is relatively new and requires evaluation to determine the effectiveness.","PeriodicalId":471563,"journal":{"name":"The Child & Family Clinical Psychology Review","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136356745","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 : 2023-10-10DOI: 10.53841/bpscypf.2023.1.8.63
Kim S. Golding
In this paper I am joined by an adoptive family to explore the Dyadic Developmental Practice (DDP) model. DDP was originally developed by US clinical psychologist, Dan Hughes as an intervention for children living away from their birth family. This model encompasses therapy, parenting, and practitioner support. The same DDP principles of open and engaged emotional connection, PACE, co-regulation, and co-creation of narrative, guide all DDP interventions. These allow everyone to slow down and seek understanding. This increases safety and reduces the risk of blaming or judging the family. The DDP principles, support the child to feel safe enough to move out of blocked trust, to build relationships, to develop an integrated sense of self and a coherent autobiographical narrative. DDP is developing from its strong foundation in Western psychological models, including attachment theory, intersubjectivity and neuroscience, to also learn from and adapt for families with different heritage, identity, and experience. As the family testify, the experience of DDP is scary, amazing, transformative, and challenging.
{"title":"Living with a constant feeling of dread. Dyadic Developmental practice (DDP) with families who foster or adopt children with developmental trauma experience","authors":"Kim S. Golding","doi":"10.53841/bpscypf.2023.1.8.63","DOIUrl":"https://doi.org/10.53841/bpscypf.2023.1.8.63","url":null,"abstract":"In this paper I am joined by an adoptive family to explore the Dyadic Developmental Practice (DDP) model. DDP was originally developed by US clinical psychologist, Dan Hughes as an intervention for children living away from their birth family. This model encompasses therapy, parenting, and practitioner support. The same DDP principles of open and engaged emotional connection, PACE, co-regulation, and co-creation of narrative, guide all DDP interventions. These allow everyone to slow down and seek understanding. This increases safety and reduces the risk of blaming or judging the family. The DDP principles, support the child to feel safe enough to move out of blocked trust, to build relationships, to develop an integrated sense of self and a coherent autobiographical narrative. DDP is developing from its strong foundation in Western psychological models, including attachment theory, intersubjectivity and neuroscience, to also learn from and adapt for families with different heritage, identity, and experience. As the family testify, the experience of DDP is scary, amazing, transformative, and challenging.","PeriodicalId":471563,"journal":{"name":"The Child & Family Clinical Psychology Review","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136358144","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 : 2023-10-10DOI: 10.53841/bpscypf.2023.1.8.70
Cheri Fletcher, Rebecca McLaren, Rachel Bradley
Dyadic Developmental Psychotherapy (DDP) is an established approach used to support families and children to develop healthy relationships. The approach was originally used therapeutically with foster and adoptive families, but has been further developed for working with biological parents or caregivers and residential care staff. DDP informed interventions have been used in the Edge of Care service, and this article outlines some of the benefits they have had, particularly in relation to blocked care and supporting parents or caregivers to reconnect with their children. It has also been helpful in supporting professionals and parents/caregivers to reconnect, in turn promoting child welfare and safety.
{"title":"Conversations of DDP: Experiences of blocked care within an Edge of Care team","authors":"Cheri Fletcher, Rebecca McLaren, Rachel Bradley","doi":"10.53841/bpscypf.2023.1.8.70","DOIUrl":"https://doi.org/10.53841/bpscypf.2023.1.8.70","url":null,"abstract":"Dyadic Developmental Psychotherapy (DDP) is an established approach used to support families and children to develop healthy relationships. The approach was originally used therapeutically with foster and adoptive families, but has been further developed for working with biological parents or caregivers and residential care staff. DDP informed interventions have been used in the Edge of Care service, and this article outlines some of the benefits they have had, particularly in relation to blocked care and supporting parents or caregivers to reconnect with their children. It has also been helpful in supporting professionals and parents/caregivers to reconnect, in turn promoting child welfare and safety.","PeriodicalId":471563,"journal":{"name":"The Child & Family Clinical Psychology Review","volume":"315 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136358394","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 : 2023-10-10DOI: 10.53841/bpscypf.2023.1.8.79
Cheri Fletcher, Amanda Stocks
Rotherham Edge of Care Team has embedded formulation meetings into their clinical practice. This article reflects on the processes within these meetings, and the impact formulation meetings have on social care systems and the families they support. Key themes appearing to arise from formulation meetings are vicarious trauma, partnership working and transgenerational stories of trauma. Formulation meetings appear to offer a safe space for professionals, providing support for the system to slow down and reconnect with the overall family system. This in turn helps reframe the difficulties shared in the formulation meetings and further understanding of the family’s narratives.
