PERSONALITY DISORDER

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PERSONALITY DISORDER

• Managed Regional
• Clinical within a
  Development
• Network
  Programme

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(i) What is a managed clinical network?

• A set of autonomous organisations come together
  to reach goals that no one organisation can reach
  separately.
• Leeds Mental Health Trust
• Community Links
• Touchstone
• Survivor Led Crisis Service
• M H Advocacy Group
• West Yorkshire Probation

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(ii) What does the MCN do?

• AIMS TO
• Work effectively with individuals who present
  with personality disorder, complexity of need and
  significant risk issues.
• Support others across agencies to work
  effectively with people who present with
  personality disorder and who seek or require
  input from their services.

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We offer

• CONSULTATION
• ASSESSMENT AND FORMULATION
• FUNCTIONAL GROUPWORK
• CARE CO-ORDINATION
• TRAINING

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(iii) How do we do it?

• Theoretical framework of W John Livesley
• helping people to develop a coherent sense of
  self or identity, and the capacity for effective
  relationships.

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Applied General Therapeutic Strategies

• Build and maintain a collaborative relationship
• Maintain a consistent treatment process
• Establish and maintain a validating treatment
  process
• Build and maintain motivation for change.

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Through Five Phases of Treatment

• Safety and managing crises
• Containment
• Control and regulation
• Exploration and change
• Integration and synthesis

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The Managed Clinical Network
User Led Crisis Service
Probation
Accommodation
Narratives in crisis Working agreement
Care Co-ordination
Consultation Resource Pack Training
Consultation Phased assessment process Training
Consultation Shared Care protocols
Occupational Therapist
Functional Groupwork Programme
Health Support Workers
Voluntary Sector
The Allotment and engagement strategies
Therapists
Quarterly Forum Occupation and Social Inclusion
service
MH Advocacy
Clinical Supervision Psychological
thinking Training
User focussed conference Involvement
group newsletter
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(iv) What have we learned?

• All community mental health teams refer, and on
  average each clinician has 5 on caseload with
  personality disorder
• 66 of referrals are female
• Referrers perception of need differs for males
  and females
• People offered assessment complete the process
  and value autobiographical narrative as outcome
• Staff in other services are working well, but
  require support to undertake the work
• Consultation and training have been well received
• Commissioners are supportive of the MCN model and
  its impact upon out of area placements.

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Within a Regional Development Programme?
Capability Framework
Policy Guidance
DSPD
Forensic Pilots
High Support Hostels
Community Pilots
Regional Training Involvement
NSCAG funds
Capacity Plans
LIT Autumn Assessments
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SUMMARY OF YORKSHIRE PROGRAMME PERSONALITY
DISORDER 2007

• SERVICES
• Independent secure/non-secure
• Medium secure assessment/treatment
• Clinical pathway/gatekeeping
• Womens High Support
• Managed Clinical Network
• Day Therapeutic Community/Functional Groupwork

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1. Development of Clinical Services
2. Development of evaluation of effectiveness and
   impact
3. Development of core service standards
4. Development of commissioning arrangements
5. Developing meaningful user involvement
6. Workforce skills development
7. Managing the mainstream IMPACT, CHANGE
8. Multi-agency Strategy 2008-12.

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