“Staying Connected when Emotions Run High”web/... · – Over to you Workbook Exercises ......
Transcript of “Staying Connected when Emotions Run High”web/... · – Over to you Workbook Exercises ......
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“Staying Connected when Emotions Run High”an intervention for families and carersan intervention for families and carers
who support someone with personality disorder Project Air Conference 9 November 2012
Developed byDr Annemaree Bickerton (VMO Psychiatrist)
Toni Garretty (Family & Carer Clinical Coordinator)Janice Nair (Family & Carer Consultant)
SESLHD & ISLHD Family & Carer Mental Health Program 2012
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Staying Connected When Emotions Run HighStaying Connected When Emotions Run High
Learning Outcomes for families & carers
Increase in:
• Knowledge about personality disorder & impact
– Role of hospitalisation
– Evolved versus primitive brain and relationships
• Knowledge of the 5 key relationship strategies
• Skills in being a “good enough carer” to enhance safety
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Theory Bowen meets LinehanTheory… Bowen meets Linehan…
• Theory: Murray Bowen (Bowen family systems theory) &
M. Linehan (with its individual strategy focus)
• Staying Connected Core concepts:
– Humans are a relational species and each person’s behaviour impacts p p pthe other
– Humans under stress will predictably adapt to each other in certain ways ( “dances”)ways ( dances )
– Such dances, whilst based on good intent, can provide short term relief of distress but may have longer term implications for functioning
NORMALISING AND NON‐JUDGEMENTAL Stance
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Staying Connected when emotions run high: Introducing the four carer dances
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Staying Connected When Emotions Run HighStaying Connected When Emotions Run High
• Film forms the basis of the 2‐ part family intervention
• Film Chapters include:
– Carer Dances ‐ & key relationship strategiesCarer Dances & key relationship strategies
– Safety Planning “like a fire drill”• Contagious AngerContagious Anger
• Non Suicidal Self Injury vs Suicide attempt
• Awareness of triggering for participants
– Lived experience – a message of hope
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Staying Connected A 2‐ part intervention
PART 1: Full Day Workshop for Families
& may register for………
PART 2:Multi‐family Group Advanced Skills• Closed group• 4 x 2 hour Modules
– interactive– Over to you Workbook Exercises– Role play practice and coaching– Introducing Triangles
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Early Findings: Family interventionMarch 2012 – Oct 2012
Intervention Number ofcycles
Total participants
Evaluation
Part 1: Workshop
4 71 100% recommend
Part 2: Closed 3 completed 27 RCTGroup +1 in progress (over 40
registered i t t)interest)
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Family Group Evaluation: notable quotesFamily Group Evaluation: notable quotes
• “Our home is like a dance studio we do all four dances allOur home is like a dance studio …we do all four dances all the time”. Dad
• “I had to take my Mr Fix it hat off”. DadI had to take my Mr Fix it hat off . Dad
• “I need to really focus on myself”. Sister
• “I was validated and allowed to draw my line in the sand…..toI was validated and allowed to draw my line in the sand…..to stop feeling guilty”. Mum
• “I can see I am the too, too kind carer …That’s what I am & I ,will work hard to change.” Dad
• “Our biggest hurdle is our different approaches ..(as parents)”. Mum
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Staying Connected When Emotions Run High: CLINICIAN Training Menu
• All attendees (191) either agreed or strongly agreed that theAll attendees (191) either agreed or strongly agreed that the training was beneficial
M l H l h Cli i i T i iMental Health Clinician Training
Full day Interactive Workshop
Registrar Training3 hours including OSCE style interactive scenarios
Introduction and Overview Session1 h1 hour
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Clinicians and the four dancesClinicians and the four dances
• Clinicians are humans and hence can dance the four dancesClinicians are humans and hence, can dance the four dances too
• The relationship strategies can be helpful to cliniciansThe relationship strategies can be helpful to clinicians
• Good enough clinicians who can respond with contagious calm in the face of high distress can be profoundly helpful tog p y p
– Consumers
– Carers
– Colleagues
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Staying Connected: In SummaryStaying Connected: In Summary
• Families & carers of someone with PD can be a major resource
• Families benefit from learning about PD and its treatment and• Families benefit from learning about PD and its treatment and value learning new relational skills
• Clinicians value the opportunity to learn strategies to assistClinicians value the opportunity to learn strategies to assist these families and foster effective service‐family‐consumer partnerships
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STAYING CONNECTED Family Intervention 2013
SEND FAMILY REFERRALS NOW FOR:
• FAMILY AND CARER Workshops & Groups• FAMILY AND CARER Workshops & Groups
– Illawarra & Shoalhaven (January/February 2013)
South Eastern Sydney (March 2013)– South Eastern Sydney (March 2013)
SEE FLYER with WORKSHOP DATES in your packs