LIVEWORK –CI & IMPACT

PROJECTS
Facilitating psychologically-informed planned
environments: Training as a vehicle for
reshaping psychosocial interventions for PD in
community & forensic settings

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Who we are

• LIVEWORK CI – Initially funded by DoH as one

of eleven pilots to offer training and
consultation to staff in primary care and the
voluntary sector about PD, now part of C&I
Personality Disorder Services
• IMPACT – pilot project funded for one year by
the Impact fund of the MoJ in collaboration with
C&I NHS. Overall aim is to reduce the number
of recalls back to prison

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Our Aims

• Improve the quality of care for PD clients

across all agencies
• Facilitate psychosocial adjustment and
integration of PD clients into mainstream
society
• Improve the working environment of staff
who work with PD clients

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How do we do this?

• Training and consultation in working with PD

to staff in a variety of settings
• Facilitating the development of psychologically-
informed planned environments (PIPES) by
utilising the model of the ‘healthy organisation’
• Contributing to establishment of coherent
pathways for PD clients in the C&I area by
establishing multi-agency commissioning of
services for PD clients

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Our joint strategy

Strengthening Pathways

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PIPES – Psychologically Informed
Planned Environments
• PIPE – A bounded setting for a
particular purpose in which events,
interactions and relationships are
subject to discussion with consideration
given to psychological theories in the
planning and general day to day
functioning of the environment

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Facilitating PIPES: Model of the
Healthy Organisation
• Shared clarity about the primary task
• Shared clarity about hierarchy of roles
and responsibilities
• Agreed shared operating principles
• Integrated established regular forum for
reflection

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Which means?
• Facilitating clarity in staff about their primary task, organisational
structures and hierarchies thus equipping the organisation to work with
PD
• Staff having a compassionate understanding of the individual’s primary
needs that lie behind the surface behaviour/ presentation.
• Instilling and atmosphere of empowerment, confidence and self-efficacy
in staff and service user
• Increasing optimism & hope and reduce pessimism & hopelessness
• Increase awareness of how staff’s own reactions can improve or
perpetuate relational problems
• Making risk management / care planning and meeting service user
needs
• Facilitating the development of a reflective space where issues arising
from the work can be discussed and understood
↑ mindful responding ↓ mindless reacting
Better understanding of PD = More options

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Utilising the Knowledge &
Understanding Framework (KUF)
• Attendance at the KUF Awareness Level
training
• Project team members will attend the
KUF Facilitator Training in December
• Adapting the KUF awareness training to
address the training needs of the local
workforce

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Challenges

• Organisational obstacles – structure of the

organisation, management support, time
constraints
• Lack of clarity about the primary task and how
the training equips the workers in their role
• Most often those who need the training are not
motivated to receive it
• Securing future funding (for IMPACT project)

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Evaluation – LIVEWORK - CI

• Reactions to the training indicated it was

appropriate & relevant to the staff
• Participants reported that they gained
knowledge from the training and felt that this
would improve the way they worked with
service-users
• PD-KASQ was administered before and after
the training – significant improvements were
made in understanding, capabilities and
emotional reaction scores following the training

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IMPACT evaluation

• Training needs analysis completed with

PPU and AP staff
• Staff conveyed a need for training that
offers practical ways of engaging and
working with offender service-users with
PD presentations

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Future directions

• Interface between the two projects to address

the needs of offenders with PD at different
points in the pathway (prison, probation
services, housing, employment and training
services) with the aim to strengthen
collaboration between the health service, local
authorities, local police and probation and the
voluntary sector
• Multi-agency commissioning of PD services

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