Skills for Living The Hub. Andrew Dunn Dr Gina Cratchley Harriet Collie Chris Morgan Charlie Jewell

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1 Skills for Living The Hub Andrew Dunn Dr Gina Cratchley Harriet Collie Chris Morgan Charlie Jewell

2 Skills for Living The Hub Skills for Living is designed to improve the psychological well-being of young people leaving care It offers young care leavers the opportunity to participate in a structured programme of psychosocial skills development using Dialectical Behaviour Therapy (DBT) as its primary intervention The project covers the 3 Boroughs of Gwent: Caerphilly, Torfaen and Newport

3 Skills for Living Team Structure Jennie Welham Children s services Manager Andrew Dunn Practice Team Leader Georgina Cratchley Clinical Psychologist Cariad Mahoney Team Leader Administration Christopher Morgan Young Person's Practitioner Charlotte Jewell Young Person's Practitioner Harriet Collie Assistant Clinical Psychologist

4 Dialectical Behaviour Therapy DBT is a therapy that was developed by Marsha Linehan as a means of working with individuals with a diagnosis of Borderline Personality Disorder Over the years it has been used with people who display high risk taking behaviour regardless of their diagnosis Our DBT intervention model has been adapted for working with young care leavers aged years old It provides a hierarchical approach to working with individuals who present with unpredictable mood, selfdestructive behaviours and unrelenting crises

5 What we aim to achieve To help young people begin to understand difficult early experiences which can often leave them with conflicting, confusing thoughts and behaviours To target high risk behaviours To understand emotions and how to cope when emotionally distressed To manage important significant relationships when distressed To ask for their needs to be met To keep their self respect

6 Service Delivery Weekly individual sessions with young people Young people will continue to be psychometrically tested pre/post group and then at a 6 month follow up. Engagement phase DBT informed Groupwork phase Continued Significant other Work Continued Training and Consultations to professionals On completion of core intervention young person will be assigned a Strand / Community pathway

7 Ingredients of DBT Value the therapeutic relationship (attachment model) Use of validation Dialectic of change verses acceptance Helping the young person Willingness verses wilfulness

8 The Psychosocial Skills Modules Mindfulness Distress Tolerance Emotion Regulation Interpersonal Effectiveness

9 Mindfulness Capacity to pay attention, non-judgementally to the present moment Experiencing one s emotions and senses fully yet with perspective Why is it useful for young people? o It helps to increase awareness of inner experiences o but not get lost in them o Helps to increase sense of control of mind rather than mind controlling you o Helps to accept and tolerate powerful emotions o Creates self awareness of body and mind connection o Mindfulness helps bring down levels of emotional arousal

10 Distress Tolerance Distress tolerance skills teach young people to cope with pain and distress in a healthy way so that it doesn t lead to long term suffering The skills allow young people the time and emotional space to make decisions from wise mind about whether and how to take action, rather than falling into intense, desperate and often destructive emotional reactions This is achieved through the development of distraction techniques and relaxation / being kind to yourself strategies

11 Emotion Regulation Focuses on enhancing control of emotions, not just surviving them Helps young people to identify and label emotions Helps reduce vulnerability to emotional mind Increases the likelihood of positive emotions through pleasant events and mastery

12 Interpersonal Effectiveness To manage relationships and help to keep yourself safe Looking at how much are you asking for What is your Objective? Can other people meet your needs? Are you able to meet others needs? How important is this relationship? Keeping self-respect Strategies for asking for what you need (or want); strategies for saying no, and coping with conflict.

13 Mindfulness Exercise

14 Young Person Q & A

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