Psychologically Informed Environment Principles in Adult Residential Care


Book Description

"As pressure grows on care managers and staff to work with ever more complex needs, this book is a timely account of how introducing the Psychologically Informed Environment (PIE) principles into a care home will improve work practice and outcomes for residents"--




Psychologically Informed Environments


Book Description

Psychologically Informed Environments outlines the problems inherent in working with marginal populations, (such as the homeless). The analysis considers the issue of masculinities, and how these are erased within current academic discourses. The key issue is around how emotional recovery is generated using therapeutic techniques based on praxis. It also explores how organisations can be reconfigured to initiate emotional recovery and so stop people moving around the perpetual treadmill. This needs to be undertaken by grounding the client in the present, working on past traumas, those which shape the current lifestyle, whilst thinking about a sustainable future to move into. This involves the therapist moving into the bath of steel the client inhabits. The book sets out to explore some of the problems arising from past interventions and situating a move to an emotional recovery, by rethinking current practices. It raises considerable questions around training, research and the style of the current set of interventions being undertaken. All should be appraised on whether they generate emotional recovery. This can be viewed by the use of case histories to depict the work undertaken and requires the use of phenomenological methods to detail the work.







Homeless Outreach & Housing First


Book Description

From the author of Homeless Narratives & Pretreatment Pathways Jay S. Levy brings us a new educationalresource entitled "Homeless Outreach & Housing First: LessonsLearned." This monograph features three written works onhomelessness inclusive of an article on moral, fiscal, andquality of life considerations, a new story entitled "Ronald'sNarrative: The Original Housing First," and an interview thatwas originally featured in "Recovering The Self: A Journal ofHope and Healing." These three documents provide a rich andfertile resource for learning, reflecting, and informing neededaction that promotes high quality outreach services andhousing stabilization for the most vulnerable among us.The Reader will... Learn about the positive measurable impact of a HousingFirst approach and its moral, fiscal, and quality of lifeimplications.Explore the relationship between Homeless Outreach andHousing First, as well as understand the five basic pretreatmentprinciples that can be applied to both.Learn how to utilize a Pretreatment Approach with individualsexperiencing major mental illness and addiction.Understand how to better integrate Housing First andHomeless Outreach initiatives with homelessness policy. Praise for Jay S. Levy "This is one of the best guides I have read about workingwith the underserved and homeless. I wonder why all citiesdon't put it into place? How we approach our homelesscan defi nitely make a diff erence. Sometimes it's not in thetechniques, but in the attitude of the case manager."--Carol S. Hoyer, PhD, for Reader Views Learn more at www.JaySLevy.comFrom Loving Healing Press www.LHPress.com




Implementing Psychologically Informed Environments and Trauma Informed Care


Book Description

This book gathers together the experiences of leaders across sectors, organisations and client groups to help readers introduce, develop, and maintain psychologically informed environments (PIE) and trauma informed care (TIC) within their workspaces. Featuring the voices of providers, commissioners, consultants, and trainers from the NHS, local authorities, and the voluntary sector, this unique text includes chapters on implementing PIE across a range of overlapping fields, including young people’s, homelessness, mental health, and women’s services. Each chapter describes the contributors’ experiences of which factors and processes enable or disable successful implementation of PIE/TIC; the unique challenges of leadership within this process; and how to understand the different dynamics at play in an organisation that determine effectiveness. With an emphasis on practical examples underpinned by theory, and recommendations drawn from the emergent themes, the book acts as an invitation for leaders to explore how they can influence the growth and evolving shape of PIE and trauma informed approaches across health and social care and support settings, and beyond. This book will be an invaluable resource for aspiring and new, as well as experienced, leaders who are interested in implementing and enabling PIE and TIC in their organisations.




