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North East and North Yorkshire Restraint Reduction Network 2019 Speaker Profiles

Speaker Profiles · formulation, one to one and group based sessions, data analysis and devising Positive Behaviour Support plans. Helen Percival- qualified as a Registered Nurse

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North East and North Yorkshire Restraint Reduction Network 2019

Speaker Profiles

North East and North Yorkshire Restraint Reduction Network 2019

Elizabeth Moody

Deputy Chief Executive Tees, Esk & Wear Valleys NHS Foundation Trust

Elizabeth joined Tees, Esk and Wear Valleys NHS Foundation Trust in July 2015 as Director of Nursing and Governance; she has over 25 years’ experience in the NHS having registered as an RMN in 1991. Elizabeth has held a variety of clinical, professional and managerial roles across inpatient and community settings and before joining the Tees, Esk and Wear Valleys NHS Foundation Trust worked in the region as the Deputy Director of Nursing and then Group Nurse Director for 11 years.

Elizabeth is now the Deputy Chief Executive of the Trust. Elizabeth is responsible at Board level for the professional leadership of nursing, quality and safety. She is a Certified Leader and Think On coach.

North East and North Yorkshire Restraint Reduction Network 2019

Gary O’Hare- Executive Director of Nursing and Chief Operating Officer Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust

Gary is a Mental Health Nurse and is currently the Executive Director of Nursing and Chief Operating Officer at Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust (current portfolio attached). Has worked in the NHS for over 36 years, and held a number of senior nursing and managerial positions during this time. He has been an Executive Director of Nursing and Safer Care for 16 years and for the last 10 years he has also been the Trust’s Chief Operating Officer, responsible for an a operational budget of about £280m. Gary spent four years at the Department of Health advising ministers and senior civil servants, working across both the policy and delivery arms of the DoH as well as working for the National Patient Safety Agency. He led a number of national initiatives during his time in this role. He has been involved in two complex mergers. Led Operational Services through the FT process. Led Operational Services through the Trust’s CQC Comprehensive Inspection, achieving a rating of “outstanding”. More recently he has led Operational Services through the Trust’s CQC Well Led Review. He is a CQC Executive Reviewer for Well Led Inspections. Is a member of the National Mental Health Nurse Directors Steering Group Is a member of the NHSI Clinical Reference Group. He is a keen gardener, keeps Koi carp, chickens and ducks

North East and North Yorkshire Restraint Reduction Network 2019

Salli Midgley Lead Nurse : Mental Health Nursing and Quality Team, Specialised Commissioning (National) NHS England and NHS Improvement

Lead Nurse : Mental Health, National Specialised Commissioning Team & Co-ordinator national reducing restrictions programme, NHSEI RMN, RGN, Bsc Psychosocial Interventions, PG Cognitive Behaviour Therapy. Msc Leadership & Management Salli has worked in frontline services on mainly inpatient wards for 27 years before moving into strategic positions in provider NHS trusts since 2015. Salli is committed to the safety and quality of inpatient services for people receiving mental health care. In addition to working in inpatient settings, Salli has also worked as a therapist in day services. Since moving to strategic positions Salli has managed portfolios including safeguarding, quality improvement, mental health legislation, patient safety and professional development as well reducing restrictions across a NHS Trust. Joining specialised commissioning in April 2018, Salli has co-ordinated the national programme for reducing restrictions and is currently delivering across the national CAMHS improvement portfolio in addition to supporting regional improvement and quality initiatives with providers and commissioners.

