th december 2014 crisis pathway staff - personality disorder …€¦ · better management of...

12th December 2014 –Crisis Pathway staff - Personality Disorder awareness

workshop - Module 4: Risk and Crisis Planning

6 attendees completed evaluation forms.

Which parts of the course were most useful?

Crisis planning (lifestyle choices).

Working collaboratively.

Validating.

Excellent course (overall), want all my team to undertake this.

I have really enjoyed the training (all sessions).

Today's event Excellent Good Average Below

Average Poor

No response

Presentation 6

Facilitation 6

Content 6

Materials and Handouts 4 2

Venue and Facilities 3 1 2

Organisation of event 4 1 1

Rate the event overall 6

Learning outcomes More

than met Met

Partially met

Slightly met

Not met

No response

I understand how to respond effectively to a distressed person in crisis

5 1

I have an understanding and am able to apply a structured method for assessing risk

3 3

I understand how to develop a collaborative crisis plan

3 3

I understand how to apply a scenario planning method to relapse prevention

3 3

Course very effective. Very relevant to my place of work.

In what ways could the course be improved?

Possible examples of crisis plans. Template?

More time on sections.

More time to cover some topics. However, really enjoyed the training and ability to discuss topics.

8th October 2014 – City & Islington College – Introduction to self-harm


Today's event Strongly agree

Agree Neutral Disagree Strongly disagree

No response

What did you like most about this training?

I have studied previously, but good to have refresher with current colleagues.

Clear and concise.

Good practice and resources and pair discussions etc.

Approach of trainer.

Trainer; relevant info.

It was very interactive.

Clear materials, reinforced what I've been doing so far.

Clear, concise.

What aspects of the training could be improved?

A little more time for non-practitioners to discuss.

For general professionals it was in depth enough, personally like bit more in depth about referral procedures and after care seen from college's perspective.

Knowledge of local area and issues.

The objectives of training were clear 12 2

Participation and interaction were encouraged

12 2

The material covered was relevant to me

10 4

The content was organised and easy to follow

10 3 1

The materials distributed were helpful 7 6 1

This training experience will be useful in my work

10 3 1

The trainer(s) was/were knowledgeable about the training topics

12 2

The trainer was well prepared 10 3 1

The training objectives were met 12 2

The time allotted for the training was sufficient

11 3

The meeting room and facilities were adequate and comfortable

8 3 3

Enough handouts so that we could all take some away from the event on the day (but it's only a small thing!)

More handouts; case studies; active learning.

More.

More group work?

More specific to this organisation?

How do you hope to change your practice as a result of this training?

Being more proactive with referrals.

More awareness.

Made me feel more confident approaching the issue.

Be more confident about dealing with any student who discloses self-harm to me.

More confidence.

Be more aware of students who self-harm and offer appropriate support.

Will feed into site specific training.

Small, incremental changes in approach.

What additional training would you like to have in the future?

Self-harm and older people.

Suicidal behaviour.

Case studies.

Not sure at this point.

Case studies?

Any other comments?

23rd October 2014 – Pain Management Service - Does personality disorder have to

be a pain? Part I



Average Poor

No response

Presentation 7 1

Facilitation 8

Content 7 1

Materials and Handouts 6 1 1


Organisation of event 5 3

Rate the event overall 6 2


than met Met

Partially met

Slightly met

Not met No

response

Increased understanding of Personality Disorder

5 3

Apply the idea of role and responsibility clarification

7 1

Use fundamental interpersonal strategies in practice

6 2

Feel more confident with goal setting 1 2 1 4


Explanation of PD in a way I could understand simply without diagnosis criteria. Strategies - actual tangible skills rather than broad ideas and having specific phrases to say. General discussion of group.

Ideas of how personality develops. Role-plays and the suggestions made when we were doing them.

Use of acronyms to remember interpersonal skills.

Role play.

Really useful to learn generally more about how to manage our emotional responses.

