Ste, you continue to inspire!

Annie, our work in the Homeless Mental Health Service may be of interest.  We are funded by the NHS and organisationally we are based in secondary services in our NHS Trust; however, practically speaking we are mainly located around primary care services.  We are co-located for 5 mornings a week with the homeless GP service (we are all in the same building as the day centre, assessment hostel, outreach team and intensive floating support service) and we are direct access to homeless people, or anyone can refer (referrals don’t just have to come from professionals).

The clinical psychology provision to this service co-ordinates Psychologically Informed Environments (PIE) in hostels (statutory and voluntary sectors) across the city.  The models we have chosen to base this work on are Community Psychology, Narrative Therapy and Attachment Theory.  PIE includes training and reflective practice groups (RPGs) and the RPGs are facilitated in partnership with a group of local 3^rd year DClinPsy trainees.

There are also two projects brewing which I consider to be closer to CCP values:

·         Psychology Outreach- taking psychology to the streets: this is outreach work to rough sleepers in collaboration with the local city council outreach team based on the MaC-UK model.  We are hoping to publish our first year report of this pilot soon.

·         Growing Hub- collaborating with a local horticultural enthusiast to work with the most socially excluded people in the homeless community in the natural (rather than urban) environment, building and growing things while building relationships and community.  This is in it’s infancy.

Let us know if you want any more info or to come visit!

Suzanne

______________________________________

                                                                    Suzanne Elliott

                                                            Clinical Psychologist

          Homeless Mental Health Service                      

                     Engaging, supporting & empowering since 1990  

                                                                                                                 Psychology

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I don’t work in the Homeless Mental Health Service on a Tuesday morning or a Friday afternoon

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Hey Annie,

Might our work at www.neurotriage.com be of interest?

We are an outreach brain injury service for homeless people in Liverpool. We are funded as a ‘test and learn’ pilot. We have very strong links with the Liverpool homeless GP practice and were originally set up to do three things:

1.       Conduct neuropsychological assessments with people who aer homeless (according to quite broad definitions)

2.       Link people into statutory services, via a full time outreach link worker

3.       Offer training.

Whilst doing this, we have become increasingly aware of the high rates of early deaths in this population and the impact it has on people who work in this area. Consequently, we have started to adapt our provision to support staff as well. For example, last week we facilitated 4 hr reflective practice session which had in attendance GPs, Specialist Nurses, support workers, a Chaplain, and hostel staff. This session was requested after the death of a client known across a range of services. Whilst the client wasn’t directly open to our service, we know the staff well and wanted to help.

The session brought together work on ‘Civil Conversations’, Root Cause Analysis, and Truth and Reconciliation. It was a beautiful session and will be followed up by bringing Trust Leaders, Commissioners, and Service Users in for the next session aimed at addressing some of the health and social inequalities.

We are also about to start work with the GP practice to see if we can turn the GP surgery into a Psychologically Informed Environment, though this will be a much longer project.

We are very much novices in this area, so making as many mistakes as gains. However one thing I’m learning is that whilst we can’t solve all the problems, we can make things a touch better.

Best of luck!

Ste

Dear all,

I have been asked to give a short presentation in Plymouth on May 8^th to GPs/ commissioners  on the potential role of applied  psychologists in primary care, with an emphasis on community psychology perspectives ie a broad role which could  include supervision, prevention work, knowledge exchange etc  etc across the life span as well as assessment, intervention etc – this would  include but potentially also go beyond clinical psychology roles to other  applied psychologies.  

Do any of you have any links/ guidance documentation of examples of innovative practice in this area (NB not Increasing Access to Psychological Therapies ( IAPT)).?

In Plymouth we have a DClinPsy primary care placement focussed on provision of work with people who are homeless based in an innovative primary care team, and  I am in touch with Jurai Darongkamas, clinical psychologist in West Midlands who I know had been piloting some work around the idea of General Clinical Psychologist in primary care, and I will quote the work of Liz Howells whose innovative  Lift Psychology in Swindon far predated –IAPT and was  based on community psychology principles   -   but are there other schemes or innovations that people would be willing to share?  I would like to put this in a national context if possible.   

Thanks in advance  ,

Annie

You may receive this email outside your office hours – especially if you work part time. Please be assured that there is no expectation for you to reply until within your normal working hours, and taking into account your other priorities. We are all busy and a large volume of email adds to the pressure, but I don’t want to! Feel free to chase me if I don’t get back swiftly to something urgent from you, bearing in mind I too work part time (see below). 

Annie Mitchell BSc, MA, MSc, AFBPsS  twitter @annieingarden

Clinical Director, DClinPsy, Plymouth University (part time: usually Tue, Thur, Fri) @plydclinpsy

8-11 Kirkby Place, Drake Circus Campus, School of Psychology, FHHS, Plymouth University PL48AA

Clinical Psychologist, RDE (Wonford) NHS Foundation Trust (part-time: usually Mon)

Vice-Chair, SouthWest Branch, Division of Clinical Psychology, British Psychological Society (own time)  

twitter @DCPSouthWest

“Health is all about people. Beyond the glittering surface of modern technology, the core space of every health care system is occupied by the unique encounter between one set of people who need services and another who have been entrusted to deliver them” Frenk, J., et al (2010) Professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet 376(9756) pp. 1923-1958.

From Setting the scene by Ian Cummings in  HEE (2017) Facing the Facts, Shaping the Future : A draft health and care workforce strategy for England to 2027

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