Andy Warriner - Area Manager, Places for People 16th September 2015 Psychologically Informed Environments Creating a Psychologically Informed Environment in Sheltered / Extra Care Housing Andy Warriner - Area Manager, Places for People 16th September 2015

Psychologically Informed Environments… PIE A different type of PIE

Psychologically Informed Environments PIEs aim to create: “an empowering and calming environment where people can feel emotionally as well as physically safe, and can gain an understanding of their behaviour and an ability to take responsibility for themselves.” Peter Cockersell Director of Health and Recovery St Mungo’s

Psychologically Informed Environments Key areas to consider: Psychological Framework - holistic Environment – staff and customers Staff Training / Support Managing Relationships Evaluation of Outcomes

Psychologically Informed Environments Why? Staff development, well being & increased set of skills e.g. greater awareness of some psychological theories and application of these Customers with a higher threshold of needs/ complex needs presenting at services/ schemes Increase in issues related to substance misuse / mental health Fits with the culture / ethos (SPIRIT values) of Places for People

Complex Trauma & Associated Behaviours Psychologically Informed Environments Complex Trauma & Associated Behaviours Major life events e.g. bereavement, homelessness, relationship breakdown Long term health conditions Uncontrolled substance misuse e.g. alcohol use Withdrawn, reluctant to engage / isolated Anti-social behaviour Lacking daily structure or routine Unstable / inability to sustain relationships

CLG Good practice guide and Robin Johnson, RJA Consultancy Psychologically Informed Environments How? 4 stages Research CLG Good practice guide and Robin Johnson, RJA Consultancy Training bespoke sessions for managers/team leaders & cascade training Embed Business plan/ongoing training/support & role of champions Monitor and review Current position & longer term evaluation & validation

What? 4 main aspects to the approach Psychologically Informed Environments What? 4 main aspects to the approach Psychology theory & mental health awareness / recovery approach Skills – mental health & person centred support planning tools & outcome based support planning Creating an enabling environment Reflective Practice –consistent approach

What difference? Improved customer engagement Psychologically Informed Environments What difference? Improved customer engagement Improved customer outcomes – health & wellbeing & reduction in incidents/ ASB Services able to support customers with higher complex needs for longer Improved staff engagement & morale Improved physical / cultural environment Tenancy sustainment Reduced hospital admissions

Examples – Improved outcomes Psychologically Informed Environments Examples – Improved outcomes Salford Foyer Project (16-25 year olds) Support staff held reflective practice sessions with local Drugs & Alcohol Team / shared PIE learning Outcomes: Staff delivering level 1 screening & level 2 interventions to customers by using tools used in PIE approach e.g. motivational interviewing, chain analysis and force field analysis, wheel of change.   Approx 50% reduction in incidents and Anti-social behaviour Higher levels of customer engagement Lower threshold needs met  

Examples - continued Psychologically Informed Environments Bristol Complex Needs Service Service model includes a part time Reflective Practice Manager and a part time Substance Misuse Counsellor.  Outcomes: Onsite advice Initial assessments for treatment processed quickly Lower referral refusal rates- able to support higher complex needs

Examples - continued Psychologically Informed Environments Older Persons PIE Further customised training for older person staff to make the PIE concept meaningful for them Application of 'elastic tolerance' principle Revised practices in procurement of furniture, furnishings and redecoration Allocation policy review

Thank you ANY QUESTIONS ? Contact details: Andy.warriner@placesforpeople.co.uk

Useful links Johnson R & Haigh R, (2011) “Social Psychiatry and Social Policy for the 21st Century - new concepts for new needs: enabling environments” in Mental Health & Social Inclusion, Vol 15 Issue 1. Available at: http://www.rjaconsultancy.org.uk/publications.html. Keats H, Cockersell P, Johnson R & Maguire N (2012) Psychologically informed services for homeless people (Good Practice Guide) Now available at: http://www.rjaconsultancy.org.uk/PIEconcept.html Peter Cockersell, (2011),"More for less? Using PIEs and recovery to improve efficiency in supported housing", Housing, Care and Support, Vol. 14 Issue: 2 pp. 45 – 50