DAFT presentation 12th May 2016 Michael Napthine

Exercise What has made you interested in attending todays conference? What do you already know about family therapy in adult settings? What are you hoping to get from today?

The social and relational orientation is inspiring important developments in mental health in the UK within and beyond the NHS. (Jones 2013) AFT open letter

AFT recognises that difficulties can occur at any stage of peoples lives and that mental health problems experienced by one family member are likely to impact on all family members, That many stresses experienced within families can trigger fuel, and/or maintain mental health and other difficulties and that family relationships can be key to recovery. AFT information sheet 2011

Evidence base Systemic family therapy was found to be efficacious for the treatment of: Moods disorders Eating disorders Substance use disorders Mental and social factors related to medical and physical conditions Psychosis Anxiety disorders Sydow et al (2010)

Evidence base Good support found for family therapy for: Relationship distress Psychosocial problems Domestic abuse Adjustment to chronic physical illness Carr (2009)

Evidence base In a separate earlier study family therapy found to be useful for: Agoraphobia Panic disorder Depression Bi polar OCD Carr (2000)

Recommended and used models of family therapy Systemic family therapy Behavioural family therapy Multi-systemic Family Therapy Open dialogue Exeter Model

Challenges of working in Adult mental health settings Family and systemic therapy model is less well known Family therapy is less well funded Dominance of the medical model Teams set up individually with limited joint working at times

Early Interventions team Agency Map GP Pathfinder Crisis team Early Interventions team Recovery team Inpatient unit

Areas covered Early intervention team (city and south county) 2 days a week Acute care (Radbourne unit and crisis team) 1 day a week Swadlincote adult recovery team 1 day a week Swadlincote CAMHS team 1 day a week

Total/overall statistics 2015 Total amount of families. 64 Total appointments offered 257 Total events (families seen, meetings, contact) 197 Total cancellations 35 Did not attend 25 Professional supervision 18 Teaching 6

Adult recovery team Appointments offered Events (direct contact with families or meetings) Cancellations Appointments not attended 65 56 3 6

Early intervention team Appointments offered Events (direct contact with families or meetings) Cancellations Appointments not attended 70 49 10 11

Acute care inpatient unit and crisis team. Appointments offered Events (direct contact with families or meetings) Cancellations Appointments not attended 79 59 15 5

Introducing the family Tina 49 Phil 51 Chris 26 Stewart 25 Josh 20