1. Working Towards a new Philosophy of Care & Treatment. Arran Ward Female Service Ayr Clinic.

2. 12 bedded designated low secure female service : Ayr : Scotland

3. Adapting TC working to bring improvements to ward culture and working environment : Stage 1 Not a new philosophy but restoring a therapeutic balance within the staff : patient working relationships Distress : Anger : Hope & Hopelessness are embedded in social relationships and improve or deteriorate within this context

4. Overarching ‘Cement’ :  Psychodynamic Reflective Practice Groups for all members of staff

5. Foundation Blocks of the Service : Patient Forum Ward Activity Development Group Relationships Group Patient Rep Roles Arran Ward Program Real Work Opportunities in clinic

6. An average day on Arran  Morning briefing meeting  Rehabilitation v Recreation : striking the right balance  Low intensity and open skills-based groups  Higher intensity groups and 1:1 work  Mindfulness, Relaxation, Social skills/communication group, Managing Emotions  DBT skills group / Anger Management / Anxiety Management / Coping with mental illness / Drug & Alcohol / Community Living skills  Art Psychotherapy Group & 1:1 work  Escorted Physical Wellbeing groups : Swimming / Cycling / Bowls 6 The Ayr Clinic, Partnerships in Care

7. Into the future ! Stage 2 : Developing mentalising approach across all disciplines Stage 3 : Developing a small MBT psychotherapy team Stage 4 : Increasing access to non-verbal Psychotherapy inputs

8. Early outcome evaluations :

9. Over to our patient representatives: