1. Kim Scott Places for People 17/02/2015
Psychologically Informed Environments
Creating a Psychologically Informed Environment in Sheltered / Extra Care
Kim Scott
Places for People
17/02/2015

2. WHY? Staff development & well being
Psychologically Informed Environments
WHY?
Staff development & well being
Customers with a higher threshold of needs/ complex needs presenting at services/ schemes
Increase in issues related to substance misuse / mental health
Fits with the culture /ethos (SPIRIT values) of Places for People

3. Complex Trauma – associated behaviours
Psychologically Informed Environments
Complex Trauma – associated behaviours
•Self-harm
•Uncontrolled drug or alcohol use
•Withdrawn, reluctant to engage / isolated
•Anti-social behaviour / aggression
• Lacking daily structure or routine
• Inability to sustain work or education
• Bullying, or being a victim
• Offending
• Unstable / inability to sustain relationships

4. CLG Good practice guide and Robin Johnson, RJA Consultancy
Psychologically Informed Environments
HOW?
4 stages
Research
CLG Good practice guide and Robin Johnson, RJA Consultancy
Training
6 bespoke sessions for managers/team leaders & cascade training
Embed
Business plan/ongoing training/support & role of champions
Monitor and review
Current position & longer term evaluation & validation

5. Psychologically Informed Environments
WHAT?
4 main aspects –
Psychology theory & mental health awareness / recovery approach
Skills – mental health & person centred support planning tools & outcome based support planning
Environment - Leeds Holistic Assessment/ Enabling Environments
Reflective practice

6. WHAT DIFFERENCE? Improved customer satisfaction & engagement
Psychologically Informed Environments
WHAT DIFFERENCE?
Improved customer satisfaction & engagement
Improved customer outcomes – health & wellbeing & planned move-on
Services able to support customers with higher complex needs
Improved staff engagement / reduced absence i.e. stress related
Improved physical / cultural environment
tenancy sustainment

7. Examples – Improved outcomes
Psychologically Informed Environments
Examples – Improved outcomes
Salford Foyer Project (16-25 year olds)
Support staff held reflective practice sessions with local Drugs & Alcohol Team / shared PIE learning
Outcomes:
staff delivering level 1 screening & level 2 interventions to customers by using tools used in PIE approach e.g. motivational interviewing, chain analysis and force field analysis , wheel of change.  
Approx 50% reduction in incidents and Anti-social behaviour
Higher levels of customer engagement
Lower threshold needs met

8. Examples continued Psychologically Informed Environments
Bristol Complex Needs Service
Service model includes a part time Reflective Practice Manager and a part time substance misuse counsellor . 
Outcomes:
Onsite advice
Initial assessments for treatment processed quickly
Lower referral refusal rates- able to support higher complex needs

9. ANY QUESTIONS?

10. Useful links
Johnson R & Haigh R, (2011) “Social Psychiatry and Social Policy for the 21st Century - new concepts for new needs: enabling environments” in Mental
Health & Social Inclusion, Vol 15 Iss 1. Available at:
Keats H, Cockersell P, Johnson R & Maguire N (2012) Psychologically informed services for homeless people (Good Practice Guide) Now available at:
Peter Cockersell, (2011),"More for less? Using PIEs and recovery to improve efficiency in supported housing", Housing, Care and Support, Vol. 14 Iss: 2 pp. 45 – 50
KUF programme l