The Impact of  Solution Focused Working  on Trainees. Steve Smith,  The Robert Gordon University, Aberdeen.
The Impact of  Solution Focused Working  on Trainees. (and how we used solution focused techniques  to get there)‏ Steve S...
The Impact of Solution Focused Working on Trainees. <ul><li>The Background </li></ul><ul><li>The Courses </li></ul><ul><li...
The Background 2005 1999 1996 1994
What does 10 look like? 0 10
We’re going to need a bigger 10!
The Course <ul><li>26 week course  (9 contact days)‏ </li></ul><ul><li>3 days theoretical background and practice </li></u...
The Study <ul><li>This is the first academically accredited, degree level, course in SFBT in Scotland. Interest in the cou...
The Study <ul><li>“ It is possible that restructuring epistemologies is the real challenge of teaching solution focused br...
The Study <ul><li>Aim: </li></ul><ul><li>This brief study aims to discover how students who have completed the course perc...
The Study <ul><li>The project intended to answer the following questions. </li></ul><ul><li>What impact do former students...
The Study <ul><li>A semi-structured interview, allowing the interviewer to respond to participant’s responses and develop ...
Solution Focused Brief Therapy <ul><li>The Themes </li></ul><ul><li>Three major themes </li></ul><ul><li>Trust in clients ...
Solution Focused Brief Therapy <ul><li>The Themes </li></ul><ul><li>Three major themes </li></ul><ul><li>Trust in clients ...
Solution Focused Brief Therapy <ul><li>The Themes </li></ul><ul><li>Three major themes </li></ul><ul><li>Trust in clients ...
Solution Focused Brief Therapy <ul><li>The Themes </li></ul><ul><li>Three major themes </li></ul><ul><li>Trust in clients ...
Solution Focused Brief Therapy <ul><li>The Themes </li></ul><ul><li>Three minor themes </li></ul><ul><li>Eclectic use of a...
Trust in clients <ul><li>“ I strive to learn from them (clients); what works for them, and I think this has strengthened m...
Positivity <ul><li>“ Success builds on success.  The first time you try it and you get a success, you think, ‘Wow!’.” </li...
Confidence <ul><li>“ So having been on a course and hearing the rationale behind it has increased my confidence in the abi...
Eclectic use of approach <ul><li>“ I’m adapting the approach for each person’s personal situation.  As I become more skill...
Use of language <ul><li>“ There’s something about the language.  You start using the language and that changes your thinki...
Application in wider life <ul><li>“ I’ve done courses before and come back and said, ‘That was life changing’, and it was....
Final thoughts <ul><li>“ It’s a very creative approach, </li></ul><ul><li>it’s like soup; being surrounded  </li></ul><ul>...
Final thoughts <ul><li>“ I don’t like the fixations </li></ul><ul><li>with negatives, with symptoms. </li></ul><ul><li>Tak...
Final thoughts <ul><li>“ Peer supervision. </li></ul><ul><li>Clinical meeting. </li></ul><ul><li>Discharge someone? </li><...
Proposed Solution Focused Therapy training to level of BA  Professional Nursing Studies  SFBT
Proposed Solution Focused Therapy training to level of BA  Professional Nursing Studies  SFBT SFBT in Practice
Proposed Solution Focused Therapy training to level of BA  Professional Nursing Studies  SFBT SFBT and systemic practice S...
Proposed Solution Focused Therapy training to level of BA  Professional Nursing Studies  SFBT SFBT and systemic practice S...
Proposed Solution Focused Therapy training to level of BA  Professional Nursing Studies  SFBT SFBT and systemic practice S...
Proposed Solution Focused Therapy training to level of BA  Professional Nursing Studies  SFBT SFBT and systemic practice S...
as above 1200 120 / L9&10 BA Degree Competent to practice using an in-depth knowledge of brief and systemic therapy. Advan...
Where do we go from here?
Upcoming SlideShare
Loading in...5
×

UKASFP Conference 2009

581

Published on

Published in: Health & Medicine, Technology
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
581
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
6
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