Role play. Models for PD - immunity; blueprint; PPP. Approaches and strategies.

Role plays/reflection!

Learning material, role play, discussing patients.


Still thinking.

None.

More time.

More time but part 2 of teaching to come.

N/A.

N/A.

More time.

Any other comments?

Absolutely excellent presentation and very helpful for clinical work and broader team issues.

Very excellent :)

I wonder if we could think a little bit about diagnostic criteria/subcategories. Feel like it would be helpful to have a review on this.

Thanks!

Very useful.

13th November 2014 - Pain Management Service - Does personality disorder have

to be a pain? Part II



Average Poor

No response

Presentation 4 1

Facilitation 5

Content 5

Materials and Handouts 3 2

Venue and Facilities 1 4

Organisation of event 5

Rate the event overall 5


than met Met

Partially met

Slightly met

Not met No

response

Elicit and set goals with clients 4 1

Problem solve with clients 4 1


Presenters sitting in on role plays and chipping in when we got stuck!

All!

Practical and explicit tips and guidance.

Role plays, feedback, looking at specific situations.

Brilliant! The role play with on the spot feedback is great. Thanks very much!


NE could provide a better space.

Any other comments?

Thank you!

Please come again!

30th October 2014 – Hampstead Group Practice – Personality Disorder awareness

training




No response



7 1


7 1


7 1

The materials distributed were helpful 2 1 1 3


7 1


7 1

The trainer was well prepared 7 1



7 1


7 1


Clear objectives, felt comfortable and able to discuss ideas.

Fun but I learnt a lot.

It was clear and fun to learn.

Very clear about my role.

Friendly, informative and interactive.

Freee.

Found it very interesting.


None.

N/A.

None.

None.

None.

None.

None.

None really.


More consistency between staff.

More understanding towards staff and patients.

Patience with public.

Everyone take notice of the training.

Better management of patient expectations.

The time will show.

Not too much of change.


None.

Any other comments?

Really useful training session.

N/A.

10th November 2014 – St Martin of Tours – Personality Disorder one day

introduction – skills and practice



Excellent, though provoking training.

Strategies of engagement.

Structure skills; core skills.

Validation, heard, understood and to be safe.

Explanation of what PD is and how it varies.

Understanding to needs of the client may be to include: being heard, understood and made to feel safe; also de-emphasising using all time to prevent wrongdoing but to compensate for that by promoting doing the desirable things more.

Looking at behaviours rather than diagnoses.


Average Poor

No

response

Presentation 13 5

Facilitation 10 8

Content 11 7

Materials and Handouts 4 11 2 1


Organisation of event 7 10 1


Learning outcomes

More than

met Met

Partially

met

Slightly

met Not met

No

response

Conceptualising personality disorder in a

helpful way 7 10 1

Understand the three main structure skills;

why and how they matter 6 11 1

Incorporate other core skills into practice 7 10 1

Overall learning outcomes 5 9 4

People want to be heard, understood and feel safe; paraphrasing to make other person realise that you are listening to them.

Structure skills.

The slides were very clear and the booklet seems helpful.

How personality disorder cannot be cured but managed.

All aspects of the course.

Heard, understood, safe.

Group exercises.

Working with clients who have ASPD.


Audio-visual materials.

More distinctions between different PD types.

N/A.

None.

More time as so much could be discussed especially relating the thoughts to our specific client setting.

Attendees to move around the room/get into different groups.

N/A.

More information and teaching - team groupwork.

I would have liked it to be 2 days long so we could study everything in more detail. But it was very good for the time allotted.

Being taught over a longer period of time. So we can also incorporate skills.

Can't think of anything else. Maybe handouts could be given before course starts.

Have it over 2 days - we didn't have time for the video.

More hand outs.

More work related examples.

Supporting clients.

Any other comments?

No.

Training was very relevant to everyday work.

Very useful training.

