Structured clinical management (SCM) is a unified approach to the treatment of people with personality disorder, which is within reach of general mental health professionals without extensive additional training. However, implementation can be fraught with difficulties, and clinical leads, managers, and practitioners can struggle to implement SCM across complex mental health systems. This book provides an easy to read, practical, and detailed guide on how mental health services can implement SCM in their current clinical pathways and how clinicians can transform their general techniques into a coherent interventional approach for people with personality disorder. Containing insights from clinical experts, researchers, service users, and practitioners of SCM from across the UK and Europe, each chapter outlines a core aspect of the SCM model and its delivery in clinical services. Detailed case studies demonstrate real-world applications of the SCM model, and details are provided about the involvement of carers and families, along with tips on enhancing clinical outcomes and increasing service user engagement. This book will be a valuable resource for qualified and in-training mental health professionals, including psychologists, nurses, occupational therapists, social workers, and psychiatrists. It is particularly relevant to those involved in delivering first-line treatments to people diagnosed with Borderline Personality Disorder and other personality difficulties. Table of Contents 1 :SCM Theoretical foundations and overview, Anthony Bateman 2: Assessment, diagnosis and formulation, Rachael Lester and Mark Sampson 3: The Clinical Stance and Individual SCM Sessions, Mark Sampson and Sharron Kayes 4: Crisis work and Safety Planning, Rebecca Bevington, Ashleigh McGuinness and Mark Sampson 5: Group SCM sessions, Stuart Mitchell 6: Models of SCM Implementation: UK, Mark Sampson, Chris Berry, Catriona Gray, Allyson Jerry 7: Models of SCM Implementation: Europe, Peder Bjorling, Niki Sundstrom and Helga Aalders 8: Team working, system and service interfaces in SCM, Stuart Mitchell and Julia Harrison 9: Prescribing in SCM: UK and Europe, Rajesh Nair, Peder Bjorling, Muhammad Abdul-Rahman and Gordon Turkington 10: SCM & Inpatient Care, Elaine Swift, Louise roper, Genevieve Quayle, Kathryn Strom and Jill Everett 11: Managing Transitions and Endings, Genevieve Quayle and Stuart Mitchell 12: Working with Families and Carers, John Chiocchi, Paula Slevin, Lisa Evans, Catriona Gray, Nicola Armstrong and Kerry Anderson 13: Adapting Structured Clinical Management for People with Intellectual Disabilities, Jill Everett, Mark Oliver and Katie Cummings 14: Adaptations of SCM: A SCM Case Management Service and Personality Disorder Link Worker Role, Simon Graham, Jon Robinson, Rachael Juma-Smith and Sharron Kayes 15: Adapting SCM for Complex Trauma and Dissociation, Stuart Mitchell and Kerry Anderson 16: Service user experiences of SCM, Rob Watts, Amy Maher, Lisa Weaving and Donna Potts 17: Practitioners’ Experiences of SCM, Sarah Hanmer, Donna Potts, Louise Macdonald, Rob Watts, Amy Maher, Isaac McCann, Darren Ellis, John Ludden, Karen Finch, Melanie Jones, Lisa Weaving and Kris Allam 18: SCM Supervision in the UK, Julia Harrison, Rob Watts, Genevieve Quayle, Sarah Hanmer, Darren Ellis, Rachael Line, Amy Maher and Louise Macdonald 19: Reflections, Synthesis and Future Directions, Stuart Mitchell, Mark Sampson and Anthony Bateman About the Editors:
Stuart Mitchell is an HCPC registered Consultant Clinical Psychologist and Trust Lead for Personality Disorder in the Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust. He is a trained Clinical Psychologist, Psychoanalytic Psychotherapist, EMDR, MBT and DBT therapist. He is an MBT skills trainer and accredited supervisor. He has, with his colleagues, developed and leads the Personality Difficulties and Complex Trauma Pathway and Strategic Clinical Network in his Trust, and supports a Trust-wide Personality Disorder Service. This team won Team of the Year in his Trust in 2018 and a National HSJ Award in 2018 for patient safety. He provides training, supervision