The Haven

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The Haven

• Innovative Service User Led Research

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Reasons for the Research

• Growing number of disaffected clients a
• Personality Disorder diagnosis
• Debbie Tallis - Guardian Article - Feb. 1997
• Dr. Ooi - Guardian Article - July 1997
• Lesley Allens letter
• Views of a major stakeholder not included

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The Method

• Emancipatory (Freire 1970)
• Narrative (Brown Harris 1989)
• Qualitative
• Quantitative

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Profile

• 20 men and 30 women
• Age range 18 to 74 years
• 86 between 25 and 54 years
• 88 on long- term benefits
• 66 living alone
• 86 single/divorced/separated

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Other Psychiatric Diagnoses
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Percentage Analysis of Abuse

• TOTAL ABUSE 88
• CHILDHOOD ABUSE 80

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Personality Disorder Diagnoses

• Total
  Female Male
• Borderline Personality Disorder 29 23
  6
• Dissocial Personality Disorder 14 3 11
• Unspecified Personality Disorder 7 4
  3

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Analysis by Gender
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Service User Views

• We need more communication no-one talks to
  you.
• The response is too slow.
• We dont want to be told were not ill.
• We need acceptance and staff who understand.
• We need a relaxed atmosphere where we are
  respecting one another and we have peer support.
• The day hospital isnt always the right place
  for us, and nor is the acute ward.
• Some of us need substance abuse help and they
  dont understand it here.

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Service User Views

• We need help in a crisis.
• We need a Crisis House and crisis support.
• We need help to prevent suicide attempts.
• We can feel very unsupported and need help
  earlier.
• We need mentoring/buddying
• A befriending service
• One to ones
• Groups can be too deep for us
• We need groups when we are ready
• Talking groups
• Writing groups
• Craft groups
• Some service user led groups

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Service User Views

• We need education
• Positive thinking
• Coping strategies
• Anger management
•   We need practical help
• Advocacy
• Benefits
• Housing
• Child protection issues
• Legal/Criminal justice support
• We like the idea of alternative therapies
• Massage
• Acupuncture
• Reflexology

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Service User Views

• Dont forget gay and lesbian support
• We need the right kind of therapies to be
  available
• CBT
• CAT
• DBT
• Counselling and psychotherapy
• We need all services to be working together
• Medication if we need it
• CPA
• A strong link to statutory services

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Service User Views

• We need a safe base where we are understood and
  where we can help each other, where we can get
  help in a crisis 24/7, and where we can get and
  give ongoing support.

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A Multi-Agency Group

• Colchester MIND
• North Essex Mental Health Partnership NHS Trust
  (NEMHPT)
• Local Service Users of the North Essex
  Personality Disorder Support Group
• CHUMS - self advocacy group
• NEST - service user empowerment network
• Phoenix Group Homes

• Uttlesford PCT Lead Commissioners for Mental
  Health
• Colchester Tendring PCT's, Witham, Braintree
  Halstead Care Trust
• Colchester Night Shelter
• The AE Department - Colchester General Hospital
  
• Colchester Borough Council
• Essex Police.

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The Haven
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Geographical Area
The Haven Project is located in the Colchester,
Essex area and has a geographical catchment of
Tendring and Colchester PCT areas, plus the
north-eastern part of the Witham, Braintree
Halstead PCT area (20 mile radius). This area has
a population of approximately 334,000.
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Day Services - A Tiered Approach

• Tier1.
• Support
• Advocacy and mediation practical help with
  benefits, housing, relationships
• Companionship
• Friendship Groups
• Pampering sessions
• Health and Fitness and Nutrition Groups
• Activity groups such as Arts and Crafts and
  Gardening
• Complementary therapies such as reflexology and
  head massage
• in a non-judgmental but safe environment.

• Tier 2.
• Life Skills training focusing on
• dailyliving
• Creative Writing Group
• Support Group
• Chaplaincy Group
• Formal Counselling
• Dialectical Behaviour Therapy Group
• Study and Work Support

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Crisis Services - A 24 Hour Response

• 1. A 24 hour crisis phone line and mobile to text
  in times of crisis.
• 2. A non-residential Safe Centre environment
  providing daytime and night crisis support for up
  to six people at any time.
• 3. A short stay residential facility provides a
  calm, quiet location where people benefit from
  time away from their usual environment for up to
  four people.

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For Who?

• The capacity of the day service is 25 per day.
• Capacity of the Crisis Centre is up to 6 people
  at any one time at the Safe Centre and 4 per day
  in the residential facility.
• The Haven Project is able to support 100 to 110
  registered clients at any one time. Registration
  is subject to annual renewal.

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Fundamental Concepts

• Haven Community Advisory Group
• Acceptable behaviour boundaries
• Recovery and Transitional Recovery

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Client Focus Group Questions

• QUESTION 1 DO YOU FEEL THE HAVEN HELPS YOU
  PERSONALLY? IF YES, HOW? IF NO, WHAT WOULD YOU
  LIKE THE HAVEN TO DO FOR YOU?
• QUESTION 2 CAN YOU SAY SOMETHING ABOUT THE
  KINDS OF RESPONSES YOU HAVE RECEIVED FROM THE
  HAVEN WHEN YOU HAVE BEEN FEELING VULNERABLE OR IN
  CRISIS?
• QUESTION 3 WHAT HAS BEEN YOUR EXPERIENCE OF
  SOME OF THE GROUPS, ACTIVITIES AND ONE TO ONES
  AND OTHER THERAPIES AT THE HAVEN THAT YOU HAVE
  PARTICIPATED IN?
• QUESTION 4 COULD YOU SAY SOMETHING ABOUT THE
  HAVEN AS A COMMUNITY AND WHAT THIS MEANS TO YOU?
  
• QUESTION 5 ARE YOU LEARNING ANY NEW SKILLS AT
  THE HAVEN? IF SO, WHAT DO YOU GAIN FROM THESE
  NEW SKILLS?
• QUESTION 6 COULD YOU SAY SOMETHING ABOUT THE
  KINDS OF COPING STRATEGIES YOU HAVE USED BEFORE
  COMING TO THE HAVEN AND WHETHER THESE HAVE
  CHANGED?
• QUESTION 7 SINCE COMING TO THE HAVEN DO YOU
  FEEL YOU SPEND LESS TIME DISLIKING YOURSELF?
• QUESTION 8 IN WHAT WAYS, IF ANY, DO YOU FEEL
  YOU HAVE CHANGED AS A PERSON SINCE ATTENDING THE
  HAVEN?
• QUESTION 9 HOW WOULD YOU DEFINE RECOVERY?
• QUESTION 10 DO YOU THINK RECOVERY IS
  FRIGHTENING?
• QUESTION 11 CAN YOU SAY SOMETHING ABOUT HOPES,
  DREAMS AND GOALS FOR THE FUTURE, AND WHETHER YOUR
  VISION OF THIS HAS CHANGED SINCE COMING TO THE
  HAVEN?
• QUESTION 12 WHAT ELSE DO YOU FEEL THE HAVEN
  COULD DO TO SUPPORT YOU IN RECOVERY?
• HAVE YOU GOT ANYTHING MORE TO ADD?

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Contact Details

• Tel/Fax [phone]
• Email heather.castillo_at_thehavenproject.org.uk