Therapy Provided by Psychology Talks

What we do?

At Psychology Talks, we focus on working with a tailored psychological formulation to improve psychological functioning and well-being, working collaboratively with people across a diverse range of disciplines. We work with a wide range of mental health problems concerning life issues including bereavement, domestic violence, sexual abuse, attachment difficulties, anxiety, depression, trauma and relationship issues. We understand diagnosis and the medical context to mental health problems, and work with the individual’s unique subjective psychological experience to empower their recovery and alleviate distress.

Process

The diagram represents the psychologist’s working model for psychological input to be delivered in residential care. It keeps the young person at the centre of the process and then shows how each layer of support and oversight is applied. Therefore the Registered Manager and care team are the most influential layer in terms of care, supported by the psychologist with the service being overseen and monitored by the senior management. Finally, the model demonstrates how the clinical supervision and consultancy that the psychologist will provide relates to the wider service.

Key activities include:

  • Completing initial psychological assessments
  • Contributing to care / behaviour / risk assessment plans
  • Creating Therapeutic Plans with short, medium and long term goals
  • Psychological consultation with staff members and managers
  • Developing strategies and interventions to be used on a day-to-day basis
  • Direct therapeutic work with children and young people
  • Providing written records/evidence of support intervention and recommendations for quality management purposes
  • Attending LAC reviews and progression meetings
  • Workshop and training sessions
  • Support with life story work

Consultation

  • Consultation is the primary model of ongoing support to teams. Consultation is a formal process, theoretically underpinned and supported by a clear evidence base. It is fully compliant with NICE Guidelines and Regulations/Quality Standards for Children’s Homes.
  • Staff consultation is a way of working as part of a network which directly surrounds the young person explicitly for the benefit of the young person and the team.
  • It means that the psychologist will be directly involved in helping members of the staff team step back and reflect upon the myriad issues that they are dealing with.
  • This would usually include specific behavioural problems.

Topics for discussion with staff and managers may include:

  • Review of the young person’s progress.
  • Exploring key events to develop understanding of the young person’s current emotional and behavioural difficulties.
  • Linking the young person’s difficulties to their early life experiences and the impact on their development through childhood and adolescence.
  • Relationships / attachments between the young person, other young people and carers
  • Guidance regarding behaviour management strategies (e.g. using quality time together with the young person, positive reinforcement techniques, effective communication, implementing natural and logical consequences).
  • Risk assessment and management.
  • Building on the young person’s strengths and developing resilience.
  • Review of key work sessions and suggestions for areas to focus on.
  • Reflection on how staff are working as a team.
  • Preparation for Ofsted visits.
  • Supporting the young person in attending their education.
  • Supporting the young person in relation to family contacts.
  • A number of theoretical paradigms are drawn upon throughout this process to meet the degree of flexibility which is required to tailor the guidance to each specific situation, thus contributing to better service provision.

*Note: These areas are subject to agreement between the Local Authority and / or the service directors.

Screening and assessment

  • The psychologist is able to administer recognised psychological assessments according to the individual needs of the home and young person.
  • In addition, the psychologist is able to carry out a range of more in depth psychological assessments (e.g. mental health, emotional and behavioural difficulties, attachment, risk to self and others, intellectual functioning, readiness for independent living).
  • Information from the screening is used as a means to assess appropriate interventions that are catered to the individual needs of the young person and identify themes across various cohorts to inform training and strategy development.
  • The psychologist is experienced in providing reports for care proceedings, criminal and civil proceedings, contributing to pre-sentencing reports, funding panels, commissioning and tender processes, care planning and LAC reviews.

Therapy

  • The psychologist can also provide a range of individual psychological therapies, including Cognitive Behavioural Therapy, Psycho-analytic Therapy, and Person Centered, Solution-Focused Therapy, Motivational Interviewing and Narrative Therapy.
  • Areas in need of support may include trauma, abuse, anger, anxiety, depression, family difficulties, self-harm, low self-esteem, communication and social skills, substance misuse difficulties, although this list is not exhaustive.