Rotherham Edge of Care团队将配方会议嵌入到他们的临床实践中。本文反映了这些会议的过程，以及制定会议对社会保健系统及其所支持的家庭的影响。制定会议似乎产生的关键主题是替代性创伤、伙伴关系工作和跨代创伤故事。制定会议似乎为专业人士提供了一个安全的空间，为系统放慢速度并与整个家庭系统重新连接提供了支持。这反过来又有助于重新定义制定会议中共同面临的困难，并进一步了解家庭的叙述。
{"title":"‘How can we help?’ – The role of formulation meetings in an Edge of Care team","authors":"Cheri Fletcher, Amanda Stocks","doi":"10.53841/bpscypf.2023.1.8.79","DOIUrl":"https://doi.org/10.53841/bpscypf.2023.1.8.79","url":null,"abstract":"Rotherham Edge of Care Team has embedded formulation meetings into their clinical practice. This article reflects on the processes within these meetings, and the impact formulation meetings have on social care systems and the families they support. Key themes appearing to arise from formulation meetings are vicarious trauma, partnership working and transgenerational stories of trauma. Formulation meetings appear to offer a safe space for professionals, providing support for the system to slow down and reconnect with the overall family system. This in turn helps reframe the difficulties shared in the formulation meetings and further understanding of the family’s narratives.","PeriodicalId":471563,"journal":{"name":"The Child & Family Clinical Psychology Review","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136358397","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}
The aim of this project was to co-produce a new Patient Reported Experience Measure (PREM) with young people and parent/carers for a new Children and Young People’s Mental Health (CYPMH) inpatient unit, to collect meaningful and actionable feedback that will support a trauma-informed approach in the service. Young people and parents/carers using the service reported that existing PREMs, such as the Experience of Service Questionnaire (CHI-ESQ) and CAMHS Satisfaction Scale (CAMHSSS-Unit) were unsuitable. Focus groups were held with young people and their parents/carers to develop a new PREM specifically for CYPMH inpatient services. Young people and parents/carers reviewed the existing questionnaires and discussed which aspects of inpatient care they wanted to provide feedback about following their admission. Key themes from the focus groups included the importance of a variety of types of response scales and ensuring the questions captured a range of experiences. Two co-produced, distinct versions of the PREM for young people and parents/carers were constructed using the focus group feedback and were named the Re-QUEST (The Red Kite Questionnaire for Understanding Experiences of Services Together). Both versions of the Re-QUEST were then reviewed by a wider group of young people and parents/carers for acceptability and were unanimously approved. The Re-QUEST was piloted with young people and their parents on their discharge from the service.
{"title":"The Red Kite Questionnaire for Understanding Experiences of Services Together (Re-QUEST): A Co-produced PREM for an inpatient CYPMH service","authors":"Lucy Calvert, Ruth Sutherland, Emily Booth, Holly Murray","doi":"10.53841/bpscypf.2023.1.8.28","DOIUrl":"https://doi.org/10.53841/bpscypf.2023.1.8.28","url":null,"abstract":"The aim of this project was to co-produce a new Patient Reported Experience Measure (PREM) with young people and parent/carers for a new Children and Young People’s Mental Health (CYPMH) inpatient unit, to collect meaningful and actionable feedback that will support a trauma-informed approach in the service. Young people and parents/carers using the service reported that existing PREMs, such as the Experience of Service Questionnaire (CHI-ESQ) and CAMHS Satisfaction Scale (CAMHSSS-Unit) were unsuitable. Focus groups were held with young people and their parents/carers to develop a new PREM specifically for CYPMH inpatient services. Young people and parents/carers reviewed the existing questionnaires and discussed which aspects of inpatient care they wanted to provide feedback about following their admission. Key themes from the focus groups included the importance of a variety of types of response scales and ensuring the questions captured a range of experiences. Two co-produced, distinct versions of the PREM for young people and parents/carers were constructed using the focus group feedback and were named the Re-QUEST (The Red Kite Questionnaire for Understanding Experiences of Services Together). Both versions of the Re-QUEST were then reviewed by a wider group of young people and parents/carers for acceptability and were unanimously approved. The Re-QUEST was piloted with young people and their parents on their discharge from the service.","PeriodicalId":471563,"journal":{"name":"The Child & Family Clinical Psychology Review","volume":"254 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136358551","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 : 2023-10-10DOI: 10.53841/bpscypf.2023.1.8.6
Romana Farooq, Chelsea Addy, Katie Burgess
