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11 – 20 of 58A ‘psychologically informed environment’, or PIE, is the first of many new concepts that have spun off from the Royal College of Psychiatrists' Enabling Environments (EE…
Abstract
A ‘psychologically informed environment’, or PIE, is the first of many new concepts that have spun off from the Royal College of Psychiatrists' Enabling Environments (EE) initiative. Based on the early developments in the therapeutic community movement, and adapting these values and principle to the 21st century world of community mental health, the EE initiative attempts to identify the key features in any setting that fosters a sense of connected belonging; and suggests a process by which these principles can then be customised for specific settings. The implications for a new social psychiatry at the heart of any future public mental health and social policy are clear; and to be pursued further in the final paper in this trilogy.
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Jan Lees, Rex Haigh, Aldo Lombardo and Barbara Rawlings
– The purpose of this paper is to describe transient therapeutic communities (TCs) and their value for training.
Abstract
Purpose
The purpose of this paper is to describe transient therapeutic communities (TCs) and their value for training.
Design/methodology/approach
This is a descriptive account which includes the findings of two field study evaluations, and direct participant feedback. It is an exploration of the application of TC and group analytic theory to transient TCs.
Findings
The transient TC format is an excellent training format for creating a powerful and effective environment for learning and personal development in the very short time frame of three days.
Practical implications
These courses are a very efficient and effective way of promoting reflective practice, enabling environments, and emotionally safe working practices. The trainings are useful for a wide range of people from mental health professions, those working in human resources, and those in senior positions in industrial, commercial and public sector fields.
Social implications
This paper will raise awareness that target-driven training is insufficient to improve quality of services beyond a certain point. A relational focus of training is needed to deal with issues of complexity which cannot be resolved by simple managerial methods. This experiential training can help to meet the need for inculcating compassion, kindness, and empathy in its participants.
Originality/value
Although other psychotherapy and group relations courses exist, and are used beyond the mental health field, the focus on generating an experience of belonging, emotional safety and democratic empowerment in the relational field of the course itself – by use of TC methodology – is novel, and could be of considerable value more widely.
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Rex Haigh, Kath Lovell, Fran Lyon and Maria Duggan
Abstract This paper is a compilation of four contributions which endeavour to bring together the numerous strands of service user involvement that have been integral to the work…
Abstract
Abstract This paper is a compilation of four contributions which endeavour to bring together the numerous strands of service user involvement that have been integral to the work, thinking and culture of the National Personality Disorder Development Programme.
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Rex Haigh, Tom Harrison, Robin Johnson, Sarah Paget and Susan Williams
This paper aims to describe the origins of the concept of a psychologically informed environment (PIE), as now adopted and applied in homelessness resettlement, placing this in…
Abstract
Purpose
This paper aims to describe the origins of the concept of a psychologically informed environment (PIE), as now adopted and applied in homelessness resettlement, placing this in the context of work recently carried out under the aegis of the Royal College of Psychiatrists' Centre for Quality Improvement to recognise and promote “enabling environments” in all areas of social practice.
Design/methodology/approach
This paper gives an historical account of the contemporary development of new thinking and practical applications for enhancing community mental health and well‐being.
Findings
The concept of an enabling environment (EE) arose out of efforts to up‐date for the twenty‐first century the post‐war concept of a therapeutic community, for all services working with the same basic core values and psycho‐social awareness. The EE approach now applies this framework more flexibly, yet with a clear operational focus in each sector, to a wider range of organisational contexts, social practice and agencies outside the therapy and care services world. From the outset, homelessness resettlement and social housing practice was seen as a key part of the overall ambition.
Practical implications
Understanding the values base behind social‐psychological approaches in social practice environments helps to translate these ideas into service‐led improvements in actual frontline services practice. In particular, the enabling environments approach offers a handy tool for self‐assessment and service improvement, which is fully compatible with the PIE's philosophy.
Originality/value
The concept of a PIE is currently acquiring momentum within homelessness resettlement work in the UK. In helping to establish the underlying values framework for psychologically‐informed services; and also provide tools for such services to use, this paper makes a contribution to help inform developing practice.
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Although the idea of a therapeutic community (TC) has lost none of its dynamism, there are many modern‐day environments in which the original TC model has been unable to make…
Abstract
Although the idea of a therapeutic community (TC) has lost none of its dynamism, there are many modern‐day environments in which the original TC model has been unable to make headway. In recent years, new ideas have been emerging for the development of institutions and services that can be adapted to a wide range of psychological needs and settings, such as homelessness hostels and refuges. The psychologically‐informed environment (PIE) arises from the scope for reflective practice, leading to changes in day‐to‐day working ‐ including a more planned variant for high secure services. The PIE approach seems to offer greater flexibility in scope than the TC model. Nevertheless, such new approaches may yet need a clear values base; and the next article in this series will explore new ideas for the creation of ‘enabling environments’ in a still wider range of settings.
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This final article in the series of three identifies and illustrates the links between the “enabling environment” approach and contemporary social policy themes such as relational…
Abstract
Purpose
This final article in the series of three identifies and illustrates the links between the “enabling environment” approach and contemporary social policy themes such as relational health, public health, social inclusion; and the “Big Society”.
Design/methodology/approach
The paper begins with an example of the standards‐based approach in practice. It then indicates other areas where this approach is currently being explored. Finally it summarises recent contemporary policy frameworks for which the EE approach, it is suggested, supplies both a shared vocabulary and a practical, evidence‐able agenda.
Findings
There is growing recognition of the need for a “sea change” away from a simple clinical interventions framework for community mental health and addressing health inequalities. There are clear linkages in this new approach with past and emerging policy frameworks in public health and corporate social responsibility, including the need for more “bottom up” solutions with local ownership.
Originality/value
This series of three papers is the first introduction to psychologically informed environments and the enabling environment approach to be made available to the general and specialist public.
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