1. Melissa Noel Project Manager, Camden Kaleidoscope Project, Depaul UK
Melissa Noel Project Manager, Camden Kaleidoscope Project, Depaul UK. Steve McKinlay, Regional Manager, Depaul UK.

3. Implementing the PIE approach at Depaul UK Camden Kaleidoscope
PIE in Practice
Implementing the PIE approach at Depaul UK Camden Kaleidoscope

4. Depaul UK Camden Kaleidoscope
High Support Accommodation for young people with mental health and complex needs
7 bed accommodation
Issues ranging from psychosis, self harm to personality disorder

5. Five principles of PIE- “Psychologically Informed Services for Homeless People” Feb 2012
Physical Environment and social spaces
Managing Relationships
Psychological Framework
Staff Training and Support
Evaluation

6. Putting these Principles into Practice The lens through which all staff work and plan the physical environment
Physical Environment
Staff Attitudes/Approach
Staff Tools
Reflective Practice
Outcomes and Evaluation

7. Physical Environment Use of colours-calming colours-greens/blues
Homely environment with art and plants
Residents involved in decoration/set up of the garden
No directive signs in communal spaces-staff to speak directly to residents if there are issues or concerns

8. Staff Approach and Attitudes
CBT perspective- interactions between core beliefs, thoughts/feelings and behavior/emotions
No labels, only descriptions/explanations of behavior
Focus on past relationships and attachments

9. Staff Tools Chain Analysis-most commonly used
ABC chart with staff and residents
0-100 scale
Case Studies-
TB-self harm KM

10. Reflective Practice Reflective time in team meetings-weekly
Reflective Learning log after incidents
3X monthly reflective practice sessions-project workers, managers, and project manager-CAMHS provided
Very effective to monitor/discuss staff reactions/feelings towards working with residents

11. Evaluation
Staff evaluations pre/post training, 6mo, 1yr-showing positive change in attitudes towards facilitating change
Reflective practice 6 month evaluations worthwhile space-logistical suggestions/whole group
Client Surveys
Outcomes so far-
Decrease in individuals incidents/client alerts-emergency services
Increased engagement with external services/medication
Resident retention-KM particularly
Goal based progress/outcome star

12. Challenges Staff buy in Slow progress
Connecting outcomes directly to PIE- recording use of tools in keywork/client alerts on database

13. Case Study KM
Born into an unstable chaotic environment - father left before birth, mother had children removed and placed in care. Mother had personality disorder and was seen as incapable and this builds on the sense of a lack of being able to take responsibility which is behavior KM exhibits.
Before moving to CK, KM had been in care since age 10 and recently had been evicted from all medium support accommodations in the YPP.
Since she moved in her behaviour:
Self-harming
Throwing items
Damaging room
Verbally aggressive towards staff
Self destructive mood/thoughts
Outburst anger: banging, screaming, breaking things, punching herself, talking to herself

14. Strategies and Outcomes
Staff applied chain analysis and cbt to help KM identify what triggers her behaviour, what she could have done differently and therefore starting to change her behaviour.
Positive reinforcement and achievement chart-highlighting and reflecting on positive behaviour
Validating emotions but discussing choices in support/behavior
Outcomes
Maintaining accommodation
Engaging with medication and mental health services and diagnosis of BPD