1. 1 THOUGHTFULNESS AND REFLECTION WITHIN BRISTOL’S HOMELESSNESS AND COMPLEX NEEDS PROVISION Aileen Edwards, Second Step March 2015

2. Second Step  Specialising in mental health and complex needs  Homelessness, housing and community support; psychological therapies, volunteering  West of England  Lead for Bristol BIG Lottery Fulfilling Lives Programme – Golden Key 2

3. The issues  Clients with multiple needs  Some hidden needs including complex trauma  Often poor coping skills, poor social skills, challenging presentations  Often negative experiences of services, many excluded  Demanding work for staff, can get reactive to situations, blame, stuck 3

4. Our response  Developing Psychological Informed organisation  Psychologically Informed Environments  Recovery approach: hope and meaning  Better understanding clients’ psychological and emotional needs  Improving the ways we work and support staff 4

5. Psychological Informed 1. Psychological Framework 2. Managing Relationships 3. Physical Environment and Social Spaces 4. Staff Training and Support 5. Evaluation of Outcomes 5

6. Psychological Informed  Reflective practice  Psychologically informed interventions  Staff opportunities: mindfulness courses; Acceptance and Commitment Therapy  Clients: Mindfulness; Managing emotions courses 6

7. Psychological Informed Thoughtfulness, reflection and attention on our relationships and ways we deliver services. How do clients present? How do we respond? Informing, developing services 7

8.  8 year system and cultural change to improve Bristol services for people farthest away from services  Psychologically informed sector  Reflective practice throughout programme  Developing leadership/agency ability to witness 8 Golden Key