1. Psychologically Informed Environments Creating a Psychologically Informed Environment in Sheltered / Extra Care Housing Helena Evans Places for People 20/11/2014

2. 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 Psychologically Informed Environments Peter Cockersell Director of Health and Recovery St Mungo’s

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

4. Psychologically Informed Environments WHY?  Staff development, well being & increased set of skills e.g. use of elastic tolerance/ wheel of change  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

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homelessness, relationship breakdown Long term health conditions Uncontrolled substance misuse e.g. alcohol use Withdrawn, reluctant to engage / isolated Anti-social behaviour Lacking daily structure or routine Unstable / inability to sustain relationships Complex Trauma &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

6. Research CLG Good practice guide and Robin Johnson, RJA Consultancy Training 6 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 HOW? 4 stages

7. 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  Environment - Leeds Holistic Assessment/ Enabling Environments / dementia building checklist  Reflective Practice –consistent approach

8. 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

9. Case Study Psychologically Informed Environments

10. ANY QUESTIONS ? Contact details: helena.evans@placesforpeople.co.uk Thank you

11. 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 Iss 1. Available at: http://www.rjaconsultancy.org.uk/publications.html. 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.htmlhttp://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 Iss: 2 pp. 45 – 50 l