North East and North Yorkshire Restraint Reduction Network 2019

Dr Kirstie Anderson

Consultant Neurologist and Sleep Specialist

Kirstie Anderson is a neurologist, honorary lecturer in Newcastle, president of the sleep medicine section of the Royal Society of Medicine and specialises in sleep disorders with a research interest into the role of sleep in mental health. She has developed the clinical content of Sleepstation - an online insomnia therapy, runs annual training days teaching CBT for insomnia and has published over 50 papers, book chapters and books. She thinks that psychiatrists and neurologists should talk more and that sleep is the perfect meeting place. https://flourishatnewcastlehospitals.co.uk/lets-sleep-well/

Dr Amanda Wild

Consultant Clinical Psychologist

Dr Amanda Wild is the recently appointed Clinical Director for TEWV inpatient CAMHS. She is a Consultant Clinical Psychologist and Approved Clinician. Amanda previously worked as the Responsible Clinician, Consultant and Lead Clinician for Bedale Psychiatric Intensive Care Unit at Roseberry Park Hospital, Middlesbrough. Amanda Chairs the National Advisory Group for Quality Network PICU, the accreditation body for psychiatric intensive care and she is committed to providing compassion focussed, high quality care, which encompasses the well-being of service users, carers and staff. Amanda has a lead role in Trauma Informed Care in Inpatient services. Amanda is vice chair of the North of England Approvals Panel for Yorkshire, having been a member of the Panel since gaining Approval in 2014. She values the opportunity to develop the approved clinician role for all eligible professions and is active at a Trust and national level in this regard. Amanda works with Trusts and professionals throughout the UK to develop the diversity of the mental health workforce.

North East and North Yorkshire Restraint Reduction Network 2019

Ron Weddle Deputy Director , Positive and Safe Care

Cumbria, Northumberland , Tyne AND Wear NHS Foundation Trust

Ron Weddle is currently leading NTW’s Positive and Safe Care programme, including Talk 1st the Trusts restraint reduction initiative. A Nurse by background, Ron has enjoyed working within mental health services for 34 years gaining extensive experience within various clinical and senior managerial roles across a range of settings. Ron worked for many years as a GSA trained PMVA tutor and senior tutor across a number of organisations and settings. Recently he has been involved in national initiatives to reduce restrictive interventions with the CQC and Royal College of Psychiatrists. Ron has a keen interest in developing patient centred, collaborative care and amplifying the voice of service users and carers in order to attain coproduction in all aspects of service development and provision. A lifelong affliction as a Newcastle United fan are among some of the interest he holds.

Stephen Davison - Lead Nurse – Positive and Safe Directorate of Nursing & Governance, TEWV NHS Foundation Trust

Stephen leads on TEWV’s programme to reduce the use of restrictive interventions, providing continued support to TEWV’s wards and community teams in the implementation of a range of interventions including Safe wards, Positive Behavior Support and debriefing following incidents, all aiming to reduce the use of restrictive intervention and improve the quality of life for those that TEWV support.

Stephen has worked for the NHS for 20 years across both Mental Health and Learning Disability Services. As a learning disabilities nurse he has specialised in behavioural intervention, specifically the use of positive behavior support and has since published work in the International Journal of Positive Behaviour Support. Stephen continues to strive in looking at innovative ways TEWV’s services can continue to evolve its Positive and Safe plan with a keen interest in looking at how physical environments and education can be used to provide alternatives to the use of restrictive intervention.

North East and North Yorkshire Restraint Reduction Network 2019

North East and North Yorkshire Restraint Reduction Network 2019

Workshops

North East and North Yorkshire Restraint Reduction Network 2019

Mitford Bungalows “Reversing Therapeutic Nihilism” The Application of Positive &Safe care in a national Autism Inpatient service.

Workshop synopsis It will be a case study which is a composite of patients in order to demonstrate achievements across an Autism Inpatient Treatment Pathway. Areas of good practice which we will discuss include: Ending of LTS

Improved quality of life

Increased community participation

The management of complex physical health problems

Improved and increased family life

An increase in patient’s skills management.

