1. @thebakerstron Sam Baker Senior Occupational Therapist
West London Mental Health NHS Trust
@thebakerstron

2. 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.

3. Background

5. VdTMoCA Vona du Toit Increasingly popular Clinical effectiveness
Supports growth
‘Just right challenge’

6. 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

7. What?

8. What? Current Affairs Assertive Rehabilitation Social environment
Time & Location

9. Why?

10. 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

11. How?

12. Structure 30-45 minutes 16:15 – 17:00 Open Icebreaker Main discussion
Conclusions
Group rules

13. Discussion topics Election Space travel Aliens Brexit Donald Trump
Teleportation
Grenfell
Terror attacks
North Korea

14. 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

15. 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

17. Missing woman unwittingly joins search party looking for herself

18. Chinese zoo under fire for disguising hairy dog as lion

19. London's iconic ‘Big Ben’ clock to go digital

20. Tourist bitten by Crocodile after
……….

22. Evaluation

23. Evaluation Engagement Outcome measurement Managing dynamics
SP & IP attendees
Patient enjoyment
MDT feedback
Further implementation

24. “Harry”

25. “Graham”

27. “George”

28. 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

29. 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

30. What next? Outcome measures Further implementation Different format
Re-assessment of needs
Link with MDT

31. Any questions?