Group interventions : |
Healthy relationships |
Social skills |
Managing Emotions |
Mindfulness Skills |
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Psychology |
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The support from the wider team has been invaluable in implementing this way of working to facilitate integrated groups . Adopting this approach has enabled the multidisciplinary team to think creatively utilising the skillsets of each discipline to develop and deliver groups , while adapting flexible approaches to meet service user needs .
The multidisciplinary team at Cygnet Raglan House will aim to continue to deliver need-specific integrated multidisciplinary team interventions in the future .
• Introduction of risk related scenarios to measure the effectiveness of group content .
• Understanding core beliefs and their role in relation to unhealthy relationships leading to informing psychological formulations .
• Exploring perpetuating factors contributing to initiation and maintenance of unhealthy relationships .
• Devising risk management toolkits to promote safe relationships .
• Exploring emotional regulation and distress tolerance skills .
• Use of pre- and post-measures to measure the effectiveness of groups .
• Providing a safe and containing environment to create therapeutic cooperation , facilitating discussions when relating exercises to real life experiences .
• Encouraging reflection and interpretation .
• Development and delivering of core mindfulness skills and skills practise .
• Teaching communication skills ( verbal and non-verbal ).
• Assessing the evidence base for specific approaches and interventions .
• Facilitating learnt skills and enhancing insight through the use of psychoeducation .
• Using psychotherapeutic strategies to assist service users within groups .
Campbell H , Hotchkiss R , Bradshaw N , Porteous M ( 1998 ). Integrated care pathways . BMJ ( Clinical Research Ed .), 316 ( 7125 ), 133-7 .
Ovretveit J ( 1993 ) Co-ordinating community care . McGraw-Hill Education ( UK ).
Tyrer P , Evans K , Gandhi N , Lamont A , Harrison-Read P , and Johnson T ( 1998 ) Randomised controlled trial of two models of care for discharged psychiatric patients . BMJ ( Clinical research ed .), 316 ( 7125 ), 106 – 109 . https :// doi . org / 10.1136 / bmj . 316.7125.106
Words DR SOHAIL ZAFAR , Responsible Clinician , TANZEELA MALIK , Assistant Psychologist , and FATEMA MEGHJEE , Regional lead Occupational therapist , Raglan House , Cygnet Healthcare , email fatemameghjee @ cygnethealth . co . uk .
Occupational therapy
• Exploring functional skills , providing opportunity for social interaction and facilitating community reintegration .
• Exploring levels of arousal and how these can be managed through use of sensory strategies .
• Encouraging mindfulness whilst engaging in meaningful activities , supporting individuals to take time out , explore balance of activities .
• Exploring , learning and identifying healthy and unhealthy relationships .
• Equipping clients with appropriate verbal and non-verbal skills required for everyday social interaction .
• Increasing confidence and boosting self-esteem .
Medical
• Applying medical knowledge , clinical skills and professional attitudes in the provision of patient-centred care within groups .
• Using effective inter-personal communication to support the doctor patient relationship and the dynamic exchanges that occur during group settings .
• Acquiring valuable insight into patient experiences and how these impact and relate to clinical symptomology .
• Encouraging patients to relate to the responsible clinician non-hierarchically external to formal meetings ( care programme approach , patient review meetings ).
• Caring for patients from the perspective of medical education .
• Perceiving effectiveness of clinical interventions on interpersonal skills within group settings .
34 OTnews May 2023