Speaker profiles Dr Gemma Evans- qualified as a Clinical Psychologist in 2013 and has worked within the

national referral Specialist Autism Service since 2014. She has a range of experience within statutory health and voluntary services with both children and adults with learning disabilities, and autism spectrum conditions. To include complex and challenging needs. She is trained in a variety of assessment tools to include ADOS and ADI-R and their application across the cognitive spectrum having spent time working in the adult ASD diagnostic service. Gemma was involved in a pilot study using Virtual Reality Environments to Augment Cognitive Behavioural Therapy for Fears and Phobias in Autistic Adults. She is currently one of the therapists in a research study with Newcastle University looking at Personalised Anxiety Treatment for Autistic Adults (PAT-A). Gemma has a specific interest in the implementation of Positive Behaviour support (PBS) within the specialist ASD inpatient service

Sophie Tyrrell and Heather Archer Heather Archer is an Assistant Psychologist working into the Autism Inpatient Service (Mitford and Mitford Bungalows), based at Northgate Hospital, Morpeth. Previous to this post, Heather had recently graduated from The University of Dundee in 2017 with an undergraduate degree in Psychology. Heather then went on to complete a Postgraduate degree in Developmental Psychopathology from Durham University and graduated from there in 2019. Sophie Tyrrell is an Assistant Psychologist working into the Autism Inpatient Service (Mitford and Mitford Bungalows), based at Northgate Hospital, Morpeth. Previous to this post, Sophie had recently graduated from Lancaster University in July 2018 with a degree in Psychology. Heather and Sophie both have aspirations to become Clinical Psychologists. Within the Autism Inpatient Service, Heather and Sophie contribute to implementing the Positive Behaviour Support pathway in which the service is built on through a variety of ways: undertaking assessments, formulation, one to one and group based sessions, data analysis and devising Positive Behaviour Support plans.

Helen Percival- qualified as a Registered Nurse in Learning Disabilities in 2002 and is a Nurse

Consultant in Autism Services. Helen is a Nurse Prescriber and is currently awaiting finalisation for Approval as Approved Clinician. Helen Percival has worked with adults with ASD for the last 20 years in a variety of settings

North East and North Yorkshire Restraint Reduction Network 2019

PICU Ferndene “The benefits of Positive Risk taking in a CYPS PICU”

Speaker profiles

Jamie Lee Obrien- has over 10 years’ experience working within CYPS service for over 10 years both in inpatient and community services. Melanie Craig- is an assistant practitioner who works within the PICU, she has worked within the trust for sometime, she has had experience of working on the Pool for some time given experience of a number of different areas

North East and North Yorkshire Restraint Reduction Network 2019

Beckfield PICU

Talk 1st in PICU setting

Workshop synopsis The positive and safe journey within PICU. Which will be presented by Joanne Linton, Ward Manager and Hayley Stevenson, Clinical Nurse Lead. The presentation focuses around the implementation of positive and safe strategies implemented on Beckfield under the NTW umbrella of Talk 1st, and how this aims to reduce the incidents of violence and aggression and restrictive interventions. We will discuss the Talk 1st principles, how these have been developed within the PICU and how they have influenced the quality of care and the service user experience, including softening of the environment and breaking down barriers. We will analyse the Talk 1st dashboard data to show how trends can be monitored and used to implement strategies at more high acuity times and how this can be broken down to individual service users to give more in depth knowledge into patterns of behaviour. The presentation will then move on to look at how we engage service users and their families to develop more collaborative and holistic approach to care planning and formulation. Finally we will look at reducing restrictive interventions within the PICU focussing in regard to restraint and seclusion and how this has created a safer environment for both staff and service users.

North East and North Yorkshire Restraint Reduction Network 2019

Marsden Data Analysis

Workshop synopsis

How data can inform and improve care for patients with focus on psychosocial intervention and reducing restrictive practice.

Speaker profiles

Mitchell Andrews is an RMN, qualifying in 2006. Significant part of past 13 years spent in older people’s services, and more specifically, units catering to those patients possessing behaviours that challenge. Mitchell has an interest in developing new methods to improve patient experience, with a focuson safety and progression. India Sharp clinical team lead at Marsden, has similar experience of organic dementia services, providing care and treatment for patients, with focus, particularly over past 12 months on reduction of all interventions which are at all restrictive. Much of our efforts have been in this field, with efforts more to rely on engagement, activity, interaction, those interventions which do not rely upon medication, or hands on control.

