Stephen Bennett Sarah Holmes Pearl Barker Mark Wilkinson From Informing to Devolving - The Recovery Ladder and the Evolution of PMVA Training in TEWV Stephen Bennett Sarah Holmes Pearl Barker Mark Wilkinson

The development of PMVA Training in TEWV as “Positive Approaches Training” Mid 2016 we were looking as a trust a redesigning our approach to PMVA Development work had been going on for years but we were at a point where a complete redesign of how we approached this training was needed This was informed by many drivers, such as “Positive and Safe” that have been much discussed There was a second thread that informed our redevelopment – the promotion of Recovery Making recovery meaningful challenged us to take a long hard look at meaningful engagement

An Introduction To the “Recovery Ladder” – the Ladder of Engagement

Devolving Collaborating Involving Consulting Informing Placing decision-making in the hands of the community and individuals Devolving Working in partnership with communities and patients in each aspect of the decision Collaborating Working directly with communities and patients to ensure that concerns and aspirations are consistently understood and considered Involving Obtaining community and individual feedback on analysis, alternatives and / or decisions Consulting Providing communities and individuals with balanced and objective information to assist them in understanding problems, alternatives, opportunities Informing

Physical Interventions and Recovery Introduce ourselves

Exercise Sarah's activity

History Sarah Brief history

Remember… Sarah Attitude of staff and how it effects their relationship with service users

Building on the positives Sarah Include Positives For us The team Other service users The trust “Since starting this role my confidence and self-worth has increased”

Building on the positives It feels good to be part of a team It allowed us to become a better communicators and listeners It gave us the skills to work as part of a team To identify goals and opportunities Further career opportunities To monitor performance of self and others Take a more central role (taking control) How to better support others To give presentations and the confidence to do so Provide direction in our lives How our behaviours/experiences impact others To take responsibility for my own life Sarah

thoughts and feelings of the team Motivated Adds a real element to the training from a lived experience perspective Lived experience adds credibility to the training Fears around reliving experiences, particularly trauma Concerns around how the mental health of the peer trainer may affect the team and the support they may require Concerns about how participants may react/ respond to peer trainers if known Stephen Highlight skills, training and expertise of the service users/ peer trainers, and their ability to cope with difficult or awkward situations (eg negative members of staff)

Here is some of the feedback the training has received… Any concerns were short lived and peer trainers quickly become a very important part of the team, Here is some of the feedback the training has received… “Peer trainers were excellent and great to have” “I found it extremely beneficial to have trainers with experience of the service, the insight it provided was extremely valuable. Having trainers by experience made me reflect on my practice and has influenced the way I provide care.” “The course has improved significantly with the input from the EbyE” Stephen

Exercise Breaking Barriers for both staff and service users List two columns and identify barriers both staff and service users may have in their treatment, How might we overcome these barriers? Feedback

Talk Well Mentalising (or mind awareness) Appreciating difference Giving praise Giving advice Accepting thanks Benefits of feeling listened to Sensitive issues Distressed or angry patients Apologising Structuring conversations Humour Keeping it going Openers Body Language Checking for meaning Voice Touch Using Silence Wrapping up Sarah

Ladder of Engagement Team started at consulting level Currently working in collaboration to develop course and materials Future aims for the team Sarah

The Future We are going to be reviewing PAT training We are creating new training materials to ensure service user involvement is part of every course We are striving to reduce the need for physical interventions with a recovery focussed approach The emphasis will be on peer involvement and collaborative working We aim to deliver up to date key information within training and learn from each other We are looking at how trauma informed care fits within PAT with a focus on minimising harm.

Sarah & Pearl A CAREER AND A NEW START

Questions Give the group opportunity to ask any questions