Hi Helen
we have 2 womens units/wards in our division. One is a DBT unit and has been
established for approx. 5 years and is for women with BPD. The DBT approach
has been very successful with this group and they have now seen a number of
patients progressing well through to discharge.It is important to say that
the DBT approach is a huge committment for staff, patients and those funding
training of staff etc as it only seems to be effective if it is taken on as
a whole unit. Two of the OTs working on this unit are presenting a paper on
the OT role within DBT at this year's COT conference in Glasgow.
Our other unit is quite new for women with a range of diagnoses but mostly
personality disorders and uses a CBT model including the "RAID" approach
which focuses on strengths rather than problems and the early signs are
encouraging, and we are introducing "RAID" for other patient groups too.
This all sounds very general rather than OT specific but I think with this
patient group it is essential to have a clear framework for the MDT to work
within in op. policies etc.

Let me know if you need more information.
Best wishes
Nicky Smith

-----Original Message-----
From: Helen Justice [mailto:helenjustice@...]
Sent: 17 June 2003 20:04
To: forensic_occupational_therapy@...
Subject: [forensic_occupational_therapy] Working with self harm


I work in a medium secure unit with women who self-harm, who mainly have a
diagnosis of personality disorder. The clinical team who work on the DSH
ward are currently attempting to create a ward operational policy and are
therefore examining potential approaches which could be used as a broad
framework on the ward e.g. problem-solving approach, DBT, CAT,
psychoanalytic. I would be really interested to hear from anyone working
with women who self harm to share ideas on working with this client group,
particularly anyone working in units that use any of the above approaches to
hear if/how this has affected the way you work.
Thanks very much,
Helen


--
__________________________________________________________
Sign-up for your own FREE Personalized E-mail at Mail.com
http://www.mail.com/?sr=signup

CareerBuilder.com has over 400,000 jobs. Be smarter about your job search
http://corp.mail.com/careers


To unsubscribe from this group, send an email to:
forensic_occupational_therapy-unsubscribe@...



Your use of Yahoo! Groups is subject to
http://uk.docs.yahoo.com/info/terms.html



Disclaimer:
This email and any files transmitted with it are confidential
and it may be privileged. It is intended solely for the use
of the individual or entity to which it is addressed. If you
have received this in error, please contact the sender and
delete the material immediately.