and consultation to his Trust and around the UK on complex trauma, personality disorder and adapted care pathways. He is involved in national developments of practice guidelines for dissociation and complex trauma. Mark Sampson is Lead Psychologist and Lead Clinician in Personality Disorder and Psychology Lead for NWBH Foundation Trust. For the past 16 years he has specialized in working with people that meet the diagnosis of a personality disorder. He has been involved in Local and National policy development for personality disorder. National work includes working for NICE as a guideline development group member on the borderline personality disorder guideline 2006 to 2009. He has been chair/lead for the development and implementation of Northwest Borough's Personality Disorder Pathway and Greater Manchester Clinical Lead for their BPD strategy. The NWBH personality disorder pathway has had Local and National recognition and the service won a Positive Practice Award in 2019. He co-edited 'Personality Disorder and Community Mental Health Teams' (2006). He was a member of the NHS England Clinical Reference Group for Tier 4 personality disorder - representing Cheshire and Merseyside. Anthony Bateman developed mentalization based treatment with Peter Fonagy for borderline personality disorder and studied its effectiveness in research trials. An expert member of National Institute for Clinical Excellence (NICE) development group for treatment guidelines for Borderline Personality Disorder in UK and was Chair of the National Guideline Development Group for Eating Disorders. His NHS clinical services are recognised by the Department of Health as a national demonstration site for the treatment of personality disorder. He was President of the European Society for the Study of Personality Disorders (ESSPD) from 2012-2015. He received a senior scientist award from British and Irish group for the Study of Personality Disorder in 2012 and in 2015 the annual award for "Achievement in the Field of Severe Personality Disorders" from the BPDRC USA. He has authored 14 books and has over 150 peer reviewed research articles on personality disorder and the use of psychotherapy. Contributors: Helga Aalders Clinical Psychologist & Medical Director, Department of Personality Disorders, Altrecht, Netherlands Kristine Allam Community Practitioner, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle, United Kingdom Kerry Anderson Psychological Therapist, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle, United Kingdom Nicola Armstrong Patient & Carer Involvement Facilitator, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle, United Kingdom Anthony W Bateman Consultant to the Anna Freud Centre, London; Visiting Professor University College, London; Honorary Professor in Psychotherapy University of Copenhagen Christopher Berry Consultant Clinical Psychologist, Northamptonshire Healthcare NHS Foundation Trust, Northampton, United Kingdom Rebecca Bevington Assistant Psychologist, Mersey Care NHS Trust (formerly North West Boroughs NHS Foundation Trust), St Helens, United Kingdom Peder Björling Psychiatrist, Psychotherapist, Medical Director, The Program for Personality Program, Karolinska University Hospital, Huddinge, Sweden John Chiocchi Highly Specialist Peer Support Worker, Mersey Care NHS Trust (formerly North West Boroughs NHS Foundation Trust), Warrington, United Kingdom Katie Cummings Assistant Psychologist, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle-upon-Tyne, United Kingdom Darren Ellis Personality Disorder Link Worker, Mersey Care NHS Trust (formerly North West Boroughs NHS Foundation Trust), Warrington, United Kingdom Lisa Evans Psychological Therapist, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle, United Kingdom Jill Everett Consultant Clinical Psychologist, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle-upon-Tyne, United Kingdom Karen Finch SCM Practitioner, Mersey Care NHS Trust (formerly North West Boroughs NHS Foundation Trust), Knowsley, United Kingdom Simon Graham Consultant Medical Psychotherapist, Mersey Care NHS Trust, Liverpool, United Kingdom Catriona