1. Stephen Bennett Sarah Holmes Pearl Barker Mark Wilkinson
From Informing to Devolving - The Recovery Ladder and the Evolution of PMVA Training in TEWV
Stephen Bennett
Sarah Holmes
Pearl Barker
Mark Wilkinson

2. The development of PMVA Training in TEWV as “Positive Approaches Training”
Mid 2016 we were looking as a trust a redesigning our approach to PMVA
Development work had been going on for years but we were at a point where a complete redesign of how we approached this training was needed
This was informed by many drivers, such as “Positive and Safe” that have been much discussed
There was a second thread that informed our redevelopment – the promotion of Recovery
Making recovery meaningful challenged us to take a long hard look at meaningful engagement

3. An Introduction To the “Recovery Ladder” – the Ladder of Engagement

4. Devolving Collaborating Involving Consulting Informing
Placing decision-making in the hands of the community and individuals
Devolving
Working in partnership with communities and patients in each aspect of the decision
Collaborating
Working directly with communities and patients to ensure that concerns and aspirations are consistently understood and considered
Involving
Obtaining community and individual feedback on analysis, alternatives and / or decisions
Consulting
Providing communities and individuals with balanced and objective information to assist them in understanding problems, alternatives, opportunities
Informing

5. Physical Interventions and Recovery
Introduce ourselves

6. Exercise
Sarah's activity

7. History
Sarah
Brief history

8. Remember…
Sarah
Attitude of staff and how it effects their relationship with service users

9. Building on the positives
Sarah
Include Positives
For us
The team
Other service users
The trust
“Since starting this role my confidence and self-worth has increased”

10. Building on the positives
It feels good to be part of a team
It allowed us to become a better communicators and listeners
It gave us the skills to work as part of a team
To identify goals and opportunities
Further career opportunities
To monitor performance of self and others
Take a more central role (taking control)
How to better support others
To give presentations and the confidence to do so
Provide direction in our lives
How our behaviours/experiences impact others
To take responsibility for my own life
Sarah

11. thoughts and feelings of the team
Motivated
Adds a real element to the training from a lived experience perspective
Lived experience adds credibility to the training
Fears around reliving experiences, particularly trauma
Concerns around how the mental health of the peer trainer may affect the team and the support they may require
Concerns about how participants may react/ respond to peer trainers if known
Stephen
Highlight skills, training and expertise of the service users/ peer trainers, and their ability to cope with difficult or awkward situations (eg negative members of staff)

12. Here is some of the feedback the training has received…
Any concerns were short lived and peer trainers quickly become a very important part of the team,
Here is some of the feedback the training has received…
“Peer trainers were excellent and great to have”
“I found it extremely beneficial to have trainers with experience of the service, the insight it provided was extremely valuable. Having trainers by experience made me reflect on my practice and has influenced the way I provide care.”
“The course has improved significantly with the input from the EbyE”
Stephen

13. Exercise Breaking Barriers for both staff and service users
List two columns and identify barriers both staff and service users may have in their treatment,
How might we overcome these barriers?
Feedback

14. Talk Well Mentalising (or mind awareness) Appreciating difference
Giving praise
Giving advice
Accepting thanks
Benefits of feeling listened to
Sensitive issues
Distressed or angry patients
Apologising
Structuring conversations
Humour
Keeping it going
Openers
Body Language
Checking for meaning
Voice
Touch
Using Silence
Wrapping up
Sarah

15. Ladder of Engagement Team started at consulting level
Currently working in collaboration to develop course and materials
Future aims for the team
Sarah

16. The Future We are going to be reviewing PAT training
We are creating new training materials to ensure service user involvement is part of every course
We are striving to reduce the need for physical interventions with a recovery focussed approach
The emphasis will be on peer involvement and collaborative working
We aim to deliver up to date key information within training and learn from each other
We are looking at how trauma informed care fits within PAT with a focus on minimising harm.

17. Sarah & Pearl
A CAREER AND A NEW START

18. Questions
Give the group opportunity to ask any questions