Implementing the KUF: making the virtual a reality

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 Online Learning Modules

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

[email protected]@nottshc.nhs.uk

[email protected]