SALT MDT Northgate, Learning Disability Secure Care’

Workshop synopsis; Co-Production: One size does not fit all Speaker profiles Dr Ellen Green-Ellen Green is a Consultant Clinical Psychologist at Northgate hospital. Lizzie Breading – Lizzie is a Specialist Occupational Therapist working within the Kenneth Day Unit (KDU), the medium secure unit of the learning disability secure care service based at Northgate Hospital. Jo Brackley- Jo is a clinical lead Speech and Language Therapist in Secure Services working at Bamburgh and Northgate. She is also an Associate Director of AHP for central inpatient. Jo has worked with people with learning disability, mental health conditions, dementia, and developmental language disorder and is passionate about supporting people to lead within their care in a meaningful way. Jo, Lizzie and Ellen have both worked into the Medium Secure Service at Northgate Hospital for a number of years and are highly invested in promoting an MDT and outward-focused approach to patient care. Alongside other members of the MDT, they have been working on a number of initiatives to both fully involve patients in making decisions about their care and treatment and move away from tokenistic co-production to find more meaningful ways to co-produce services.

North East and North Yorkshire Restraint Reduction Network 2019

Bamburgh Clinic Reducing restrictive practice offender pathway working in collaboration

Workshop synopsis The workshop is focused around how we can minimise restrictive practice in a Medium Secure environment, working with male offenders who have been assessed as a high risk of violent offending which is clinically linked to their personality disorder traits. Working within this environment, Medium Secure restrictions and boundaries are necessary to ensure safety both operationally and relationally. The team however continuously work collaboratively with the patients, carers and the rest of the MDT to find ways to reduce unnecessary restrictions to ensure a therapeutic and enabling environment for both patients and staff.

Speaker profiles

Helen Goudie- Clinical Manager CNTW I have been with the organisation since 2003 and through this time worked within a number of in-patient settings. I currently work as a Clinical Manager within Secure care services supporting patients, carers and staff of the four wards within the Medium secure care in-patient mental health services based at St Nicholas’s hospital and Low Secure Mental Health at Northgate Hospital. As a Service we have co-produced and deliver Talk 1st presentations with Patients, Carers and staff to ensure together we embrace the Talk 1st initiative and drive this forward through working collaborative working. Rachael Aitken- qualified as a mental health nurse in 2008 and has worked for CNTW since qualification. Rachael has works in a variety of inpatient services including acute admissions, PICU, CYPS and currently Secure Care. Rachael is currently a Ward Manager on a Medium Secure Unit and has embraced bringing Talk 1st into this environment to enhance patient experience and ensure a safe and therapeutic community. Polly Hindle- Clinical Lead has worked for the CNTW since 2015 and has worked in a number of inpatient services. Polly has a worked in Secure Services for the past year and is passionate to get Patients, Carers and Staff involved in coming up with new ideas and ways of working using the of principles surrounding ‘star wards’ and ‘safe wards’

North East and North Yorkshire Restraint Reduction Network 2019

Longview Sleep well

Workshop Synopsis This workshop will provide an overview of the Sleep Well Pilot focusing on protected sleep time, changes to the environment and interventions to promote sleep. Participants will have the opportunity to discuss issues in and strategies for implementation and to hear the experiences of the Longview Team. Speaker Profiles Claire Goldsmith, Ward Manager and PMVA Tutor, Jennie Abbott, Senior Clinical Psychologist, Veronica Locatelli-Booth, Consultant Clinical Psychologist and Yvette Vallely, Lead Occupational Therapist and AHP Associate Director are all members of the Longview Ward Multi-Disciplinary Team. Longview is a 18 bedded female adult acute admissions ward providing a service to people with a range of acute mental health difficulties. We have worked together with the rest of the Longview Team to implement the Sleep Well Pilot on the ward

North East and North Yorkshire Restraint Reduction Network 2019

Castleside Communication and Interaction Training (CAIT)

Reducing restrictive interventions in Older People Services.

