Improving Psychological Therapies for Mental Health Trauma
News and presentations from today's conference examining how to improve services, practice and treatment for people who have experienced mental health trauma. Chaired by Paul Scates, Senior Peer Specialist, Campaigner and Ambassador.
The Lived Experience: Surviving Trauma
Joy Hibbins, Founder and CEO of Suicide Crisis
In her presentation, Joy will explain how a traumatic experience in 2012 impacted upon her life.
Prior to 2012, she had no contact with mental health services and had never attempted suicide.
In the days after the traumatic event, she experienced symptoms of Post-Traumatic Stress Disorder. She also had a psychotic episode. Within days, she was at the point of suicide.
She will describe how her response to trauma made engagement with crisis services difficult. She will explore some of the ways in which services can help traumatised patients to engage with crisis services.
She will also refer to some of the challenges people may experience in accessing psychological therapies, and the consequences of being unable to access therapy.
Her experiences showed her that there were gaps in services which needed to be filled. This led to the setting up of a Trauma Centre. She also felt that an alternative type of care was needed for people in suicidal crisis, particularly for people who have experienced trauma. The Suicide Crisis Centre seeks to address this need.
She will explain why aspects of our crisis services can be particularly helpful and appealing to people who have experienced trauma.
Please see further information about the Suicide Crisis Centre in the document “Achieving zero suicide at a UK Crisis Centre”
Assessment and diagnosis of PTSD
Dr Mathew Hoskins, Psychiatrist & Clinical Lecturer in Adult Psychiatry, Cardiff University School of Medicine
This talk will explore the historical emergence of PTSD as a diagnosis, and discuss how to recognise traumatic stress, using the new ICD11 and DSM5 criteria, when conducting a full psychiatric assessment.
Early intervention and the development of a trauma pathway
Dr Lisa Reynolds, Consultant Clinical Psychologist & Head, Glasgow Psychological Trauma Service, NHS Greater Glasgow and Clyde
As our awareness, knowledge and understanding of trauma grows and develops so too must our thinking around how we develop our mental health pathways and services to meet need.
Glasgow Psychological Trauma Service based at The Anchor set themselves the challenge to develop a service which takes into account the complexity, inequalities and vulnerabilities of complex trauma survivors who are living in a more trauma-aware world and who have multiple needs. The development of this service adopted several guiding principles which challenge the traditional condition based, stepped care model of service provision and attempts to ensure that ‘the most vulnerable are seen by the right people at the right time’. This has involved us adopting several roles and setting thresholds dependent on individual characteristics.
This talk will discuss the development of this service including the internal and external pathways we have developed. We will discuss the importance of ‘front loading ‘the skill and the role of assessment / formulation. We will discuss our menu of treatments available. Finally we will discuss early intervention and how we have attempted to address this with two specific trauma populations: Survivors of Major Incidents and victims of trafficking.
Trauma Focused CBT: Learning from working with refugees that have experienced trauma
Dr Hannah Murray, Research Clinical Psychologist, Oxford Centre for Anxiety Disorders and Trauma, University of Oxford
The lessons we learn about treating psychological disorders are often taught to us by the clients themselves, not by textbooks or research papers. In this talk, Dr Hannah Murray summarises the key lessons she has learnt from working clinically with refugees and asylum-seekers who have experienced trauma. In particular, she describes how and when to make culturally-informed adaptations to evidence-based treatments for PTSD. Using clinical material from treatment cases, Dr Murray illustrates key learning points, and describes theoretically-grounded clinical techniques for treating refugees and asylum-seekers with PTSD.
Future related events:
Achieving the 5 Year Forward View in Perinatal Mental Health Services
Psychological Therapies in the NHS
Preventing Suicide in Young People & Children
Depression in adults: treatment and management
8 December 2017