DCP 2020 Annual Conference Slide
Provision of training events for Trust staff in an Adult Mental Health Trust on BAME service users with a diagnosis of psychosis and how PTMF may provide a frame to discuss the impact of discrimination and racism on development and maintenance of unusual experiences.
Conducted by Dr Anjula Gupta (Consultant Clinical psychologist) & Dr Gail Harrison (Principal Clinical Psychologist) from Leeds and York Partnership Foundation NHS Trust, these three training events were completed in 2018 and 2019 as part of the LYPFT Equality and Diversity forum which happened twice a year.
It is hoped that a social class/socio economic lens will be added to this workshop in the future.
The format was workshop style including slides, case study, exercise based on participant’s clinical experience and a role play of the PTMF between the facilitators to elicit personal stories. This has been the most powerful aspect of the workshop – people feeling connected to 'my story' but also seeing how the PTMF framework allowed that 'part of me' to emerge through a few questions from the framework.
- To understand some of the wider social, cultural and political contributions to distress as experienced by people in secondary care settings with a focus on ethnicity/race
- Introduce a framework that helps us to have these conversations with people
- To consider this in relation to your role, work context and people you might work with.
- Focus on unusual/unsharred experiences or people with a diagnosis of psychosis
We have plans to repeat the training with a session applying PTMF to mental health service users and other social inequalities like class and socio - economic status.
O’Toole, C. (2019). Time to teach the politics of mental health: Implications of the power threat meaning framework for teacher education. Clinical Psychology Forum, 313, 15-20.
Using PTMF to inform a module on wellbeing and mental health on a Masters in Education for teachers. PTMF offers more than trauma informed frameworks for schools, as it considers issues of power and equality.
Griffiths, H., & Baty, F. (2019) Bringing the outside in: Clinical psychology training in socially aware assessment formulation, intervention and service structure. Clinical Psychology Forum, 313, 20-25.
Using PTMF within Critical and Community Psychology Teaching for clinical psychologists.
Fyson, R., Morley, K., & Murphy, A. (2019) Using PTMF in Social Work Education. Clinical Psychology Forum, 313, 33-38.
This exploration of power in PTMF links to the core of Social work.
Included the PTMF when teaching mental health nursing students and in CMHTs in discussions of alternatives to psychiatric diagnosis.
As part of the MSc Creative Arts and Mental Health, the PTMF, both as a framework and as an evidence-based document has been used to teach about critical mental health science. Knowledge about the lack of validity of the current diagnostic system and the knowledge about the psychosocial determinants of mental health was highlighted. The 3 areas of Power, Threat and Meaning were taught as the three axis to understand mental illness. How the current diagnostic system, beyond the lack of validity, is very problematic is highlighted, for how it obscures the true causes of mental illness.
Within MSc Creative Arts and Mental Health, there is a theatre-studies module in which students approach theatre plays that refer to madness /mental illness and respond to the plays by creating their own piece of theatre on the subject of madness / mental illness. The PTMF is used in the teaching to highlight the importance of psychosocial factors and to invite students to use the dimensions of power, threat and meaning to analyse characters and aesthetic devices in the plays, and also to use these dimensions as part of their own creative process. Training in Mental Health nursing, using PTMF alongside CFT is also used in an experiential workshop on team formulation.