‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant...
-
Upload
lora-arnold -
Category
Documents
-
view
217 -
download
3
Transcript of ‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant...
![Page 1: ‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant Psychiatrist Morag Wiseman Senior Social Worker/Mental.](https://reader035.fdocuments.in/reader035/viewer/2022062517/56649f115503460f94c23fb1/html5/thumbnails/1.jpg)
‘Sharing the experience of working with Borderline Personality Disorder’
Dr A. Gopala Consultant PsychiatristMorag Wiseman Senior Social Worker/Mental Health
Officer . Alison Lynch Adult Protection Coordinator Police
Scotland
![Page 2: ‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant Psychiatrist Morag Wiseman Senior Social Worker/Mental.](https://reader035.fdocuments.in/reader035/viewer/2022062517/56649f115503460f94c23fb1/html5/thumbnails/2.jpg)
Content
• What's your experience? • Background – working group.• Social Work perspective • Alison Lynch- Police perspective• Dr Gopala- NHS view
![Page 3: ‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant Psychiatrist Morag Wiseman Senior Social Worker/Mental.](https://reader035.fdocuments.in/reader035/viewer/2022062517/56649f115503460f94c23fb1/html5/thumbnails/3.jpg)
What's your experience?
• How do services fit together?
![Page 4: ‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant Psychiatrist Morag Wiseman Senior Social Worker/Mental.](https://reader035.fdocuments.in/reader035/viewer/2022062517/56649f115503460f94c23fb1/html5/thumbnails/4.jpg)
Creating Order out of Chaos
![Page 5: ‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant Psychiatrist Morag Wiseman Senior Social Worker/Mental.](https://reader035.fdocuments.in/reader035/viewer/2022062517/56649f115503460f94c23fb1/html5/thumbnails/5.jpg)
Who we represent Multi Agency Borderline Personality
Disorder Work stream• NHS
• Local Authority • Voluntary organisations
• Police
![Page 6: ‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant Psychiatrist Morag Wiseman Senior Social Worker/Mental.](https://reader035.fdocuments.in/reader035/viewer/2022062517/56649f115503460f94c23fb1/html5/thumbnails/6.jpg)
Aim of working group:
• Ground breaking work to bring a Multi Agency approach to support clients with Borderline Personality Disorder (BPD)
• to promote and improve quality of life
![Page 7: ‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant Psychiatrist Morag Wiseman Senior Social Worker/Mental.](https://reader035.fdocuments.in/reader035/viewer/2022062517/56649f115503460f94c23fb1/html5/thumbnails/7.jpg)
Key Themes
• Key Themes from Workshop:• Awareness & Training, Multi-Agency training • Partnership Working• Support for Clients and Families/Lack of appropriate
services• Practices need changing – • Guidelines• Manage and tolerate risk• Sharing knowledge with Clients• Cohesive working needed
![Page 8: ‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant Psychiatrist Morag Wiseman Senior Social Worker/Mental.](https://reader035.fdocuments.in/reader035/viewer/2022062517/56649f115503460f94c23fb1/html5/thumbnails/8.jpg)
Sound familiar?
• Varying experiences re: diagnosis, availability of services
• Varying amount of knowledge• Resulting in lack of consistency in treatment
and services• Sense of frustration and isolation shared by
both service users and professionals
![Page 9: ‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant Psychiatrist Morag Wiseman Senior Social Worker/Mental.](https://reader035.fdocuments.in/reader035/viewer/2022062517/56649f115503460f94c23fb1/html5/thumbnails/9.jpg)
About me!
• Qualified as a Social Worker 2007 • Worked in Adult Mental Health 2007-2012 • Mental Health Officer ( MHO) 2011. • Currently Senior Social Worker in a community
team.
![Page 10: ‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant Psychiatrist Morag Wiseman Senior Social Worker/Mental.](https://reader035.fdocuments.in/reader035/viewer/2022062517/56649f115503460f94c23fb1/html5/thumbnails/10.jpg)
Social work
• Social Workers are trained in personality development however:
• No specific training in BPD. • Social Workers esp. newly qualified workers
reliant on advice from health colleagues regarding the management and impact of BPD.
![Page 11: ‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant Psychiatrist Morag Wiseman Senior Social Worker/Mental.](https://reader035.fdocuments.in/reader035/viewer/2022062517/56649f115503460f94c23fb1/html5/thumbnails/11.jpg)
Social work perspective
• Time spent trying to resolve crisis• Limited health professionals involved • Anxiety regarding risk management• Feeling isolated • Condition does not appear to fit neatly within
spectrum of protective legislation.
![Page 12: ‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant Psychiatrist Morag Wiseman Senior Social Worker/Mental.](https://reader035.fdocuments.in/reader035/viewer/2022062517/56649f115503460f94c23fb1/html5/thumbnails/12.jpg)
Case example
• Colleague provided case example
• Female, with a current diagnosis of BPD • Difficulties with self harming e.g. cutting,
refusing to eat, taking serious overdoses
![Page 13: ‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant Psychiatrist Morag Wiseman Senior Social Worker/Mental.](https://reader035.fdocuments.in/reader035/viewer/2022062517/56649f115503460f94c23fb1/html5/thumbnails/13.jpg)
What works?
• Client should have an awareness of who they are being referred to and why they are being referred.
• Having an understanding of the Clients needs. • Client centred approach/holistic assessment
![Page 14: ‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant Psychiatrist Morag Wiseman Senior Social Worker/Mental.](https://reader035.fdocuments.in/reader035/viewer/2022062517/56649f115503460f94c23fb1/html5/thumbnails/14.jpg)
Suggested ways of working
• → Focus on the person and help them to learn to see their own positives.
• →Help them develop multiple strategies. A strategy will eventually sink in and work, when she/he is ready for that change.
• →Focus on one behaviour to be addressed first, hopefully the behaviour that is the most damaging to them.
![Page 15: ‘Sharing the experience of working with Borderline Personality Disorder’ Dr A. Gopala Consultant Psychiatrist Morag Wiseman Senior Social Worker/Mental.](https://reader035.fdocuments.in/reader035/viewer/2022062517/56649f115503460f94c23fb1/html5/thumbnails/15.jpg)
Summary
• There is room for improvement• A more consistent approach • Joined up working • More training