BIGSPD 16th Annual Conference LEEDS 4th – 6th MARCH 2015 AGENDA WEDNESDAY 4TH MARCH 12.15-13.15 REGISTRATION AND LUNCH Hilton Leeds City, Neville Street, LS1 4BX 13.15-13.30 Welcome by STEVE PEARCE – BIGSPD President – Brigante Suite 13.30-14.15 Opening Plenary: Personality Disorder from a Public Health Perspective Dr IAN CAMERON, Director of Public Health Leeds Brigante Suite WORKSHOPS 14.15-15.30 15.30 - 16.00 Workshop 1 – Brigante B Enys Delmage & David Kingsley Working with young people with emerging personality disorder Workshop 2 – Brigante C Julie Gosling & Caroline Fox Theatres of Trauma, Transcendence and Transformation Workshop 3 – Magnum Suite Glenys Parry & Sarah Littlejohn Not on Track – Using CAT principles to get unstuck working with personality disorder REFRESHMENTS Workshop 4 – Neville Suite Jo Ramsden & Alison Stansfield Autistic Spectrum and Personality Disorder: A Clinical dilemma requiring a creative solution Symposium – Brigante B The personality disorder pathway Chair: K Beckley 1. Developing a Schema Informed Workforce (K 16.00-17.30 Beckley) 2. On the path out of probation (F Nichols & K Wilks) 3. Evaluating the effectiveness of the pathway (F Nichols) 4. Does Gender Matter? A Thematic Analysis of Formulations (F Simeou) 17.30 – 18.15 18.15 – 18.45 18.45 – 19.30 19.30 – late Paper Session – Brigante C Chair: G Parry 1. Setting up a peer support group (A Mason et al.) 2. Enhancing carer skills through Training, Education & Support (J Chiocci et al.) 3. Service users’ experiences of barriers to skills training in DBT (K Barnicot et al.) 4. Playing the long game – can police adapt results based culture to support personality disorder recovery ? (P Jennings & U Khan). Paper Session - Magnum Chair: P Sen 1. Psychopathy in female offenders (S Cooper & A McKeown) 2. Female personality disordered offenders – risk, treatment and future directions (A McKeown & S McRory) 3. A systematic review of the heritability for specific psychopathic traits (S Dhanani & P Sen) 4. Setting up an NHS low secure service for women (S Mbofana et al.) BIGSPD Committee Meeting – Brigante Suite BIGSPD Annual General Meeting – Brigante Suite – all welcome Free time DINNER AT THE HILTON Symposium - Neville N-Gage London – shaping the future of forensic PD services through lived experience Convenor: C Spearing Chair: A Brown 1. Establishing N-Gage 2. Truths, Attitudes & Perceptions 3. Training to become integration workers and peer mentors 4. The N-Gage hub THURSDAY 5TH MARCH 9.0010.30 10.3011.00 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. Plenary lectures – Brigante Suite Title: VICKY GREEN The ABCs of Treating Personality Disorders Without Undue Reliance on 3 - Letter Acronyms Professor MICHAEL STONE, Columbia College of Physicians & Surgeons, U.S.A REFRESHMENTS AND POSTER SESSION – Brigante Suite & Foyer Please enjoy discussing the following posters with the authors: Emma Jones: “They’re really PD today” Kate Wyse: Effects of a dual motivational intervention on treatment engagement Diarmaid Ó Lonargáin: Service users’ experience of mentalization-based therapy Gary Souter: Is there a way to educate staff and inform practice by exploring the reasons men self-harm? Redmond O’Hanlon: Social baseline theory, neuroscience and emotional regulation in Jo Mullen: Wot R U Like? A Programme for Self-Awareness Matt Bruce: The effectiveness of Forensic DBT for high risk male offenders with personality disorder K Hasson: An artist is always in a state of becoming Zoe Dent: The Development of a Community Mental Health Team working with People with Personality Disorders Gary Lamph: The development of a feasible and acceptable psychological intervention for people with personality disorder traits in primary care IAPT services Lucy Kilmartin: Service outcome measures: assessing a new once-weekly programme for personality disordered patients. Paul Stankard: Dynamic Deconstructive Psychotherapy within the UK – Very Promising For Our Patients with BPD: Service Evaluation - An Inpatient Service for Women Presenting with Complex Presentations Karen Hastings and Renee Guows: The practical application of a Therapeutic Community to the rehabilitation of female offenders with complex personality disorder. Kate Saunders: Enhanced post-error slowing in borderline personality disorder compared to euthymic bipolar disorder and healthy controls Stephanie Petty: An environment of relationships with older adults Georgia Smith, Vanessa Jones, Rex Haigh, Natasha Berthollier: Embracing the community 17. Tony Lawson: Involvement in the Leeds Personality Disorder Clinical Network 18. Dr Miriam Brown, CT3 Psychiatry, New Craigs Hospital, Inverness ; Karin Howard, Team Co-ordinator Nurse Practitioner Service, Dr Gray’s Hospital, Elgin Dr Angus MacBeth, Lecturer in Clinical Psychology, University of Edinburgh: Diagnostic Reliability in individuals with a diagnosis of Borderline Personality Disorder, (BPD) in rural settings. 