Speaker profiles

Kelly Myers- Kelly qualified as a mental health nurse in 2008 and has worked for NTW in acute admissions and PICU since qualification. Kelly is passionate about evidenced based practice and enhancing patient experience. Kelly has developed her skills in psychological therapies including CBT, DBT and Family Therapy which is used in current practice. Kelly is currently acting Clinical Nurse Manager in Older Peoples service and embraces Talk 1st on the wards. Since engagement with Safe Wards and Star Wards interventions there has been a change in the culture on the ward which has enhanced the experience of patients, carers and staff.

Laura Gibbons- Laura qualified as an Occupational Therapist in 2010 and has since worked in various locations around the Trust specialising in older people’s mental health, in particular behaviours that challenge in Dementia. In 2017 she gained an MSc in Practice Development graduating with commendation from Northumbria University. In 2016 Laura took up the role of developing and delivering the Communication and Interaction Training programme (CAIT) and has spent three years teaching CAIT to care homes in Sunderland and all of the organic inpatient wards in the Trust. This work has led to the publication of a book entitled ‘Communication Skills for Effective Dementia Care: A practical guide to Communication and Interaction Training (CAIT)’, co-written with Prof. Ian James. Laura has recently taken up a new post as Psychological Practitioner on Castleside Ward and is passionate about promoting the use of CAIT Strategies and non-pharmacological interventions in order to reduce stress and distress to our patients and carers.

Kristi Pearson- Kristi qualified as an occupational therapist in 2008 and has worked within older people’s mental health services for the last 8 years, within the community, but predominantly within the Older People’s inpatient wards within the central locality. Kristi is passionate about the value of non-pharmacological techniques and the Newcastle model formulation to meet the needs of people with dementia who present with behaviours that challenge which led to her interest in the Communication and Interaction Training (CAIT). Over the years, Kristi has supported with staff training and implementation of non-pharmacological and CAIT techniques onto the ward. Kristi is now the clinical lead occupational therapist for central inpatients, but is still keen to maintain clinical support into the wards as part of her role.

North East and North Yorkshire Restraint Reduction Network 2019

Dr Keith Reid

Mindfulness, Agency workers, Game Theory in Safewards Workshop synopsis Mindfulness, agency workers, Game Theory in Safe wards Speaker profiles Dr Keith Reid- is a Consultant Psychiatrist with background interests in neuroscience, mental health law and quantitative approaches to mental health. He works in a low secure unit and diversion, and is Associate Medical Director for Positive and Safe Care. He enjoys presentation and teaching and looks forward to a productive and collaborative session, where we will see how clinicians, patients and corporate/operational staff can understand how counting the right things fairly can make us all safer and happier. Any maths will be interesting and clearly explained.

Caroline Wills-

‘Communication – getting it right for the individual, family, staff, community, services and policy’

Caroline Wills- Caroline is a speech and language therapist and clinical development lead for autism and learning disabilities but has worked across a number of services and specialisms raising awareness of communication and supporting co-production. Caroline has worked closely with colleagues to understand the impact of health literacy and the impact that it has on all of us as patients, carers and staff. Caroline and Suzanne are leading on health literacy across the Trust Suzanne Wilson- Suzanne leads the library and knowledge service for Cumbria, Northumberland Tyne and Wear NHS Foundation Trust. Suzanne’s interests include health literacy, establishing book/reading groups for patients and staff, mobilising knowledge for service improvement and STEM Club (Sustainability and Transformation, Evidence Mobilisation), an informal network of NHS providers, commissioners and librarians in the North East.

North East and North Yorkshire Restraint Reduction Network 2019

Tees, Esk and Wear Valleys NHS Foundation Trust Workshops

Workshop 1 - Embedding the Principles and Values of STOMP

Workshop synopsis

Introducing STOMP to Learning Disabilities Services across Durham and Darlington , exploring he challenges and benefits to patients, Carers and Staff.