Good course, very informative and helpful.

Very good course. I will be able to apply the knowledge to my day to day activities not just of work.

Really enjoyed it. Clear and concise.

Very instructive and rewarding time spent today.

Excellent course.

It is interesting and taught me to look at service users' behaviour from an empathetic perspective.

Excellent course.

Excellent. Thanks.

None.

It would be good to have refresher of the course regularly.

11th November 2014 – Whittington GP Trainers Group – Personality Disorder

awareness training




No response



21 3


22 2


20 4



20 4


22 2

The trainer was well prepared 20 4



17 5 2


17 7


Very useful to discuss practical problems.

Interactive; realistic examples; good structure.

Very useful practical approaches.

Role play.

Involvement of the group; small group work; discussions as we went along.

Presenter was extremely knowledgeable but also flexible and allowed discussion to reflect the needs of the group.

Discussion in small groups.

Very informative and discussive.

Moments when the reality of patients' lives became more explicit, e.g. "I cut because I couldn't cry…"

Clarification of diagnosis. Thinking about ways of looking at it differently.

Very interactive and relevant to day to day practice and my role as a trainer.

The interaction and way our questions were weaved into the presentation.

The theory with actual practical examples.

Really pertinent to GP; interactive.

It was flexible.

Relevant topic; good balance between theory and groups.

Clarity.

The topic. Time to think.

Interactive; role play.

Clarification of PD; role play.

Flexible and spontaneous; responded to us.

Involvement with the group was done with ease. Did not appear forced.

Clinically relevant; interesting; opportunity for discussion.


Case reviews.

Brief section on objective setting at start.

More time.

Nothing!

Some notes material.

Longer! It was excellent.

More time to role play scenarios. Very useful!

We could have gone on for longer!

More practical tips re: introducing idea of PD.

Nil.

More time.

More small group work. More explanation on what their Rx is.

More time and more structure.

Possibly clearer end point.

Would be good to have an ongoing GP training programme.


Discuss the documents with team.

Setting boundaries; discussing PD diagnosis; managing expectations.

I will take this back to the practice and discuss with colleagues and patients.

Using techniques to discuss role more clearly.

Be more reflective; more confidence in diagnosis and managing PD.

Initiating discussion about possibility of personality disorders - being less daunted/fearful about doing this.

Will help with strategies for coping with discussing a diagnosis of PD.

Will talk to patients about possibility of PD and also roles.

I want to refer a group of patients who I think may have PD.

Much clearer about diagnosing PD.

To consider my "role" in managing PD patients and also help my trainees to do so also. Improved recognition of my PD patients.

To take this back to my registrars and to be more self-aware and monitor my Dr "righting" tendencies.

Less trying to always problem solve.

Practise some of the techniques. Be more understanding to patients with PD. Set boundaries.

I will try and define roles with the patient.

Developed some techniques in establishing own role with PD patients.

Apply learning to trainer-trainees' relationship as well as doctor-patient relationship.

Realise that dealing with those patients serves a purpose.

Reflect on PD dependency; discussion with registrar.

Be more open to patients - co-create more; be braver.

Have confidence in addressing this area with my trainee ( and I hope my patients!)

Better understanding on how to manage these patients.


In practice training.

Formal course on lone practice.

Maybe similar but in practice.

Our practice is engaging with PICT support sessions.

More!

More of the same.

More training on how to raise topic.

Regular refresher every couple of years.

More aware of my own responses to PD patients.

Study material.

To build on this - I would like to do the course.

More information on how to manage these patients! Rolling programme.

Any other comments?

Thanks, a really useful session.

Overall it was excellent - thank you!!

Similar

More time on same topic.

19th November 2014 – Clerkenwell Medical Practice – Personality Disorder

awareness reception training



No response



Very informative. Very good overview of the difficulties on the front line.

I learnt what I could do differently.

How to learn how to deal with public.