Evaluation of a Dialogical Psychologically Informed Environment (PIE) Pilot


Book Description

ÿThe Fulfilling Lives Programme is seeking to help people with multiple and complex needs to better manage their lives, by ensuring that services, across Newcastle and Gateshead, are more tailored and better connected to each other. The focus of the programme is on those people who often spiral around the system(s), are excluded from the support they need and experience a combination of at least three of the following four problems; homelessness; re-offending; problematic substance misuse and mental ill health. During the early stages of the delivery of the Fulfilling Lives program a systemic problem was identified relating to clients with complex needs finding it difficult to access mainstream mental health services, with a number of reasons given such as alcohol and drug use as well as poor engagement with services. Despite many of these individuals having complex trauma histories and serious mental health problems they did not easily fit into the existing statutory mental health offer. However it was observed that Fulfilling Lives clients were accessing accommodation based and homelessness services and building relationships, and engaging, with the staff in these services. Fulfilling Lives reflected on these observations from the frontline of service delivery. As a response a literature review was conducted around meeting the psychological needs of homeless people. A growing community of practice was identified around an innovative approach to this longstanding and entrenched system failure. This new approach was called ?Psychologically Informed Environments (PIEs)?. Supported by three services from within the Fulfilling Lives core partnership (Mental Health Concern and Oasis Aquila Housing) a pilot was delivered looking to introduce three different services to the PIE model. This report seeks to answer what was the impact of the PIE pilot? and What are the implications for the wider multiple complex needs system? Drawing on interviews and focus groups conducted with staff and managers of all the participating services this report uses learning from the delivery and outcomes of the pilot to provide recommendations for embedding PIE in the wider system




Pretreatment In Action


Book Description

Jay Levy's Pretreatment In Action: Interactive Exploration from Homelessness to Housing Stabilization provides the reader with a wonderfully crafted, detailed step-by-step manual with real-world scenarios on how Pretreatment and the Stages of Engagement play out in the actual work. The vignettes are rich with descriptions that clearly come from a deep repertoire of experience working in the field that gives the reader confidence they are being guided by someone who has been in their shoes. The thoughtful questions and space to reflect add a helpful workbook touch to the feel of the text, and matches the grittiness of the material being covered. The reader will... ❇︎ Understand the 5 principles of a Pretreatment Model through their application to real-life scenarios that depict the world of homelessness, trauma and loss. ❇︎ Learn how to utilize Pretreatment Assessment and interventions to promote the engagement process and safety with highly vulnerable people. ❇︎ Effectively integrate the stages of Common Language Development with one's own practice of outreach and engagement with under-served persons. ❇︎ Experience through interactive exercises and reflecting on case illustrations the importance of facilitating the meaning making process with both staff and clients. ❇︎ Discover an innovative approach to staff supervision based on the integration of Pretreatment principles with Psychologically Informed Environments (PIE) and Open Dialogue approaches to helping "Pretreatment In Action by Jay S. Levy, MSW is a landmark accomplishment. For those who do street outreach and street medicine, Jay has provided a much-needed framework for navigating the largely undefined terrain of therapeutic relationships with those experiencing unsheltered homelessness." --Dr. Jim Withers- Medical Director and Founder of the Street Medicine Institute, Assistant Clinical Professor of Medicine, University of Pittsburgh "By using case studies and reflective exercises, Jay Levy has created a highly readable and accessible guide to working with people who are street homeless. Levy's enthusiasm for the work shines through on each page; he does not shy away from complexity, and the stories and situations he describes are as relevant in the UK as in his native USA.", --Dr. Jenny Drife- START Homeless Outreach Team, South London and Maudsley NHS Foundation Trust, Advisor to the Royal College of Psychiatrists on homelessness and mental health "Levy draws on respected approaches including Motivational Interviewing, Narrative Therapy and Solution Focused Therapy. He integrates these into a clearly articulated practical approach that will also work with other significantly disadvantaged people living with trauma and marginalization." --Rohena Duncombe, BA, BSW, MSWAP, Social work academic & researcher, Charles Sturt University, Australia Learn more at www.JaySLevy.com From Loving Healing Press www.LHPress.com