19. Lucy Morris: The Process of Change in Non-Residential Therapeutic Communities. 20. Joanna Milne: Sensory modulation and Personality Disorder 21. Trevor Flowers: To investigate a Probation Officer’s account of the impact psychological formulation has upon them and their case management of an offender likely to have a personality disorder. 22. Kimberley Keane: A profile of self-harm data collected for service users in care coordination within the Personality Disorder Managed Clinical Network 23. Dr Elena Touroni, Dr Sarah Sproson and Dr Emma Smith: Meeting the diverse therapeutic needs of people with personality disorder 11-12.30 Symposium – Brigante B the social integration of high risk personality disordered offenders Chair: P Minoudis The London Pathways Partnership’s work with three voluntary organisations to overcome barriers to social integration: 1. Sova Support Link (K Weaver) 2. First Step Trust (W Cox) 3. Women in Prison (D Thorogood). Paper Session – Brigante C Chair: K Lovell 1. Structured Clinical Management in an NHS Trust (M Sampson & E Hickey) 2. Meeting the challenge – making a difference, a practitioner guide (K Lovell) 3. Joining up health and social care to parents with personality disorder (M Tolfrey & W Bolton) Paper Session - Magnum Chair: S Prince 1. Twelve year outcomes of transient and persistent personality disorders (P Tyrer) 2. Quality of physical health monitoring in people with personality disorder- a cross sectional study (R Sanatinia) 3. Lifecourse persistent – the 1% of the UK population responsible for 50% of the violence (R Gonzalez) Symposium - Neville The PEPS trial Convener: M McMurran Chair: M Crawford 1. Psychoeducation with problem solving (PEPS) therapy for adults with personality disorder (M McMurran) 2. Economic evaluation of PEPS compared to usual care (P McCrone) 3. The Development of Procedures for Stopping a Trial Prematurely (F Day) 4. ??? (L Thana). 12.3013.30 13.3015.00 LUNCH AND POSTER SESSION Please take the opportunity to peruse the posters and ask the presenters questions, whilst enjoying your lunch Symposium – Brigante B The national Personality Disorder Knowledge & Understanding Framework (KUF) programme Chair: A Milligan 1. Intrduction (N Gordon) 2. Evaluation of the KUF BSc Programme (A Milligan) 3. Working with women and developing gender sensitivity in custodial settings (J Blazdell) 4. Listener training within two women’s prisons (C Mountain & D Smart) 5. Closed Supervision Centre Training (A Milligan) 15.0015.30 Paper Session – Brigante C Chair: P Tyrer 1. Distinguishing between adjustment disorder and depressive episode in clinical practice (A Doherty & P Casey) 2. Attachment theory and discharge from care in BPD (K Taylor) 3. The use of SILAS (Safe Intervention in Ligatures Assessment Score) (D Kingsley & L McKenna) 4. The prevalence of ICD-11 personality disorders in different settings (P Tyrer) Paper Session - Magnum Chair: M Crawford 1. Estimating the true prognosis in personality disorders – systematic review (S Zarate Escudero) Symposium – Neville The Role of Intervention Services within the Offender Personality Disorder Pathway Chair: N Smith 1. What do I care about and 2. A cost and Economic want from my life? The evaluation of the Leeds PD motivation and engagement Managed Clinical network (E programme (C Bull). Kane & N Reeder) 2. Where does it all end? The importance of 3. BPD and affective disorder consolidation work (C Bull) – an epidemiological study (R 3. Exploring women’s Gonzalez) experience of engaging with a mentoring service 4. A quality improvement whilst in custody (N Smith) clinical audit of the Journey 4. Enhancing Effectiveness; day service (A Hirons). the Interventions Integrity Framework ( V Nealon) REFRESHMENTS 15.3017.00 17.0018.00 19.00 Symposium – Brigante B Personality Disorder, no longer a diagnosis of exclusion – 2003 to 2015, where are we now? Chair: Oliver Dale 1. Introduction (O Dale) 2. Results of the 2015 National Personality Disorder Service Survey (O Dale). 