UKASFP Conference 2009

  1. 1. The Impact of Solution Focused Working on Trainees. Steve Smith, The Robert Gordon University, Aberdeen.
  2. 2. The Impact of Solution Focused Working on Trainees. (and how we used solution focused techniques to get there)‏ Steve Smith, The Robert Gordon University, Aberdeen.
  3. 3. The Impact of Solution Focused Working on Trainees. <ul><li>The Background </li></ul><ul><li>The Courses </li></ul><ul><li>The Study </li></ul><ul><li>The Themes </li></ul><ul><li>The Narratives </li></ul><ul><li>The Framework </li></ul>
  4. 4. The Background 2005 1999 1996 1994
  5. 5. What does 10 look like? 0 10
  6. 6. We’re going to need a bigger 10!
  7. 7. The Course <ul><li>26 week course (9 contact days)‏ </li></ul><ul><li>3 days theoretical background and practice </li></ul><ul><li>2 days practice, introduction of narrative approaches </li></ul><ul><li>2 days practice, systemic and strategic approaches </li></ul><ul><li>2 days practical assessment </li></ul><ul><li>18 weeks practice and written assignment </li></ul>
  8. 8. The Study <ul><li>This is the first academically accredited, degree level, course in SFBT in Scotland. Interest in the course was wide based and the course was fully subscribed. Initial feedback from students was extremely positive, with many stating that a follow up course would be desirable, and that they would recommend the existing course to colleagues. </li></ul><ul><li>In light of the unique nature of the course within Scotland it was suggested that a study of the impact of the course on students practice and attitude would be worthwhile. </li></ul>
  9. 9. The Study <ul><li>“ It is possible that restructuring epistemologies is the real challenge of teaching solution focused brief therapy” </li></ul><ul><li>Shilts and Thomas (2005)‏ </li></ul>
  10. 10. The Study <ul><li>Aim: </li></ul><ul><li>This brief study aims to discover how students who have completed the course perceive the course to have changed their practice, their personal thoughts in relation to therapeutic working, and their professional relationship with colleagues in the wider clinical setting. </li></ul>
  11. 11. The Study <ul><li>The project intended to answer the following questions. </li></ul><ul><li>What impact do former students believe the SFBT course has had on their own practice? </li></ul><ul><li>What impact has the course had on the constructs through which they view the people using their services? </li></ul><ul><li>What impact has it had on their working relationships with colleagues? </li></ul>
  12. 12. The Study <ul><li>A semi-structured interview, allowing the interviewer to respond to participant’s responses and develop emerging themes as appropriate. </li></ul><ul><li>Interviews were audio taped, transcribed and analysed using a qualitative analysis of the narrative data to identify particular experiences as instances of broader, shared conceptualisations and experience. Transcripts of narrative accounts were manually coded to reflect key events in the narrative and the significance the participant places on that, i.e. ‘what happened and what it means’. </li></ul><ul><li>Comparison of all narratives was then carried out to inductively create thematic groupings from the data </li></ul>
  13. 13. Solution Focused Brief Therapy <ul><li>The Themes </li></ul><ul><li>Three major themes </li></ul><ul><li>Trust in clients </li></ul><ul><li>Positivity </li></ul><ul><li>Confidence </li></ul>
  14. 14. Solution Focused Brief Therapy <ul><li>The Themes </li></ul><ul><li>Three major themes </li></ul><ul><li>Trust in clients </li></ul><ul><li>Positivity </li></ul><ul><li>Confidence </li></ul><ul><li>- in the process </li></ul>
  15. 15. Solution Focused Brief Therapy <ul><li>The Themes </li></ul><ul><li>Three major themes </li></ul><ul><li>Trust in clients </li></ul><ul><li>Positivity </li></ul><ul><li>Confidence </li></ul><ul><li>- in the process </li></ul><ul><li>- in using SFBT </li></ul>
  16. 16. Solution Focused Brief Therapy <ul><li>The Themes </li></ul><ul><li>Three major themes </li></ul><ul><li>Trust in clients </li></ul><ul><li>Positivity </li></ul><ul><li>Confidence </li></ul><ul><li>- in the process </li></ul><ul><li>- in using SFBT </li></ul><ul><li>- in self </li></ul>
  17. 17. Solution Focused Brief Therapy <ul><li>The Themes </li></ul><ul><li>Three minor themes </li></ul><ul><li>Eclectic use of approach </li></ul><ul><li>Use of language </li></ul><ul><li>Application in wider life </li></ul>
  18. 18. Trust in clients <ul><li>“ I strive to learn from them (clients); what works for them, and I think this has strengthened my belief in them.” </li></ul><ul><li>“ It influenced me, the way I view clients; what they bring.” </li></ul><ul><li>“ It’s easier to identify what they’re achieving; reinforcing gains, not patronising, but looking at detail. You start to appreciate what they’re doing.” </li></ul><ul><li>“ The focus on the client, in their terms. It’s the client who holds the keys. That’s something I can say to managers: ‘It’s the client who knows what’s going to help them.” </li></ul>
