Peer Supported Dialogue Training Supported by Peer Growing Outside Psychosis Services
“This article discusses some of the difficulties that practitioners experience in POD training and management considerations need to be applied.”
I was in the first stage of the NHS Peer Supporter Training Supported 4 years ago and things have grown tremendously ever since. The APOD Board, which is the official regulatory body for all POD NHS training, recently met in London to check on progress in the UK and the next step. We discuss the developments that occur with respect to RCT and the various teams that are being formed in various Trusts.
The discussion was also marked by sadness as we pondered how many Trusts were initially involved and very enthusiastic in relation to the training because they had to resort to some excuses to be pulled out. One of the early teams from Essex North had the entire EIS structure unloaded and their team disbanded for having to interview posts on other teams. Other teams such as Nottingham are influenced by cuts and changes to key staff so that the impulse is lost. Somerset and Avon who are reputable to be trained well and supported in family intervention are forced after completing the training to be withdrawn due to their priority change of Trust. This also applies to other Trusts and we are wondering why the training is given to staff and paid when there is a possibility of a change of direction and to me this shows a reactive service management and lack of cohesive planning in mental health. . This in addition to wasting public money makes the dynamics that cause staff discontent and discouragement. If you are emotionally and academically invested in an Open Dialogue that is more of an intervention but the concepts and way of life you do not want to go back to the usual care. Open dialogue training also highlights the inability and brutality of the current system and leaves someone with a desire to reform and change the system. Peer support open dialog training can only be implemented and maintained in an open dialog team supported by colleagues, as Jaakko Seikkula said, this is a team approach and a way to become. Peer supports an open dialogue team that supports and supports workers in providing open dialogue and through ongoing professional training and development, the team is growing and evolving. Peer Supported Dialogue Training Supported by Peer
We at Kent have been fortunate that senior management was involved early on and participated in this training and the management structure remains unchanged and continues to strive for and advocate open dialogue as an approach. The Kent Model is the first and only open-ended dialogue team and this kind of team-building process in today’s mental health service setting is extremely difficult. The team manager Yasmin Ishaq has fought long and hard for this approach and he is one of the early supporters. However, there are many difficulties in relation to where the team is located and how it interacts with other teams such as the EIS and the Crisis Team. Peer Supported Dialogue Training Supported by Peer
It saddens me that Peer Supported Open Dialogue which started life in West Lapland because psychosis intervention is not done with and embedded in the EIS which is the service where I work. Unfortunately the NHS UK has established some very rigid EIS strictures that essentially involve giving 2 types of CBTp intervention therapy (Cognitive Behavior Therapy with psychosis module) and BFT (Behavioral Family Therapy). This is what they are going to do and so the EIS is no longer the adaptive model needed but it is an IAPT-based model and can not afford as a service to offer Open Dialogue.