Early Intervention for Psychosis Service

Dr Beth Coleman, Clinical PsychologistJane Hetherington, PsychotherapistKent and Medway NHS and Social Care Partnership Trust

Contents

1. Why these professions?

2. Similarities and differences

3. Why Open Dialogue?

4. Research base

1. Why these professions

Clinical psychology

•Matched the long list of characteristics I wanted from a job

•Voluntary work with young people but more was needed

1. Why these professions

Integrative Psychotherapy

• Late onset psychotherapist

• Seeing clients who needed more than a legal intervention

• Do not believe “one size fits all”

• Belief in self actualisation mine/others

• Belief in the therapeutic alliance

2. Similarities and differences: Training

• Psychology BSc (Hons)• Relevant experience• Doctorate in Clinical

Psychology (ClinPsychD)

• Degree (any, often in social care),

• Relevant experience

• Life experience (older)

• Integrative Psychotherapy MSc

Clinical Psychology Integrative Psychotherapy

2. Similarities and differences: Philosophical underpinning

• Three-year full-time

• Clinical Psychology doctorate integrates clinical, academic and research practice to achieve the highest quality of professional training

• Four-year part-time

• Integrative Psychotherapy is the considered and intentional use of a relationship, grounded in the therapeutic alliance, in the service of the goals of the client

Clinical Psychology Integrative Psychotherapy

2. Similarities and differences: What we do

Aim to reduce psychological distress and enhance and

promote psychological well-being using different

psychological models

Aim to reduce psychological distress and enhance and

promote psychological well-being using the relational

perspective in an integrated manner

Clinical Psychology Integrative Psychotherapy

3. Why Open Dialogue?

• Work with families is essential for most of the clients I see

• Most success when the family is involved

• Do not believe problem is located in an individual

“It’s good to talk”

• Based on psychological theory

• Non-hierarchical

Beth• Interested for 3

years/attended workshops

• Natural follow on to the use of the therapeutic relationship

• Emphasis on engagement

• Non-hierarchical element of the model

• Working in drug services -family is part of the solution

• Behavioural Family Therapy in E.I.P

Jane

4. Research base: for psychological therapies

• Qualitative and quantitative research is required to measure long term efficacy and POD will develop this base

• Current emphasis in the National Institute for Health and Clinical Excellence (NICE) guidelines for Randomised Controlled Trials (RCT’s)

• RCT’s require manualized therapies to test a specific intervention

• Supervision model and support

4. Research base: for open dialogue

“Research and development on dialogical practices have to be true to dialogical principles, not because of some drive for a harmony of elements but for the need to acknowledge the otherness of others. People are not alike, nor are contexts;

one size does not fit all, and this is the fundamental fact to come to terms with. This otherness is not an obstacle,

unless there is a drive towards unifying contexts. It is what makes dialogues- and thus also rich polyphonic understanding-

necessary and possible……Doing realistic research, research that does not shape real life to fit research designs but shapes

research designs to fit real life, is more challenging…..it is demanding pioneering work”

Seikkula and Arnkil 2014

Any questions?