The influence and importance of a family on children and young people’s mental health and wellbeing has been well documented (Kana’Iaupuni et al., 2005). Therefore, when children and young people encounter mental health services it is vital that a family focused perspective is prioritised (Gross & Goldin, 2008). However, efforts to consider and explore family dynamics in the context of children’s lives have often been blaming and overly expert (Dallos, 2019). There have been some attempts to move away from individualistic understandings of children’s distress to more family functional formulations (Dallos, et al., 2020). Nonetheless, there remains very little literature and evidence around involving families in co-producing psychological formulations in a non-blaming, transparent and empowering way, but in particular this scarcity is evident in inpatient child and adolescent mental health services (CAMHS). The present paper will outline a co-produced family focused formulation called ‘Understanding Our Family’ developed for inpatient CAMHS settings by the authors. ‘Understanding Our Family’ is informed by the Power Threat Meaning Framework (Johnstone, et al., 2018) to provide an alternative understanding to what brings families into contact with inpatient settings and to offer a de-stigmatising and empowering narrative to families subject to multiple stressors and complex systems. The present article discusses and critically interrogates the challenges and opportunities of developing, implementing, and embedding this approach within a CAMHS inpatient setting in the North of England.
{"title":"‘Understanding our family’: Co-producing empowering & non-blaming stories with families in a CAMHS inpatient unit","authors":"Romana Farooq, Chelsea Addy, Katie Burgess","doi":"10.53841/bpscypf.2023.1.8.6","DOIUrl":"https://doi.org/10.53841/bpscypf.2023.1.8.6","url":null,"abstract":"The influence and importance of a family on children and young people’s mental health and wellbeing has been well documented (Kana’Iaupuni et al., 2005). Therefore, when children and young people encounter mental health services it is vital that a family focused perspective is prioritised (Gross & Goldin, 2008). However, efforts to consider and explore family dynamics in the context of children’s lives have often been blaming and overly expert (Dallos, 2019). There have been some attempts to move away from individualistic understandings of children’s distress to more family functional formulations (Dallos, et al., 2020). Nonetheless, there remains very little literature and evidence around involving families in co-producing psychological formulations in a non-blaming, transparent and empowering way, but in particular this scarcity is evident in inpatient child and adolescent mental health services (CAMHS). The present paper will outline a co-produced family focused formulation called ‘Understanding Our Family’ developed for inpatient CAMHS settings by the authors. ‘Understanding Our Family’ is informed by the Power Threat Meaning Framework (Johnstone, et al., 2018) to provide an alternative understanding to what brings families into contact with inpatient settings and to offer a de-stigmatising and empowering narrative to families subject to multiple stressors and complex systems. The present article discusses and critically interrogates the challenges and opportunities of developing, implementing, and embedding this approach within a CAMHS inpatient setting in the North of England.","PeriodicalId":471563,"journal":{"name":"The Child & Family Clinical Psychology Review","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136358555","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 : 2023-10-10DOI: 10.53841/bpscypf.2023.1.8.34
Waheed Arian
Refugees and migrants are at risk of poor mental health because of their traumatic or stressful experiences. Many of them experience feelings of anxiety, hopelessness, sadness, difficulty sleeping, fatigue, anger and irritability. They are at higher risk of mental health problems such as depression and anxiety and post-traumatic stress disorder (PTSD). However, many refugees and migrants lack access to dedicated mental health services or experience barriers in accessing them. This leaves even a larger impact on children, young people and families. My lived experiences as a refugee and someone who sought help for my PTSD along with understanding the challenges of other traumatised people in accessing dedicated mental health services, have shaped the development of an innovative mental health initiative, Arian Wellbeing, which brings together a team of highly qualified psychologists, registered therapists, personal trainers and motivated professionals with a vision to make access to trauma-informed and culturally sensitive mental health services available to everyone including hard to reach populations, such as refugees and migrants.
