brief psychosocial intervention -bpi an introductory workshop
TRANSCRIPT
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Brief Psychosocial Intervention -BPI An Introductory workshop
Toronto Cundill Centre June 2018
Raphael Kelvin & Ian M Goodyer
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Overview
• To introduce y0u to BPI in practice
• Open a discussion about BPI
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Why BPI?
• Ian discussed the origins of BPI in this
mornings presentation
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What is BPI?
Please note:
• The schematics that follow are for illustration
• They should be interpreted as guidance
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Structured Thinking –Structured Care
Social Context
Body-Mind
State of Mind Mental State
Child & Family Individual Differences Developmental Variations
Social Relationships
Quality Assurance Coherence Safety
Formulate Care
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Structured Thinking –Structured Care
Social Context
Body-Mind, biology
State of Mind Mental State
Child & Family Individual Differences Developmental Variations
Social Relationships
Quality Assurance Coherence Safety
Formulate Care
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How: the tools of BPI
• Effective Communication
• State of Mind expertise
• Problem Solving-Help
• Formulation
• Education
• Liaison
• Skills for health and wellbeing
• Supporting emotional
temperature
StructuredThinking–StructuredCare
SocialContext
Body-Mind
StateofMindMentalState
Child&FamilyIndividualDifferencesDevelopmentalVariations
Problem
Categoryor
Diagnosis-Problem
Solving
SocialRelationships
Collaboration-P
articipation
QualityAssuranceCoherenceSafety
FormulateCare
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BPI targets restitution
• Promoting and scaffolding innate healing
mechanisms.
• BPI support restitution of well-being.
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negative vicious cycles spiral downwards
Poor concentration
Breakdown in teacher relationship
Conflict at home about school
Joining disaffected peer group
Use of drugs and self devaluation
Functional de-compensation is a target for BPI
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dis-stressed
protective factors
thriving risk factors
negative vicious cycle
positive virtuous cycle
BPI intervenes to shift functioning toward wellbeing
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• Where do you intervene?
• Which component of decompensation is drawn to your attention?
• BPI formulation based care guides your planning
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risk & protective factors interact BPI intervenes to shift the balance away from risk and depression toward wellbeing
protective factors
precipitating & perpetuating risk factors
wellness depression
higher vulnerability tilts balance to illness
lower vulnerability tilts balance to wellness
wellness depression
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Slide Courtesy of Public Health England
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Risk factors in motion: Understanding
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Examples of other cycles
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Work Group Tasks
Consider,
• How BPI is similar to your current practice?
• In what ways BPI differs from your current practice?
• What would you need to make BPI your core baseline
intervention?