The Journey Day Service

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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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The Journey Day Service

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

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