{"title":"Developing trauma informed services for refugee children, young people and families","authors":"Waheed Arian","doi":"10.53841/bpscypf.2023.1.8.34","DOIUrl":"https://doi.org/10.53841/bpscypf.2023.1.8.34","url":null,"abstract":"Refugees and migrants are at risk of poor mental health because of their traumatic or stressful experiences. Many of them experience feelings of anxiety, hopelessness, sadness, difficulty sleeping, fatigue, anger and irritability. They are at higher risk of mental health problems such as depression and anxiety and post-traumatic stress disorder (PTSD). However, many refugees and migrants lack access to dedicated mental health services or experience barriers in accessing them. This leaves even a larger impact on children, young people and families. My lived experiences as a refugee and someone who sought help for my PTSD along with understanding the challenges of other traumatised people in accessing dedicated mental health services, have shaped the development of an innovative mental health initiative, Arian Wellbeing, which brings together a team of highly qualified psychologists, registered therapists, personal trainers and motivated professionals with a vision to make access to trauma-informed and culturally sensitive mental health services available to everyone including hard to reach populations, such as refugees and migrants.","PeriodicalId":471563,"journal":{"name":"The Child & Family Clinical Psychology Review","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136358549","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 : 2023-10-10DOI: 10.53841/bpscypf.2023.1.8.12
Eleanor Rowsell
Reviews on treating Posttraumatic Stress Disorder (PTSD) in children and adolescents consistently point to the good evidence base for these interventions and that they translate well from research trials to clinical practice. However, at the time of the Covid-19 pandemic there was no research into delivering these interventions online. This paper summarises an online intervention using Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) with an eight year old boy (Archie) with PTSD and neurodevelopmental conditions. The intervention was born out of necessity as a result of Covid-19 as both parents were shielding due to underlying health conditions. It raised professional and ethical challenges for me as a clinician, including how open to be with families about trialling things for the first time, and whether waiting for the outcome of the neurodevelopmental assessment had been in Archie’s best interest. Having a trauma-informed perspective was beneficial. Following successful completion of the intervention I obtained feedback from Archie and his mother as to their experience of completing this therapy online and what recommendations they would make to guide future practice. The learning from this experience and feedback early on during the Covid-19 pandemic was used to help shape service improvements. This paper summarises the impact of the learning from this work and the contribution it made to the subsequent developments in our service, moving to what is now a fully hybrid model of working.
{"title":"Learning from children and families: delivery of remote therapy for PTSD","authors":"Eleanor Rowsell","doi":"10.53841/bpscypf.2023.1.8.12","DOIUrl":"https://doi.org/10.53841/bpscypf.2023.1.8.12","url":null,"abstract":"Reviews on treating Posttraumatic Stress Disorder (PTSD) in children and adolescents consistently point to the good evidence base for these interventions and that they translate well from research trials to clinical practice. However, at the time of the Covid-19 pandemic there was no research into delivering these interventions online. This paper summarises an online intervention using Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) with an eight year old boy (Archie) with PTSD and neurodevelopmental conditions. The intervention was born out of necessity as a result of Covid-19 as both parents were shielding due to underlying health conditions. It raised professional and ethical challenges for me as a clinician, including how open to be with families about trialling things for the first time, and whether waiting for the outcome of the neurodevelopmental assessment had been in Archie’s best interest. Having a trauma-informed perspective was beneficial. Following successful completion of the intervention I obtained feedback from Archie and his mother as to their experience of completing this therapy online and what recommendations they would make to guide future practice. The learning from this experience and feedback early on during the Covid-19 pandemic was used to help shape service improvements. This paper summarises the impact of the learning from this work and the contribution it made to the subsequent developments in our service, moving to what is now a fully hybrid model of working.","PeriodicalId":471563,"journal":{"name":"The Child & Family Clinical Psychology Review","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136358550","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 : 2023-10-10DOI: 10.53841/bpscypf.2023.1.8.38
Michael P. Charles
This reflective article explores my own personal experiences of finding out my child had an autism diagnosis, my journey as a parent and how this led me into psychology. It shares reflections from my six-year experience of delivering a support group for dads of children with disabilities/developmental difficulties and provides some insights into why we should engage more with fathers and how we could adapt practice to enable this.
{"title":"Reflections from running a support group for dads of children with disabilities and/or developmental difficulties","authors":"Michael P. Charles","doi":"10.53841/bpscypf.2023.1.8.38","DOIUrl":"https://doi.org/10.53841/bpscypf.2023.1.8.38","url":null,"abstract":"This reflective article explores my own personal experiences of finding out my child had an autism diagnosis, my journey as a parent and how this led me into psychology. It shares reflections from my six-year experience of delivering a support group for dads of children with disabilities/developmental difficulties and provides some insights into why we should engage more with fathers and how we could adapt practice to enable this.","PeriodicalId":471563,"journal":{"name":"The Child & Family Clinical Psychology Review","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136358402","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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