Pretreatment Guide for Homeless Outreach & Housing First


Book Description

This book provides social workers, outreach clinicians, case managers, and concerned community members with a pretreatment guide for assisting homeless couples, youth, and single adults. The inter-relationship between Homeless Outreach and Housing First is examined in detail to inform program development and hands on practice. "Pretreatment Guide for Homeless Outreach & Housing First" shares five detailed case studies from the field to elucidate effective ways of helping and to demonstrate how the most vulnerable among us can overcome trauma and homelessness. Readers will:ÿ ÿ * Expand their assessment skills and discover new interventions for helping people who have experienced long-term or chronic homelessness.ÿ ÿ *ÿUnderstand and be able to integrate the stages of common language construction with their own practice.ÿ ÿ *ÿLearn about the positive measurable impact of a Housing First approach and its moral, fiscal, and quality of life implications.ÿ ÿ *ÿUnderstand how to better integrate program policy and supervision with Homeless Outreach & Housing First initiatives.ÿ ÿ *ÿLearn how to utilize a Pretreatment Approach with couples, youth, and unaccompanied adults experiencing untreated major mental illness and addiction.ÿ "Jay S. Levy's book is essential reading to both people new to the movement to end homelessness and folks who have been in the trenches for many years. Learn how to do effective outreach with the chronic homeless population, and the ins and outs of the Housing First model. The personal stories and the success cases will give inspiration to work even harder to help both individuals and for ending homelessness in your community." Michael Stoops, Director of Community Organizing National Coalition for the Homeless, Washington, DC Learn more at www.JaySLevy.com Another empowering book from Loving Healing Press www.LovingHealing.com




Trauma-Informed Healthcare Approaches


Book Description

Interpersonal trauma is ubiquitous and its impact on health has long been understood. Recently, however, the critical importance of this issue has been magnified in the public eye. A burgeoning literature has demonstrated the impact of traumatic experiences on mental and physical health, and many potential interventions have been proposed. This volume serves as a detailed, practical guide to trauma-informed care. Chapters provide guidance to both healthcare providers and organizations on strategies for adopting, implementing and sustaining principles of trauma-informed care. The first section maps out the scope of the problem and defines specific types of interpersonal trauma. The authors then turn to discussion of adaptations to care for special populations, including sexual and gender minority persons, immigrants, male survivors and Veterans as these groups often require more nuanced approaches. Caring for trauma-exposed patients can place a strain on clinicians, and approaches for fostering resilience and promoting wellness among staff are presented next. Finally, the book covers concrete trauma-informed clinical strategies in adult and pediatric primary care, and women’s health/maternity care settings. Using a case-based approach, the expert authors provide real-world front line examples of the impact trauma-informed clinical approaches have on patients’ quality of life, sense of comfort, and trust. Case examples are discussed along with evidence based approaches that demonstrate improved health outcomes. Written by experts in the field, Trauma-Informed Healthcare Approaches is the definitive resource for improving quality care for patients who have experienced trauma.




Homelessness and the Built Environment


Book Description

Winner of the 2020 IDEC award Homelessness and the Built Environment provides a practical introduction to the effective physical design of homes and other facilities that assist unhoused persons in countries identified as middle- to high-income. It considers the supportive role that design can play for unhoused persons and other users and argues that the built environment is an equal partner alongside other therapies and programs for ending a person’s state of homelessness. By exploring issues, trends, and the unique potential of built environments, this book moves the needle of what is possible to assist people experiencing trauma. Examining important architectural and interior architectural design considerations in detail within emergency shelters, transitional shelters, permanent supportive housing, day centers, and multi-service complexes such as space planning choices, circulation and wayfinding, visibility, lighting, and materials and finishes, it provides readers with both curated conclusions from empirical knowledge and experienced designers’ perspectives. Homelessness and the Built Environment is an imperative and singular reference for interior designers, architects and building renovation sponsors, design researchers and students forging new discoveries, and policy makers who seek to assist communities affected by homelessness.