Speaker profiles

Andrew Kay - Andrew has worked as a Learning Disability nurse in the NHS for 20 years and currently works within the Specialist Learning Disability Team within Durham and Darlington Adult Learning Disability Directorate. He has experience working in a wide range of settings including inpatient and community settings. Andrew has completed a BSc (Hons) in Child and Adolescent Mental Health and a Post Graduate Diploma in Applied Behaviour Analysis. In 2017 Andrew completed his Non-Medical Prescribing training at Teesside University; he has a special interest in the NHS England’s Stopping the Over Medication of People with a Learning Disability (STOMP) healthcare pledge. Andrew has developed a STOMP steering group across TEWV NHS and is currently leading a project within Primary Care linking the values and principles of the STOMP pledge with current NICE guidelines, focusing on delivering alternative interventions to psychotropic medication. Lynne Stott - Lynne has worked as a Learning Disability Nurse in the NHS for 32 years. She is currently working within the Adult Learning disability Services covering County Durham and Darlington. She has a wide range of experience within both in-patient and community services. Lynne completed a Post Graduate Diploma in, ‘ CBT for Psychosis and Complex mental Health’. In 2017 she completed the Nurse Prescriber training at Teesside University. Lynne has a special interest in how the mental health needs of the learning disabled population are met and how the principles of NICE 54 (2016) The assessment and Intervention in people with a learning disability and mental health problem are embedded into Practice. Lynne has recently developed the service

North East and North Yorkshire Restraint Reduction Network 2019

Workshop 2 - Using Zonal Observations to Improve Patient Engagement

Workshop synopsis

Exploring the benefits of recently piloted Zonal observations in MHSOP services , consider the lessons learned and future applications of the approach. Speaker profile Jane Rogers- Jane Rogers is a Registered mental health nurse (RMN) who has worked within TEWV for the past 4 years. Jane is Ward Manager for Westerdale South, MHSOP (organic) and has been in this role for the past year. Prior to this, Jane has worked within Adult Mental Health. Jane is passionate about patient centred care and also service improvement, working towards improved outcomes for patients, carer’s and also the nursing workforce. Jane is currently a key member of the implementation of Zonal Model of Care on Westerdale South. Steph Hawes- Steph is a Specialist Occupational Therapist who has worked for TEWV in MHSOP inpatients for seven years. Steph has spent time working across the functional and organic inpatient wards and is an integral team member in assessing the patient’s level of need and supporting discharge. Steph is passionate about her work with older people and strives to ensure positive outcomes for the patients who she cares for. Steph has a particular interested in the PAC Approach (Positive Approach to Care) and the work of Teepa Snow. Steph is also implementing zonal observations and engagements on the organic ward and incorporating the PAC approach into this.

North East and North Yorkshire Restraint Reduction Network 2019

Workshop 3 - Developing a Competency Based PBS Programme for Staff

Workshop synopsis Developing competency based training in Positive Behaviour Support Speaker profiles Paul Flindall- Paul works for TEWV as an Associate Nurse Consultant (Positive Behavioural Support) within learning disability services. He joined the trust in 2017.

Paul has worked in learning disability services in the NHS since 1989. For many years he worked in the South West of England and was involved in founding the Avon & Wiltshire Positive Behavioural Support Network. He has worked in both inpatient and community services for people with learning disabilities and has an interest in the provision of intensive community support options for people with learning disability particularly as an alternative to the use of inpatient services. Over the last 12 months Paul has been working with Angela, Dave and another colleague (Steve Wilson) to develop a competency based programme of PBS training for TEWV staff. He believes strongly that delivering sustainable PBS for people with learning disabilities can lead to significant improvements in quality of life but only if there is a commitment from service providers and the staff they employ to engage in constructive changes in organisational and supporting behaviours. The development of this programme of PBS training is one of the ways in which TEWV’s learning disability services are attempting to do this.

