Working Towards a new Philosophy of Care & Treatment.Arran Ward Female Service

Ayr Clinic.

12 bedded designated low secure female service : Ayr : Scotland

Adapting TC working to bring improvements to ward culture and working environment : Stage 1• Not a new philosophy

but restoring a therapeutic balance within the staff : patient working relationships

• Distress : Anger : Hope & Hopelessness are embedded in social relationships and improve or deteriorate within this context

Overarching ‘Cement’ :

Psychodynamic Reflective Practice Groups for all members of staff

Foundation Blocks of the Service :

• Patient Forum• Ward Activity Development

Group• Relationships Group• Patient Rep Roles• Arran Ward Program• Real Work Opportunities in

clinic

An average day on Arran Morning briefing meeting Rehabilitation v Recreation : striking the right balance Low intensity and open skills-based groups Higher intensity groups and 1:1 work Mindfulness, Relaxation, Social skills/communication group,

Managing Emotions

DBT skills group / Anger Management / Anxiety Management / Coping with mental illness / Drug & Alcohol / Community Living skills

Art Psychotherapy Group & 1:1 work Escorted Physical Wellbeing groups : Swimming / Cycling /

Bowls

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The Ayr Clinic, Partnerships in Care

Into the future !

• Stage 2 : Developing mentalising approach across all disciplines

• Stage 3 : Developing a small MBT psychotherapy team

• Stage 4 : Increasing access to non-verbal Psychotherapy inputs

Early outcome evaluations :

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All Pts

Core group

Over to our patient representatives: