1. DAFT presentation 12th May 2016
Michael Napthine

2. 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?

3. 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

4. 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

5. 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)

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

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

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

9. 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

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

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

12. 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

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

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

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

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