3. Policy and Service Developments - Perspectives from the Department of Health (G Cross). 4. Has the service user voice been heard? – Perspectives from Emergence. (L Morgan). 5. The Department of Health’s Community Personality Disorder Programme 20032011 – What it did and didn’t achieve. (R Haigh). 6. Panel Discussion with the Audience. 6. Summation by the Chair Paper Session – Brigante C Chair: T Mullen 1. Expanding choice and flexibility with STEPPS – new adaptations for CAMHS and primary care. (R Harvey et al.) Paper Session – Magnum Chair: R Haigh 1. Facilitating endings and managing discharge in the Leeds PD Managed Clinical Network (K Keane). 2. Playing the snakes and ladders game in service user involvement (T Whyte). 2. The role of housing and resettlement within local and regional personality disorder 3. Double Paper (45 services (E Turner & D mins): Keogh) What motivates you to get 3. It’s been a while, how’s out of bed in the morning? life? Inviting former clients Overcoming the challenges of to reflect and commune. (M Personality Disorder and McFetridge & H Crooke) Learning Disability in a prison Therapeutic 4. The experience of recovery Community. in personality disorder. (A (S Lightbody & S Trout). Shepherd). Symposium – Neville Managing risk through psychologically informed probation practice Chair: J Ramsden 1. The impact of psychological contracting in a probation team working with offenders with Personality Disorder. (D Harvey & J Walkington) 2. Embedding psychological understanding into probation practice: initial findings (C Mapplebeck) 3. Using psychological formulation to ‘dance in synch’ with your probation service user. (K Mannix & S Bergin) 4. The Compass Project: Promoting effective transition from prison to the community (A Hirons & L Maltman) PLENARY LECTURE – Resolving Therapeutic Impasses - The Brigante Suite PROFESSOR JEREMY SAFRAN, The New School for Social Research, New York, U.S.A DRINKS AND GALA DINNER AT ASPIRE, 2 Infirmary Street Leeds LS1 2JP Friday 6th March Symposium - Brigante B An Oxford Cornucopia 9.3011.00 Chair: S Pearce 1. A sustainability study of Oxfordshire Complex Needs Service. (D Maughan) 2. Distinguishing bipolar disorder from borderline personality disorder: A study of current clinical practice. (K Saunders et al.) 3. Very brief mentalization based therapy for severe personality disorder. (G Ruscombe-King et al.) 4. Outcomes of a Family and Friends Programme for carers of those with severe personality disorder (S Sanders). Paper Session – Brigante C Chair: LP Chesterman 1. Bridging the gap – a selfevaluation by service users of a post therapy transitional group (H Jackson & C Hardwick) 2. Containment in the community (MB Young & Y Lasady) Short Symposium Adopting an Interpersonal Framework for Working with Personality Disordered Offenders-a Multi-Modal Approach Chair: LP Chesterman 1. Delivering an inpatient Clinical Service within an interpersonally derived Social Therapy framework: Implications and Challenges. (LP Chesterman et al.) 2. The Development and Implementation of bespoke Interpersonal Therapies for Personality Disordered Clients (SJ Renwick et al.) Paper Session – Magnum Chair: S Lad 1. Pathfinder service assertive case management (D Beales et al.) 2. Evaluating the Offender Personality Disorder Pathway (M Jarrett & P Moran Double Paper (45 mins) Emerging personality disorder in young adult prisoners Chair: S Lad Co-presenters: D Johnson, K Conlon, J Shaw, O Forster. The BIGSPD Oven Neville Tom Mullen & Expert Panel This is an opportunity for conference delegates to test and develop research ideas and “pitch” for supervisory support and input from leaders in the academic field. 11.00 – 11.30 11.30 – 12.00 REFRESHMENTS JUNIOR SCIENTIST AWARD and POSTER PRIZE SENIOR PRACTITIONER AWARD AND ADDRESS – Dr. NEIL GORDON Head of Doctoral Programmes and Masters Programme Lead for the National Personality Disorder Knowledge and Understanding Framework (KUF), University of Nottingham 12.00 – 12.45 SENIOR SCIENTIST AWARD and ADDRESS – PROFESSOR MIKE CRAWFORD Head of Centre, Centre for Mental Health, Imperial College London CLOSING REMARKS – STEVE PEARCE, BIGSPD President 12.45 onwards LUNCH TO GO….