Oxford – Intensive Interaction Institute Regional Group Meeting 27th November 2008 St. Clement’s Family Centre, Cowley, Oxford OX4 1DA Present: Rosie Bailey, Kerry Ashmore, Heather Salter (all from Penhurst School, Action for Children Chipping Norton), Aija Hastings (Headington Day Services, Oxford), Judith Samuel & Jules McKim (Ridgeway Partnership:Oxfordshire Learning Disability NHS Trust) 1. Purpose of the group meetings We had a long discussion around what we felt we wanted from the regional group meetings. It was decided that we would arrange quarterly meetings, trying some different days to see if it suited some people better. We would aim to have a number of case study presentations at each meeting and also a discussion around a current “hot topic” – e.g. touch or consent issues. There would also be time for people to bring issues that they needed help or support with. It was also felt that the groups could provide a forum for accrediting Advanced Practitioners from different organisations. Making links with other organisations and providers will also be valuable in itself to share ideas and experiences. For example, when Cath Irvine was last in Oxfordshire, the facilitators developed an organisational audit tool that could be shared with other providers. Judith to check with Cath to reference this document. Lastly, it was decided that the local newsletter could be led by this group. Jules to check with Ridgeway Publications Department if it would still be appropriate for them to publish the newsletter. 2. Experiences from Penhurst As it was the first time that the adult service facilitators had met with those from Penhurst School it was useful to share practices across the organisations. Penhurst currently provide three levels of training to their staff: a basic, half day introduction course for all staff, an intermediate practitioner one day course and an advanced practitioner course involving case studies over a period of months. This is similar to that being delivered by Oxfordshire County Council and Ridgeway Partnership. Ridgeway are aiming for a one-day communication training for all staff that will include Intensive Interaction. Currently they are training the staff who particularly require Intensive Interaction skills for the people they support and supporting a number of Advanced Practitioners within each team. OCC are doing one-day training for all day service staff. Penhurst staff are written on the rota as being the lead for Intensive Interaction on each shift. When having the conversations they are using tabards printed with the Institute logo. In this way, other staff can see they are doing something different. The tabards can also be used as objects of reference. 3. Consent Judith is in the process of re-drafting the consent statement for the Oxfordshire Facilitators as a result of the Mental Capacity Act. Penhurst facilitators experience more issues from staff not wanting to be videoed than from families and carers. However, it is being written into people’s job descriptions that it is a necessary part of their role in supporting people. 4. Further training Aija Hastings and Liz Pond are to provide training for the Quality Monitoring Officers within the OCC. Jules McKim is planning training for the Commission for Social Care Inspectorate (CSCI). We talked about providing training for parents and how to tailor the day as a result. Judith mentioned that in her experience the principles of Intensive Interaction were often naturally present at home and in children’s services but then absent in adult services. 5. Case study Rosie talked about her experience having conversations with a student at Penhurst. She felt that although these sessions were beneficial, they were not fun for either person. He seemed to be experiencing some negative emotions and Rosie felt it was a form of counselling without words. The student’s anger would grow and peak, but there was often a smile at the end of the session. Rosie made the point that in some of our training material we emphasise that the Intensive Interaction experience should be fun. In this case, despite having obvious therapeutic benefits, the sessions were often not fun. Rosie also talked about the need to have an awareness that staff may need to debrief and offload after a difficult session. 6. Next meeting Thursday 5th March 1pm to 4pm at St. Clement’s Family Centre OX4 1DA Draft agenda: Update on actions from last meeting Matters arising from minutes New ideas Presentations – one each from Penhurst, County Council and Ridgeway New resources available Discussion topic – to be decided Jules to email Graham Firth to access a comprehensive contacts list.