Dave Norman- Dave is a Development Worker for Skills for People. Dave has worked in a wide range of settings, including supporting user involvement in council housing, working in the Disability Movement; work with the Deaf Community and since 2001 with people with learning disabilities.

He started work in 2004 on a user involvement contract with the TEWV Learning Disability Service, facilitating and developing a service user group. This involves a range of work, including supporting people to sit on decision making bodies, devising and delivering staff training, making films of people's stories and on issues that concern people, and getting feedback from people using the Service.

Angela Jones -Angela is an expert by experience and a founder member in 2004 of the TEWV LD Learning Disability Reference Group (the service user group).

Angela has a long history of involvement in self-advocacy groups, and is a key member of the Reference Group, sitting on key decision making bodies in the Service, delivering staff training, involvement in staff recruitment, and devising and developing new ideas and approaches.

North East and North Yorkshire Restraint Reduction Network 2019

Workshop 4 – CHIME & Quality of Life – In Tune Together

Workshop synopsis Exploration of Quality of life measures and its role in providing recovery based services Speaker profiles Steven Wilson- I qualified as a Learning Disability Nurse in 1995 and was naturally drawn to supporting people labelled as being ‘challenging’ because I could see and feel that the ‘support’ they received was not focussed around the person and was detrimental to their quality of life and wellbeing. Following many years of working from a person centred perspective and experiencing how beneficial this can be, I developed and enhanced my practice by gaining a BSc (First Class) in Positive Behavioural Support and I am currently working as a PBS practitioner in South Tees. Throughout my career, I have always been passionate about using the improvement of Quality of Life as a specific Intervention and not just as an outcome measure.

Workshop 5 - Preventative Strategies for Behaviours that Challenge in Older People with Dementia

Workshop synopsis An interactive workshop exploring effective strategies to support patients with Dementia who may display behaviour that challenge. Speaker profiles Laura Cattermole- Laura is a Mental Health Nurse who currently works as an Advanced Nurse Practitioner in the Intensive Community Liaison Service. She first qualified as an RMHN in 2010. Laura has worked in a variety of clinical settings in adult and older people’s services and has also worked in commissioning. In February 2019 Laura successfully gained an Advancing Non-Medical Prescribing qualification with Teesside University. Laura-Jayne is a Highly Specialist Clinical Psychologist currently working in the Intensive Community Liaison Service within Older People’s Services. She has held previous roles in Neurorehabilitation, with specialist interest in Neuropsychology and Mental Capacity Assessment. Laura-Jayne has wide-ranging experience working with individuals of all ages. Always recovery focused she is passionate about working creatively to reduce distress and promote psychological wellbeing for person’s with dementia

North East and North Yorkshire Restraint Reduction Network 2019

Workshop 6 - Recovery Framework & Team Development Tool – Supporting Frontline Services to Create Transformational Change

Workshop synopsis

Developing a new framework to support the delivery of recovery based front line services Speaker profiles

Kate Hughes- My background and experience is of working as an Occupational Therapist within AMH service. My current role within TEWV is the Project Manager for the Recovery project. The main focus of my role is leading the culture strand of the recovery and wellbeing strategy for the Trust. Within this there are several areas of work including SDM, Human Rights, Recovery and Wellbeing Framework, Policy Review. Very early in my career at the age of 21, I worked within a day service setting within individuals who had spent many years within the mental health system. My time working there and then within a CMHT raised questions and concerns for me about how much the system and approach I was working in supported or hindered the ability of the people I was working to thrive and reach their full potential. Since that time I have spent many years, working, reflecting and learning about how we can better support recovery and wellbeing. I believe strongly that future service delivery needs to harness both professional knowledge and experience but also the knowledge and experience associated with lived experience of mental health challenges. Within this I am really passionate about how we create safer spaces and working relationships between staff and service users, where both perspectives and challenges for each can be better understood and supported.

