Friday, April 23, 2010

Mental Health : Birmingham Community Personality Disorder Services New 2010 Information

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Userwatch is reproducing the information below that Service Users have given us regarding the growth and functions of the relatively new 2010 Community Personality Disorder Services located in North-ish Birmingham . The information is from different sources so pardon us for its part repetition of this and that .

Its up to you to contact us and let us know how these things bed in and what you think but its certainly long long overdue that Personality Disorder came out of the invisible corner of no recognition into the world of some kind of inclusion .... How will it pan out ? Will it shine ? Will it sift some gold of life and value ? You will know .. Let us know ...


Community Personality Disorder Service

(From Birmingham & Solihull MH Foundation Trust Texts)


Mission Statement We are committed to offering hope to those suffering the long-term impact of childhood trauma and neglect, complex enduring difficulties and personality disorders including service-users themselves, their carers and staff who work with them.

Through working jointly with service users, carers and staff and targeting individual needs for support, therapy, education and training, the service offers inclusion, empowerment and therapeutic optimism while reducing stigma and promoting equity of service provision

The Team

We are a small team specialising in the management and treatment of personality disorder and complex difficulties across Birmingham. The team includes doctors, psychotherapists, a psychologist and experts who have experience of both service user and carer roles. These 'experts by experience' support and develop the involvement of service users in the planning and delivery of the service and the formation of service user and carer networks.

Services we offer :

Joint working with teams:

We provide support, training and supervision to teams working with service users with these difficulties with the aim of improving the care teams are able to provide.

Joint assessment:

We may offer specialist assessment jointly with your referrer to think about the best options for future care and support. This may include therapy in CPDS.

Therapy:

We offer group-based therapies using a variety of treatment approaches including analytic and cognitive behavioural psychotherapy. Individual work is undertaken to support the group programmes

Service User and Carer Networks : to link up with others in a similar position and share experiences and ideas

Education and Training :

(NHS, non-NHS and third sector) A Managed Clinical Network to link up agencies and improve consistency and continuity of care

Aims : To include service users with personality disorder and complex difficulties in mainstream services where possible

To support and empower : those working with this service user group to provide care which is informed, effective and sustainable

To provide therapy and signposting : for those service users whose difficulties are too complex to be managed solely within secondary mental health care teams

To train staff : including delivering the national Knowledge and Understanding Framework

To increase awareness and understanding and reduce stigma in relation to this group of service users

You are eligible if: you are 16 or over, have left full time education and your GP is in Birmingham (Birmingham East and North, South and Heart of Birmingham Primary Care Trusts but excluding Solihull Primary Care Trust) you suffer long term difficulties in your relationships and repeating patterns of self-defeating behaviours (meeting criteria for personality disorder diagnosis or with similar complex difficulties).

Referral process

The Community Personality Disorder Service (CPDS) accepts referrals from both primary and secondary mental health care. These may be for informal telephone advice and support, for a consultation visit with the team on one or more occasions or for a joint assessment to look at the individual service user's needs and how they might best be met.

This may include therapy delivered by CPDS in one of its programmes or joint working between CPDS and referrer.

For all but informal enquiries, we request the referrer complete a Referral Form which includes a part for the service user to complete. Accompanying letters are welcomed.

CPDS involvement is designed to support the existing care rather than taking it over. Because of this, it is very important that the referring team remain involved before, during and after any episode of care with our service. The respective levels of involvement of the different services may change over the course of the service user's journey and this will be made transparent to both professionals and service user.

Referrers may obtain a referral form through the Trust Intranet or direct from our team base.
The COMMUNITY PERSONALITY DISORDER SERVICE (CPDS) is a new service which has been commissioned to provide a pan-Birmingham (excluding Solihull) service for personality disordered service users aged sixteen and over.

It is based on a model of empowerment and collaboration with existing teams in all sectors who are working with this group of service users. Our work is underpinned by the principles of accessibility and inclusivity and informed by service user and carer involvement.

Our service is a Tier 1 - 2 service for service users with mild (Tier 1) and moderate (Tier 2) personality disorders as defined in 'Recognising complexity: Commissioning guidance for personality disorder services' (Department of Health, June 2009) although we also provide specialist advice and signposting in relation to Tiers 3 and 4.

We welcome referrals from all Primary Care and secondary Mental Health Care services and offer:

Telephone consultation

Team consultation and/or supervision

Joint assessment

Diagnostic formulation

Management planning

Co-working

Signposting

Therapy Programmes

CPDS involvement is designed to support the existing care rather than taking it over. Because of this, it is very important that the referring team remain involved before, during and after any episode of care with our service. The respective levels of involvement of the different services may change over the course of the service user's journey and this will be made transparent to both professionals and service user.

For these reasons, formal referrals require the referrer to continue to hold a coordinating function in relation to the service user. In Secondary Care, this means being subject to Care Programme Approach with a named Care Coordinator. In Primary Care, this function may be held by the General Practitioner or Primary Mental Health Care Worker BUT if CPDS feels that the service user's needs are too complex or high risk to be managed in Primary Care, we may request referral to a Community Mental Health Team. Should this arise, CPDS will support the referral to Secondary Care.

REFERRALS FROM PRIMARY CARE

If you are working with a service user who suffers from enduring difficulties in relationships, recurrent self-harm, poor impulse control or other self-defeating behaviours and would like support in managing this we are pleased to accept a referral to CPDS. This may be for informal telephone advice and support, for a consultation visit on one or more occasions or for a joint assessment to look at the individual service user's needs and how they might best be met.

If we feel that the service user's needs are too complex to be managed entirely within Primary Care we may request referral to a Community Mental Health Team. This is likely to be the case if it is felt that the service user may benefit from a CPDS Therapy Programme. This is not the case for Stop and Think groups as these are based within teams and do not usually require referral to CPDS.

REFERRALS FROM SECONDARY MENTAL HEALTH SERVICES

If you are working with a service user whose difficulties appear too complex to be managed solely within a Community Mental Health Team (CMHT) we are pleased to accept a referral to CPDS. This may be for informal telephone advice and support, for a consultation visit with the team on one or more occasions or for a joint assessment to look at the individual service user's needs and how they might best be met. This may include therapy delivered by CPDS in one of its programmes or joint working between CPDS and referrer.

Such service users are likely to present with complex and enduring difficulties in relationships as well as problems engaging effectively with services, mild to moderate risk behaviours towards self/others and possible comorbid substance misuse.

Some may have learned to manage their difficulties through avoidance of interaction with others resulting in social isolation and self-neglect. Many will have struggled to get their difficulties recognised and may have suffered multiple rejections by statutory services which repeats experiences from childhood.

We are pleased to accept telephone enquiries and to provide informal support or advice over the phone. Formal referrals of named service users require the referrer to complete the brief CPDS Referral Form which includes a part for the service user to complete. We appreciate any additional information and welcome an accompanying letter of referral.

Community Personality Disorder Service

Thomas Telford House

Ardenleigh

285 Kingsbury Road

Erdington

B24 9SA

Tel : 0121 301 6855

Fax: 0121 301 6856

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