Implementing the KUF: making the virtual a reality
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Implementing the KUF: From Virtual to Reality
Vicky BaldwinKath Lovell
Dr Neil GordonDr Heather Wood
Tom Mullen
Aims of the WorkshopBrief introduction to the KUF : what it is, who it is designed for and how is being implemented
The central role of service user in the development and implementation
Interactive engagement with the online materials highlighting the use of online tools
To explore the challenges of implementing the KUF systemically within complex multi agency settings-building on what exists
To highlight key ‘facilitative forces’ and practical steps that can assist with implementation-resources and strategy
To provide an account of how one selected region is approaching this-a case study
To encourage participants to reflect upon and articulate a local delivery plan-workshop activity
£1,000,000
Dec 2007: Department of Health and Ministry of Justice commissioned the development of a national training framework to support people to work more effectively with personality disorder
The key goal is to improve service user experience through developing the capabilities, skills and knowledge of the multi-agency workforces in Health, Social Care and Criminal Justice who are dealing with the challenges of Personality Disorder
The service user at the
heart
Making a real difference
Working with Personality Disorder: Raising
Awareness(6modules)
Key Staff
MSc: Working with Personality Disorder: Extending Expertise and
Enhancing Practice(6 Modules and Dissertation) Lead and Specialist Staff
All Frontline staff
What is available?
BSc: Working with Personality Disorder: Developing Understanding
and Effectiveness(9 modules)
The Virtual Learning EnvironmentAll 3 levels of the programme are supported by an online virtual learning environment
This provides all the materials required to access or deliver each level of the programme
The VLE also provides students with access to the following online learning tools::
‘My Notes’
Wikis
Blogs
Discussion Forums
Online Resources
Working Effectively with Personality Disorder: Raising Awareness
The programme aims to:
Explore different perspectives about personality disorder
Dispel some myths about personality disorder
Explore ways of understanding personality difficulties
Look at how someone’s past experiences can affect the present
Help you to understand how to work effectively with service users with a personality disorder
Reflect on different approaches to working with people and the impact of reactions and responses
Explore the impact of working with personality disorder on the wider team
The learning journey
Self awareness and reflective
skills
Sensitivity to service user experience
Communicating effectively
Making sense of reactions and
responses
Understanding work places and teams
Connecting past experience and current
behaviours
Exploring the Online Learning Modules
Group exercise to explore the materials
The Delivery ModelBoth programmes are delivered using blended learning including facilitated sessions and online learning. For the awareness only programme this involves:
3 days of facilitated experiential trainingCompletion of 6 online modules:Key self directed activity
For the ‘Train the Trainers’ programme this involves:
6 days facilitated experiential training including direct micro-teachingCompletion of the 6 online modulesKey self directed activityCreating a context relevant delivery package
1
2
AWARENESSVLE
Structured Implementation and Embedding
STAGE 1 (Basic) STAGE 2 (Trainer)
1
2
3
Modules 1, 2 & 3
3
Introduction and contextualization
Modules 4,5 & 6& Evaluation
Facilitation and group management
Teaching and learning
methodologies
Practice and Application to
context
Review and experiential work
Final review and experiential work
The VLE, its capacity and potential (and limitations)
The different online tools and how to use them Educational principles that have informed the
development and best practice guidelines for working effectively with the content and media
Facilitation skills and the management of learning group processes and dynamics
Administration and access issues and how these need to be managed
The use and development of Facilitator Handbooks and how these can be adapted to meet local needs
The rationale and potential impact of utilising service user trainers as an essential element of delivery
Train the trainers: core themes
The trainer will demonstrate: Facilitation skills and capability in managing learning group
processes A positive collaborative attitude to working in partnership with
service users A willingness to use the training as a vehicle to challenge the
stigma experienced by people with a personality disorder diagnosis and those who work with them
Knowledge about, and skills in the use of different learning and teaching methodologies and an ability to apply these in context sensitive ways
Familiarity with the content and lay out of the different elements of the VLE
Familiarity with and competence in using and moderating the VLE learning tools such as my notes, wikis, discussion forums and blogs
A good understanding of the bio-psychosocial model of personality disorder
A commitment to multiagency working and training
Post training capabilities
National Delivery
Currently 200 people on the VLE completing the awareness training and 60 have completed the Train the Trainers
Over 2500 staff accessing the programme by August 2010
250 staff trained as KUF trainers by August 2010
Over 30 organisations involved from Health, Social Care, Criminal Justice and the Third Sector
All regions in the country are in communication with the KUF team and in different stages of implementation
A financially supported national implementation plan to embed the awareness level training across the regions from April 2010 - 2011
Feedback from the field“I was not that keen on attending but this is the most useful training I have undertaken over the last ten years” (Probation officer)
“At last an educational model I can relate to that has the potential to make a real difference” ( Carer Consultant)
“I think an approach that engages at an emotional level is essential when teaching about personality disorder as much of the need is to encourage more positive attitudes and emotions on the part of the worker engaging with the person with personality disorder” (Psychologist)
Feedback from the field“I am looking at my client in a completely new way, I can really make sense of who he is and why he behaves in the way he does” (Housing support worker)
I feel I now have an understanding of personality disorder that will help me in my work and I will be able to challenge other people on how they view people (Police Officer)
“This material is very powerful and encourages you to think differently’ (Service Lead)
Feedback from delivery in the field
“The training the trainers programme was intense, inspiring, exciting and exhausting. It really did open up our thinking
concerning the learning materials and the many ways in which they could be used to facilitate meaningful learning across a
range of staff groups. We were also struck by the potential for the KUF materials to be used creatively to bring about a change in how people think about and respond to personality disorder, be they carers, commissioners, practitioners or managers. We look forward to having the opportunity to share the KUF with
others in the coming years.”
