AimsandobjectivesforModule1MHARS
training
Aimsandobjectivesinboldareforallstaff.Otheraimsandobjectivesareforqualifiedstaff
only.
Aims
1Servicedevelopment
Tounderstandthenationalandlocalcontextforcrisisteams
Tounderstandtheprinciplesofcrisisteamworkinginamentalhealthsetting
Tounderstandtherationaleforcurrentlocalservicedevelopments
2Skillstraining
TounderstandtheGloucestershiresixdomainmodel
Tounderstandtheroleofpersoncentredandvaluesbasedpracticeincrisisresolution
work
Objectives
1Servicedevelopment
1.ToknowinoutlinethehistoricalreasonsforsettingupcrisisteamsintheUKandtobe
awareofkeypolicydocuments.
2.Tounderstandchangesinhealthpolicyoverthelasttenyearsastheyapplytocrisisteams
3.TohaveabasicunderstandingoftheevidenceforCrisisteamworkandtheimportanceof
modelfidelity,includinganunderstandingoftheCOREstudyandHTASstandards.To
understandthestrengthsandweaknessesofourteamslocallyasmeasuredbythesestandards.
4.Tobeawareofcriticismsofcrisisteamsfromtheserviceusermovement.
5.TounderstandthekeyaimsoftheCrisisCareConcordatandtounderstandhowtheseaims
willberealisedinGloucestershire.
6.TounderstandindetailthenewserviceconfigurationoftheMHARSserviceincluding
staffing,shiftpattern,locationandscopeofwork(includingliaisonworkovernight,
expansiontoU16s,S136work,facilitatedsignposting,themovetoWaterwells)
2Skillstraining
1TounderstandtheGloucestershiresixdomainmodelandtheimportanceofeachofthe
sixdomains.
2Tounderstandthecharacteristicsofgoodclientcentredpractice
3.Torecognisefailuresofempathyanditsconsequences(e.g.confrontational
approachestopatients)andtorecognisetheconditionswhenitoccurs(e.g.stress,
conflictingdemands,hostile/demandingpatients,personalproblemsimpingingon
work).
4.Toacknowledgethatoccaisionalfailureofempathyisanalmostinevitablepartof
practice.Tohavesomestrategiesforrecognisingandaddressingempathyfailurewhenit
occursinselforothersinordertominimiseitsfrequencyandmitigateitsimpact.
4.Tounderstandtheimportanceofpartnershipworkingwithpatients.
5.Tounderstandtheimportanceofacceptingpatients(anon-judgementalstance),
includingavoidingbothpositiveandnegativejudgments.
6.Tounderstandtheconceptof‘absoluteworth’ofapatient.
7.Tounderstandtheimportanceofpatientautonomy.
8.Tounderstandempathy,includingitsaffective,cognitiveandbehaviouralcomponents.
9.Tounderstandtheimportanceofcompassionandkindnessinpracticeandhowthis
relatestoempathy.
10.Toknowthebasicinterventionsofclientcentredcounsellingofopenquestions,
affirmations,reflectivelisteningandsummary(OARS).
11.Toknowsomeofthedifferenttypesofreflectivelisteningstatementsthatareavailableto
use.I
12.TobeabletodemonstrateOARSskills.
13.Tobeabletomakestatementsofautonomysupportininterviews.
14.Tobeabletoelicit,recogniseandworkwithpatientsstrengthsandvalues.
14.Tobeabletorecognisethe‘rightingreflex’inpracticeandtoexerciserestraintwhen
experiencingit.
15.Tounderstandambivalenceanditsimportanceinchange.