Felt like trainers listened and helped answer our questions about dealing with difficult patients.

Easy and relaxed.


None.

Nothing.

N/A.

None.

N/A.


Practice meetings - whole practice; feedback.

Attitudes to some patients could change.

Team meetings quarterly.

With meeting up all together and share views.

The objectives of training were clear 6


6


5 1


6



4 1 1


6

The trainer was well prepared 6

The training objectives were met 6


5 1


6

We need to communicate better with each other. Doctors need to back us up when we make a decision. More meetings to bring up issues.

More meetings as a team as a whole practice.


Think it's all been covered.

I would like management training skills.

People training.

People skills training.

People training.

Any other comments?

Sometimes hard to differentiate between types of people causing problems, maybe a bit more help on sorting these differences.

N/A.

28th November 2014 – North Camden Crisis House Away Day – Stress vulnerability

model and crisis planning



It was informative and able to use in my work place.

Clear interactions and participants.

Very interactive and informal approach to learning - very effective.

It was easy to participate; make comment and ask questions.

We had the opportunity to reflect on our practice and give us the opportunity to move forward in our practice.

The validation of what we are doing in the Crisis House.

Surprisingly, the role play :)

Stress vulnerability model.


The training was great but the time limit needs to improve.

Nothing

I enjoyed it very much. There is nothing I can think would improve.

Today's event Strongly

agree Agree Neutral Disagree

Strongly disagree

No response



11 1


10 2


10 2



11 1


11 1

The trainer was well prepared 10 1 1

The training objectives were met 10 1 1


7 4 1


9 2 1

The frequency.

I hate role playing and find this intimidating. I'd prefer not to.

Time.

N/A.

N/A.


More validation and holding hope for clients.

I hope to be able to use the techniques with my clients to build stronger relationships and make valuable approaches for them.

Stop and thinking.

To provide better and valid support to patient I work with.

By applying the topics covered.

Given me ideas and suggestions. Sometimes where I'm at a loss.

Using more validation.

To ensure I focus on validation more, to slow down and focus on client more.

Increased confidence in applied practice.

Incorporate hot cross bun more as well as stress bucket.

Take information from training and use it.


Personality Disorder Training.

More of similar theory - practice based KUF.

More 'learning'.

I would like to improve my skills in working/using motivational interviewing approach. Not fixing problem but validating and supporting patient.

Appropriate.

Just further crisis focus - more of the same so I don't lose sight.

Reflective time.

CBT.

More theory to practise.

Specifically working with personality disorders/difficult client groups.

More training on how to interact with clients and support them.

Any other comments?

Really pleased we have this training.

Thank you very much, this training is very good and will help us to apply what I learned at work.

Thank you.

17th December 2014 – Salaried and session GP event – Personality Disorder

awareness



Average Poor

No response

Presentation 3 2

Facilitation 2 2 1

Content 3 2

Materials and Handouts 3 1 1


Organisation of event 2 3



than met Met

Partially met

Slightly met

Not met

No response

Be able to identify Personality Disorder

1 4

Feel more confident to talk about the diagnosis with a service user

1 4

Know what is available at the Personality Disorder service and referral pathway

3 2

Understanding the function of self-harm

1 4

Know what are helpful balanced responses

2 3


Service provision. Helpful phrases to say to a patient.

Informal with plenty of opportunities for questions.

Ensuring reflective process occurs in my practice and I respond to people with PD and self-harm in the right way.

Understanding the issues of patients with PD! Huge topic. Learning to reflect/tune in on our emotions. Useful phrases when consult "not going too well". Really useful having a service user expert - seeing how it feels the other side.

Types of therapy available. Question session had adequate time. Having a service user describe her experiences.


Any advice about preventative role.

More time around diagnosis of PD.

Any other comments?

Excellent. Thank you.

Found it very useful.

th december 2014 crisis pathway staff - personality disorder …€¦ · better management of...

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