North East and North Yorkshire Restraint Reduction Network 2019

Workshop 7 - Applying the Principles of Trauma Informed Care to Working with Adults with Moderate to Severe Learning Disabilities

Workshop synopsis Exploring effective ways to provide trauma informed care and consider how its embedded within services that we provide. Speaker profiles Dr Stephen Ollis- Stephen is a Counselling Psychologist who was worked across different adult learning disability community and inpatient services for the last ten years within the TEWV organisation. His interest in psychological trauma developed from time working as a journalist and interviewing displaced people seeking sanctuary in the North East of England, prior to re-training as a Psychologist. Having gone on to work therapeutically with survivors of torture and complete training in Eye Movement Desensitisation Reprogramming therapy (EMDR), Stephen was appointed as clinical lead for the trusts Trauma Informed Care Programme, initially across all adult learning disability services in 2017. This work has involved travelling around the trust to provide staff training and supervision with a particular focus on exploring the culture of assessment, formulation and treatment approaches. More recently focussing on Iatrogenic harm and the impact of trauma on staff groups as well as how we can start to use the principles of Trauma Informed Care with our most vulnerable service users and the people that support them.

North East and North Yorkshire Restraint Reduction Network 2019

Workshop 8 - Supporting Patients Following the Use of Restrictive Intervention

Workshop synopsis

Exploring strategies to debriefing and supporting patients following incidents Speaker profiles Zoe Abbott - I am a mental health nurse who has been qualified for over 5 years. I have worked within Tees Esk and Wear Valleys NHS Foundation trust for that time. During that time I have worked within both Older persons and adult services mental health services both community and inpatient services. I started my role as a band 6 clinical lead nurse in 2016 working on the psychiatric intensive care unit and remain there to date. Since working on PICU I have been involved in reducing restrictive practice on the PICU leading to an enhanced experience for patients and staff. I have also been involved in the development and implementation of the PICU Rainbow Model of Integrated Care. April Lenihan- I am a mental health nurse who qualified in 2016, I briefly worked within CAMHS inpatient service before spending 18 months working within substance misuse services. I returned to TEWV in September 2017 as a staff nurse on PICU and was then appointed clinical lead in April 2018 and work alongside Zoe Abbott in implementing and reducing least restrictive practice.

Workshop 9 - CPA: Developing Collaborative Care Planning

Workshop synopsis Looking at ways to develop Collaborative Care Planning across services, considering its impact and potential benefits for service users. Speaker profiles Michael Cowan - Michael has worked in mental health and learning disability services since 1995, practicing primarily in the County Durham and Darlington areas. He is a Registered Nurse in Learning Disabilities (RNLD), and has worked in a range of community and inpatient services until 2017. At this point he was appointed the CPA Lead Officer, and is trying to take the CPA from an approach that is administratively heavy and lacking meaning to people using it, to an approach that has a ‘less is more’ approach to paperwork and an emphasis on meaningful relationships with the person and their community; the evidence suggests this is where personal recovery is found.

North East and North Yorkshire Restraint Reduction Network 2019

Workshop 10 - An Introduction to Mindfulness

Workshop synopsis An introduction to mindfulness strategies, considering its potential application in reducing the need for restrictive interventions. Speaker profiles Claire Reynolds- Claire has been a Learning Disabilities nurse for 23 years working in a variety of areas but predominantly behaviours that challenge. Claire has completed a BSc (Hons) Promoting Practice Effectiveness and MSc Applied Behaviour Analysis. She is a RCN Learning representative, is keen to learn new skills and pass these on to colleagues. Claire completed Mindfulness Based Cognitive Therapy teacher training in June 2018 and has delivered a few clinical courses and approximately 6 days of mindfulness as a co-facilitator. Claire is implementing mindfulness within her clinical practice for patients and staff alike.

North East and North Yorkshire Restraint Reduction Network 2019

www.cntw.nhs.uk

www.tewv.nhs.uk