November 28, 2022
November 30, 2022
- Summary of the learning day
- Who is facilitating the learning day?
- Who should attend
- Booking info
Professionals are encountering service users who face increasingly complex problems – often mental distress combined with drug or alcohol problems, behaviour which may lead to expulsion from treatment and support, criminal justice involvement, and homelessness.
Although there is increasing evidence of the impact of early complex trauma on these kinds of problems, it does not necessarily translate into effective and lasting interventions. Consequently, professionals can find themselves continually intervening to pick up the pieces of crisis behaviours, finding relationships with service users – or with other agencies and professionals – compromised, and feeling hopeless themselves.
In these cases, traditional health and social care interventions –often brief, focused on practical outcomes (eg benefits and housing) or immediate symptoms – may fall short. The underlying issues fuelling the practical problems and crises, and professionals’ difficulties in supporting effectively, are still present: ‘avoidance’ or ‘non engagement’, ‘aggressiveness’, ‘unmotivation’ or periods of motivation followed by lapse; ‘lack of insight’, or what feels like ‘unwillingness’ to address addictions’. So, even after supporting people to address the immediate problems, clients may fall right back out of the best-crafted solutions!
Where there are high levels of emotion, reactions may translate as anger, and it can feel difficult to facilitate change with people who present with very fixed ideas (‘my only problem here is YOU’ or ‘the man upstairs’), or who avoid interaction entirely.
Psychotherapy and psychological approaches are developing effective interventions with people who experience complex relating problems such as personality disorders, which often arise in a context of trauma.
However, health, housing, police and social care professionals are frequently working in completely different environments, with clients who are not apparently motivated to engage in intensive therapeutic work, and may appear very ambivalent about change.
This is the professional’s toughest challenge – how can we understand and support people grappling with the most complex problems, who may appear most ‘resistant to change’, to turn towards recovery?
Collaboration without collusion is a learning day designed to help with these questions.
Felicity Reed will draw on some of the latest knowledge and evidence informing the field of severe personality disorders and complex trauma, to support better understanding of what underpins repeated crisis presentations and difficulties in maintaining relationships.
She will also draw on evidence-based therapeutic approaches for mental distress and personality disorders such as Mentalisation Based Treatment, Cognitive Behavioural Therapy and Dialectical Behaviour Therapy, showing how techniques from these approaches can be used in everyday, non-clinical settings.
Finally, the restrictions and complexities of Covid-19 have added to the challenge, and the impact of these will also be considered.
“What a brilliant day; thank you.”
“Loved it, worthwhile and engaging, learnt a lot”
“Felicity is an incredible trainer, so engaging and knowledgeable.”
Felicity Reed is a Psychotherapist and Supervisor with a background in understanding and supporting people who experience mental distress in complex circumstances, such as in homelessness, substance abusing, criminal justice and emergency service contexts. She has worked for almost twenty years as a practitioner, leader and service designer, creating new ways to meet the needs of those who do not fit easily into traditional support and who, as a consequence, may present with challenging, distressing or offending behaviours.
Felicity is the Clinical Lead for Adults with Multiple Vulnerabilities in Southwark Council.
Welcome and aims of the day
Trauma and the Brain
- Using a trauma lens to understand crisis-led behaviour and presentations
- Comprehending short-termism – clients who say “I want to do this” and yet disengage from the process after initial success
- Understanding, and working more effectively to support, people grappling with repeated problems such as consecutive abusive relationships
The Mentalising Seesaw
Mentalising tools in social care practice
- Moving away from an exclusive focus on concrete demands (‘all my problems will be solved by a 1 bed flat’) into mentalising?
- Engaging with people who might appear to be very avoidant or hopeless
- De-escalating a blaming/crisis response, and using the crisis to move into a reflective and helpful conversation
- Using honest reflection as an opportunity to be truly supportive rather than critical
- Keeping clients on board while saying things they might not want to hear
- Anticipating and responding to rupture in professional/service user relationships effectively
Review of learning
Q&A with Felicity Reed – 3pm, 30 November
- Mental Health Practitioners
- Adults’ and children’s social workers
- Family Support Workers and professionals supporting families with complex problems
- Family Liaison Officers
- Family Nurse Practitioners and health visitors
- Adoption and fostering social workers
- Mental health services including CAMHS
- Community health professionals
- Charities supporting children and young people
- Youth offending services
- Substance misuse services
- Domestic abuse professionals
- Homeless services
- Housing services
- Support organisations like Victim Support, Citizen’s Advice Bureaux and advocacy service
Anyone attending from Scotland or Northern Ireland should be aware that any legal & guidance references are generally English and Welsh policy.
£105+ VAT = £126
Team of 3 Deal – £295+ VAT = £354
Team of 5 Deal – £475+ VAT = £570
Ring 0115 916 3104 for details.
Confirmation of booking:
Your booking will be confirmed by email where possible (and by fax or post otherwise), and you will be provided with directions to the venue and details on nearby hotel accommodation. If you do not receive such acknowledgement, please contact Central Conference Consultants Ltd on 0115 916 3104.
Booking Terms and Conditions
- Delegates will not be able to cancel their places after materials have been e-mailed out (two weeks before they are able to access the sessions)
- Places must be paid for prior to materials being e-mailed to the delegate
- Delegates may cancel their booking prior to materials being e-mailed out, less an administration fee of 25%
- Substitutions will be accepted but these must be notified in writing
- Due to the significant discounts offered, team bookings are non-cancellable
- Cancellations should be made in writing to CCClimited@aol.com up to two weeks before the start of the event and will be acknowledged by return
Confirmation of booking:
Your booking will be confirmed (and invoiced) by e-mail. You will be e-mailed outline information on the training.
The online training sessions will be available for a period of three days on 28/29/30 November.
If you do not receive such acknowledgement, please contact Central Conference Consultants Ltd on 0115 916 3104.