Service Lead/Participant on ‘Train the Trainers’ programme
Implementing the BSc and MSc
Support from the centre and the development of local infrastructures
BSc & MSc Implementation
Funding support from the Department of Health agreed for the first cohort
Cohort 1 commences January 2010
Regional implementation model to select MSc students
Stand alone or full programme opportunities available
The BSc ProgrammeAims of the BSc Programme:
• Equip workers with the necessary knowledge and skills to help them work more effectively with service users
• To compensate fro the limited educational coverage of thistopic in core training
• To improve the psychological mindedness of all thoseworking with the challenges of personality disorder
• Creating containing environments infused with hope thatimproves the experience of service users and staff
Developing a shared Understanding of
personality disorder
Challenges of PD: An interpersonal
perspective
Working positively with PD: Building lives
challenging stigma
Personality disorder:Across multiagency
contexts
Responding effectively: making sense of reactions
and relationships
Facilitating positive Change Working with
people and context
Responding to issues of complexity and risk
Effective teamwork and Supervision Developing
Context sensitive approaches
Introduction to Intervening effectively: Management,
treatment and support
Awareness training with APEL Portal
60 credits L6 60 credits L6
40 credits L5 40 credits L5 40 credits L5
30 credits L4 30 credits L4 30 credits L4 30 credits L4
BSc: Working with Personality Disorder: Developing understanding and
effectiveness
Potential Outcomes: Work based assessments
Diversity of Approaches
Anti-stigma project
Critical Incident Analysis
Multi-agency Training
Professional communication
Observation of an
Organisation
Supervision & Support
structure for work context
Residential event:
Reflection on learning
Who is the target audience for the BSc and what are the challenges of reaching them?
Think of the agency/service you work in and identify which part of your workforce would benefit most from the BSc programme?
Having identified the target staff group, what processes need to be in place to support these staff in accessing the programme
The MSc Programme
Aims of the MSc Programme:
To increase the capacity of service leads to act as “change agents”
able to shape and influence services
effecting sustainable change at an organisational level
APEL
Service user
trainers and
consultants
MSc Core modules
Developing and ExtendingTherapeutic Practice
Developing research and audit
Facilitating Learning About PD
Leadership and service development
Involvement strategiesDeveloping links
and networksConsulting to Teams
and Organisations
Key features in common with other parts of the KUF:
Contextualised - Practice-based learning
Service-users integral to development and delivery. Service user perspectives central
Flexible – Modular
Accessible – VLE
Highlighting the interpersonal dimension of working effectively with personality disorder
Specific to the PD KUF MSc
Assessment exercises yield usable “products”
More self-directed learning
Fostering vision, creativity, confidence and skills for effective leadership
PD KUF MSc
Building leaders, change agents and champions of personality disorder services
Lessons from the field: a case study
Tom Mullen and Neil Gordon
‘Making the virtual a reality’Regional Implementation of the KUF
The context of KUF embedding?
What exists?What needs to develop ?
Who can make this happen?
KUF
Key themes
Strategic planning with KUF implementation plan as a core featureMeaningful service user involvementMultiagency workingCare Pathways and Service User journeysIntegration of forensic and non forensic servicesExisting development work and training infrastructure
Reflecting on ‘local’ context
Take sometime to think about what currently exists in your own locality that you can build upon to integrate the different levels of the KUF that will achieve real change in practice
Feedback the main 2 themes that have emerged from your discussion
Creating the discussion groups
Building service user capacity for involvementDeveloping a multi agency training approach (Social Care Health Criminal Justice, Third Sector)Identifying target staff groups and priority areas for trainingIdentifying staff to train as KUF trainersWorking across forensic and non forensic services-an integrated approachAccessing ‘hard to reach’ groups
Making it happen?
Develop quality standardsfor secure PD services
Enable acute inpatient access to support more appropriately
Identify PD lead in each PCTand plan for services
with stakeholders
Undertake economic analysisof identified dysfunctional
pathways for PD
KUF ImplementationPlan
KUFLead
MSc StudentsServiceInduction
Support Network
Review Proposal
8 Regional Cohorts
Mental Health
3 Regional Cohorts
Accommodation
3 Regional Cohorts
Probation
6 Cohorts
CitywidePathways
Other actions include
YORKSHIRE & HUMBERPD STRATEGY
Questions
neilfran@aol.comvictoria.baldwin@nottshc.nhs.uk
kathlovell@mac.com
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