  19. 19. Positivity <ul><li>“ Success builds on success. The first time you try it and you get a success, you think, ‘Wow!’.” </li></ul><ul><li>“ Now I want the difficult cases. I’m thinking, ‘How are they still alive?’ I’m far more interested in people.” </li></ul><ul><li>“ I heard you talking about treating people in one session; ‘other people maybe, not me! Psychiatry has its’ limits’. Now, I’m amazed when I do it in one session.” </li></ul><ul><li>“ Positivity. It changes everything from negative to positive. Taking the mirror image.” </li></ul>
  20. 20. Confidence <ul><li>“ So having been on a course and hearing the rationale behind it has increased my confidence in the ability of SFT to be a valid approach.” </li></ul><ul><li>“ It’s changed my clinical practice, it gives direction to assessment. Helps to avoid red herrings .” </li></ul><ul><li>“ It helped my confidence; I felt I had something to offer. Something different. I felt a lot more confident than I did in the ward.” </li></ul><ul><li>“ It gives me more structure than I had before, I rarely feel out of my depth. The structure of the interview really helps. Just to know what the next question is.” </li></ul>
  21. 21. Eclectic use of approach <ul><li>“ I’m adapting the approach for each person’s personal situation. As I become more skilled in practice.” </li></ul><ul><li>“ I have a free-flowing style, it allows me to adapt in and out; adapt other approaches to SFT.” </li></ul><ul><li>“ I use elements of it with all clients, that’s quite helpful.” </li></ul>
  22. 22. Use of language <ul><li>“ There’s something about the language. You start using the language and that changes your thinking. It’s not the thinking that changes the language; it’s like a loop.” </li></ul><ul><li>“ You internalise the language. All the time I’m thinking in a different way. ‘How do they manage?’ ‘How do they do that?’” </li></ul><ul><li>“ If you ask different questions you get different answers. You move in a different way.” </li></ul>
  23. 23. Application in wider life <ul><li>“ I’ve done courses before and come back and said, ‘That was life changing’, and it was. But it didn’t even occur to me the extent to which this course would impact on my life.” </li></ul><ul><li>“ It makes it easier in my personal life to deal with difficulties; it’s good to have an approach that you can use as a ‘lifestyle choice’. It gives you choices. It’s something that you do to yourself. </li></ul><ul><li>“ What has changed since I started the course? Everything!” </li></ul>
  24. 24. Final thoughts <ul><li>“ It’s a very creative approach, </li></ul><ul><li>it’s like soup; being surrounded </li></ul><ul><li>by ‘idea soup’. </li></ul><ul><li>Just opening up and </li></ul><ul><li>immersing yourself in </li></ul><ul><li>‘ creative soup’.” </li></ul>
  25. 25. Final thoughts <ul><li>“ I don’t like the fixations </li></ul><ul><li>with negatives, with symptoms. </li></ul><ul><li>Taken to the n th degree, </li></ul><ul><li>it doesn’t deal with the pain </li></ul><ul><li>that people come with. </li></ul><ul><li>They define the problems. </li></ul><ul><li>People come with problems, </li></ul><ul><li>they’re not the problem.” </li></ul>
  26. 26. Final thoughts <ul><li>“ Peer supervision. </li></ul><ul><li>Clinical meeting. </li></ul><ul><li>Discharge someone? </li></ul><ul><li>Share disbelief.” </li></ul>
  27. 27. Proposed Solution Focused Therapy training to level of BA Professional Nursing Studies SFBT
  28. 28. Proposed Solution Focused Therapy training to level of BA Professional Nursing Studies SFBT SFBT in Practice
  29. 29. Proposed Solution Focused Therapy training to level of BA Professional Nursing Studies SFBT SFBT and systemic practice SFBT in Practice
  30. 30. Proposed Solution Focused Therapy training to level of BA Professional Nursing Studies SFBT SFBT and systemic practice SFBT in Practice Graduate Certificate in Professional Studies
  31. 31. Proposed Solution Focused Therapy training to level of BA Professional Nursing Studies SFBT SFBT and systemic practice SFBT in Practice Graduate Certificate in Professional Studies Application of brief and systemic therapy in contemporary practice
  32. 32. Proposed Solution Focused Therapy training to level of BA Professional Nursing Studies SFBT SFBT and systemic practice SFBT in Practice Graduate Certificate in Professional Studies Application of brief and systemic therapy in contemporary practice BA in Professional Nursing Studies
  33. 33. as above 1200 120 / L9&10 BA Degree Competent to practice using an in-depth knowledge of brief and systemic therapy. Advanced 4 1 / 10 hours practice / supervision (50-50)‏ 600 60 / L9&10 Grad Cert Competent to practice using an informed choice of techniques in brief and systemic therapy. Intermediate 3 1 / 10 hours practice / supervision (75 – 25%)‏ 300 30 / L9 Competent to practice solution focused therapy techniques in a range of settings. Proficient 2 1 /10 hours practice 150 15 / L9 Able to practice using solution focused skills. Foundation 1 Supervision Training Hours Credits / Qualification Practice Level Skill Level Level
  34. 34. Where do we go from here?
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×