@thebakerstron Sam Baker Senior Occupational Therapist West London Mental Health NHS Trust @thebakerstron
Learning Outcomes To demonstrate the treatment principles of the Vona du Toit Model of Creative Ability and the measurable impact this approach has had on Occupational Therapy service provision. To explore innovative methods of treating challenging and aggressive behaviour within high secure services.
Background
VdTMoCA Vona du Toit Increasingly popular Clinical effectiveness Supports growth ‘Just right challenge’
Destructive to incidentally constructive Level Action Tone Pre-destructive Self Differentiation Destructive to incidentally constructive Self Presentation Explorative Passive Participation Experimental Imitative Participation Imitative Active Participation Original Competitive Participation Product Centred Contribution Situation Centred Competitive Contribution Society Centred Therapist Directed Self Directed Transitional
What?
What? Current Affairs Assertive Rehabilitation Social environment Time & Location
Why?
Why? Large group of patients at PP level These patients attend VS/RTS but minimal direct OT intervention ‘Overlooked’ APOM and VdTMoCA:CPA identifies Social Ability as common treatment need Incidents involving peer to peer disagreements Increase on-ward presence Moving on
How?
Structure 30-45 minutes 16:15 – 17:00 Open Icebreaker Main discussion Conclusions Group rules
Discussion topics Election Space travel Aliens Brexit Donald Trump Teleportation Grenfell Terror attacks North Korea
VdTMoCA Treatment Aims and Principles (Passive Participation) Improve social skills to enhance socialisation. Improve social behaviour within a group environment. Identify behavioural norms in a social environment. Encourage peer to peer interaction. Role performance
Facilitator Guidance and Role Encourage active involvement Enable engagement opportunity Maintain group rules Demonstrate impartiality Create a pro-social environment Encourage participation Use of open questions
Missing woman unwittingly joins search party looking for herself
Chinese zoo under fire for disguising hairy dog as lion
London's iconic ‘Big Ben’ clock to go digital
Tourist bitten by Crocodile after ……….
Evaluation
Evaluation Engagement Outcome measurement Managing dynamics SP & IP attendees Patient enjoyment MDT feedback Further implementation
“Harry”
“Graham”
“George”
Learning about stories from around the world Developing skills to help interact with my peers Socialising and having a hot drink with fellow patients Sharing thoughts and opinions with my peers Involving patients in real-world news and events
Knowledge and information sharing I like talking about different things I like hearing about current news I enjoy hearing about science stories More biscuits, more captions, more missing headlines
What next? Outcome measures Further implementation Different format Re-assessment of needs Link with MDT
Any questions?