1. www.samh.org.uk James Dalrymple Crisis Service Project Manager SAMH “The impact of personality disorder for a person in crisis, voluntary sector perspective”

2. WWW.SAMH.ORG.UK 9:31:55 PM A Voluntary Sector Perspective on Personality Disorder?

3. WWW.SAMH.ORG.UK 9:31:55 PM What we do Work with people We believe everyone has the right to be treated with dignity, respect and equality. We believe everyone is entitled to hope and choice and to achieve personal fulfilment. Promote a culture of recovery and involvement

4. WWW.SAMH.ORG.UK 9:31:55 PM Numbers 83 Services 3217 Service Users 1483(46%) Recorded Diagnosis 68 (4.5%) Diagnosis Includes Personality Disorder 26 (38%) Single diagnosis of PD. Active problems = Anxiety, Self Harm & -ve Psychotic Symptoms Significant Social Factors = Social Isolation & Vulnerability

5. WWW.SAMH.ORG.UK 9:31:55 PM Where do we fit in?

6. WWW.SAMH.ORG.UK 9:31:55 PM “This is an NHS guideline. It will comment on the interface with other services such as: prison health services, forensic services, social services and the voluntary sector”. BPD final scope NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE March 2007

7. WWW.SAMH.ORG.UK 9:31:55 PM Where do we fit? 2003

8. WWW.SAMH.ORG.UK 9:31:55 PM 2003 ?

9. WWW.SAMH.ORG.UK 9:31:55 PM Integrated Care Pathways

10. WWW.SAMH.ORG.UK 9:31:55 PM What has worked? Ethos of meaningful collaboration Structured approaches. Practical stuff Using same and few staff Agreeing best place to meet Being honest Spidergram

11. WWW.SAMH.ORG.UK 9:31:55 PM Obstacles Risk Perceptions from other agencies Building Trust Disengaging

12. WWW.SAMH.ORG.UK 9:31:55 PM What are we doing? Contribute to National Forums Integrated service in Borders

13. WWW.SAMH.ORG.UK 9:31:55 PM Risk & Vulnerability Workshops Awareness of the wider context of risk, the organisational and national agendas Understand risk within a recovery ethos Appreciate the impact of values, beliefs and attitudes on risk assessment Standardise risk paperwork across all services. Managers can provide learning opportunities for staff around risk issues Supports staff to work collaboratively with service users to positively factor risk into support planning

14. WWW.SAMH.ORG.UK 9:31:55 PM Structured Reflection Staff attend a group for an hour once a month @ venue away from workplace. A ‘case scenario’ is presented by a member of the team The group discuss their learning from this situation Common themes are ‘reflected’ via the facilitator to the group. Evaluation in process

15. WWW.SAMH.ORG.UK 9:31:55 PM Considerations Communication Clarity Reciprocal Learning ‘Add on’ no more

16. WWW.SAMH.ORG.UK 9:31:55 PM

17. WWW.SAMH.ORG.UK 9:31:55 PM Thank you James.dalrymple@samh.org.uk 0141 568 7201