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The Journey Day Service
The Journey Day Service
The Journey Day Service
The Journey Day Service
The Journey Day Service
The Journey Day Service
The Journey Day Service
The Journey Day Service
The Journey Day Service
The Journey Day Service
The Journey Day Service
The Journey Day Service
The Journey Day Service
The Journey Day Service
The Journey Day Service
The Journey Day Service
The Journey Day Service
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The Journey Day Service

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Speakers: Alan Hirons and Rachel Rose. First National Personality Disorder Congress, Birmingham, 19-20th November 2009.

Speakers: Alan Hirons and Rachel Rose. First National Personality Disorder Congress, Birmingham, 19-20th November 2009.

Published in: Health & Medicine, Education
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Transcript

  • 1.
    • Alan Hirons- Occupational therapy clinical specialist
    • Rachel Rose- Journey service user
  • 2. Rachel
    • Childhood
    • Resentment
    • No life
    • Mental health services
      • DBT
      • Diverse Pathways
  • 3. Referral to Journey
    • Feeling worthless
    • Doing nothing
    • Sitting thinking about the past
    • No motivation or energy
    • Pushing people away
  • 4. Aim of Journey
    • To assist group members to develop and implement
    • Individual occupational action plans
    • which contribute to and facilitate adaptation and recovery
  • 5. Objectives
    • Developing understanding of the relationship between occupation and health
    • Developing skills of occupational self analysis
    • Engaging in occupation and purposeful activity
    • Becoming conscious of and engaged with ongoing occupational narratives
  • 6. Content of Journey
      • Purpose of groups
      • Time use
      • Health priorities
      • Personality disorder and occupation
      • Environmental contexts
      • Narratives
      • Creative breaks
      • Service user evaluations
  • 7. Occupational Action Plan
    • What is your plan?
    • Why?
    • What are the best physical and social environments for the plan?
    • What is the desired outcome at three months into the plan?
    • How does the plan fit with your life narrative?
    • What are the challenges?
    • What support will you use in doing the plan?
  • 8. Rachel's occupational action plan
    • To explore different ‘exhilarating’ sports with the purpose of facing ‘danger’ and surviving it.
  • 9. The experience of Journey
    • Wondering what it will do for me
    • Group work
    • Adapting vs. feeling pissed off
    • Impact of family circumstances
    • Physical disability
    • Difficulty of endings
  • 10.  
  • 11.  
  • 12. Outcome measures
  • 13. Outcome measures
  • 14. Immediately after Journey
    • Abandoned
    • Direct payments
    • Continued climbing regularly
  • 15. Ripples
    • Better relationships
    • Recovery
    • Reflect more- asking questions
    • Allotment
    • Psychiatrist
  • 16. In a bubble?
    • Am I doing it?
    • Is it really happening?
    • Will it last?
    • When will the bubble burst?
    • How will I manage challenges?
  • 17. My metaphor now
    • “ moving from a victim to survivor, but still a way to go”

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