Gray Consultant Clinical Psychologist, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle-upon-Tyne, United Kingdom Sarah Hanmer Principal Clinical Psychologist, Greater Manchester Mental Health NHS Foundation Trust (formerly North West Boroughs NHS Foundation Trust), Wigan, United Kingdom Julia Harrison Senior Psychological Therapist, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle, United Kingdom Allyson Jerry Principal Clinical Psychologist, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle-upon-Tyne, United Kingdom Melanie Jones Clinical Lead Adult Mental Health Team Chester, Cheshire and Wirral Partnership, Chester, United Kingdom Rachael Juma-Smith Personality Disorder Link Worker & DBT Therapist, Greater Manchester Mental Health NHS Foundation Trust (formerly North West Boroughs NHS Foundation Trust), Wigan, United Kingdom Sharron Kayes Personality Disorder Link Worker, SCM Trainer, Mersey Care NHS Trust, (formerly North West Boroughs NHS Foundation Trust), St Helens, United Kingdom Rachael Lester Assistant Psychologist, Mersey Care NHS Trust, (formerly North West Boroughs NHS Foundation Trust), St Helens, United Kingdom Rachael Line Clinical Psychologist Mersey Care NHS Trust, Liverpool United Kingdom John Ludden SCM Practitioner, Mersey Care NHS Trust, (Formerly North West Boroughs NHS Foundation Trust), St Helens, United Kingdom Louise Macdonald Psychological Therapist, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle, United Kingdom Amy Maher Assistant Psychologist, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle-upon-Tyne, United Kingdom Isaac McCann Assistant Psychologist and Support Staff, Formerly North West Boroughs, now employed by My Life Charity, Wigan, United Kingdom. Ashleigh McGuinness Assistant Psychologist, Mersey Care NHS Foundation Trust, Southport, United Kingdom Stuart Mitchell Consultant Clinical Psychologist & Trust Lead for Personality Disorder, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle-upon-Tyne, United Kingdom Mark Oliver Consultant Clinical Psychologist, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle-upon-Tyne, United Kingdom Donna Potts Community Practitioner, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle, United Kingdom Genevieve Quayle Consultant Clinical Psychologist, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle-upon-Tyne, United Kingdom Nair Rajesh Consultant Psychiatrist & Associate Clinical Researcher, Northumberland, Cumbria, Tyne & Wear NHS Foundation Trust, Newcastle, United Kingdom Muhammad Abdul-Rahman Specialty Doctor, Sunderland, Cumbria, Tyne & Wear NHS Foundation Trust, Newcastle, United Kingdom Jon Robinson Personality Disorder Link Worker, Greater Manchester Mental Health NHS Foundation Trust (formerly North West Boroughs NHS Foundation Trust), Wigan, United Kingdom Louise Roper Principle and Consultant Clinical Psychologist, Mersey Care NHS Trust, (formerly North West Boroughs NHS Foundation Trust), Warrington, United Kingdom Mark Sampson Consultant Clinical Psychologist Mersey Care NHS Trust, (formerly North West Boroughs NHS Foundation Trust), St Helens, United Kingdom Paula Slevin Advanced Practitioner in Personality Disorder (Strategy Lead), Greater Manchester Mental Health NHS Foundation Trust (formerly North West Boroughs NHS Foundation Trust), Wigan, United Kingdom Kathryn Strom Pathway Manager, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle, United Kingdom Niki Sundström Clinical Psychologist, Psychotherapist, Director, The Programme for Personality Disorders. Karolinska University Hospital of Huddinge, Sweden Elaine Swift Consultant Counselling Psychologist, Greater Manchester Mental Health NHS Foundation Trust (formerly North West Boroughs NHS Foundation Trust), Wigan, United Kingdom Gordon Turkington Higher Research Assistant, Cumbria, Tyne & Wear NHS Foundation Trust, Newcastle, United Kingdom Robert Watts Senior Clinical Psychologist, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle-upon-Tyne, United Kingdom Lisa Weaving Systemic Psychotherapist, Mersey Care NHS Trust, (Formerly North West Boroughs NHS Foundation Trust), Halton, United Kingdom |