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he quality of their utcome measure

Negative descriptions of family are catego-

rised in SCORE under three dimensions: 1. Low on strengths and adaptability; e.g. “Tense, sharp, angry”, “I don’t get listened to”

2. Overwhelmed by diffi culties; e.g. “Struggling with wife’s depression”

3. Disrupted communication; e.g. Insecure, damaged, struggling to understand/ communicate. SCORE seeks to measure change on

the above dimensions. Peter put the case for SCORE to be seen as a measure of happiness. I seem to recall not long ago that David Cameron was musing about this very question, asking why it’s hard to quantify happiness in the UK. Maybe Peter, or our enterprising AFT press-offi cer, Jan Parker, could get the message to the PM that we now have the index he is looking for!

Your outcome measure needs you! Peter issued a plea to all of us in a position

to do so to send in more completed SCORE 15 forms so that the requisite numbers are reached as soon as possible. He is also actively looking for a catchier name for the measure than the current working title of SCORE: T e Index of Family Function and Change. Fame and fortune awaits anyone who comes up with something snappier! I have heard Peter present about SCORE

on a number of occasions, both at home and abroad over the last few years, in his inimitable laconic style. He’s needed all his fabled wit and good grace in umpteen forums and papers to persuade us recalcitrant research-averse family therapists that the prize would be worth the eff ort. T is time, I sensed there was more of a spring in his step as he held out the tantalising prospect that the validation of this easy-to-use, 15-item tool to measure clinical change is fi nally close at hand. T ere will be no more excuses about not being able to research as we treat an achievement not to be underestimated. T is is bound to fi rm up the evidence-base for systemic therapy. We owe him and the rest of the SCORE team a huge debt of gratitude for making this possible.

David Amias, consultant systemic psychotherapist, Tavistock Clinic, London

Context February 2012

Involving young people in the planning and running of a service

Presenter: Ian Lea, CAMHS Eating

Disorders Team, North Essex Why?

I attended this workshop about young

people’s participation in running an eating disorder clinic, which was fascinating, clear and informative. Ian suggested people often don’t know where to start with young people’s involvement and haven’t the time to do so. But we neglect to at our peril, as participation is not optional but now a requirement from NHS trusts and commissioners. What really interested me was that

research interviews with young people have shown participation was more useful than therapy and this was thought to be because participation in consultation to services was freed from the pressure of bringing about change in a way that therapy is not. Young people can feel empowered and acquire skills. Those involved enjoyed the idea of helping other young people.

Philosophy The shift is from people receiving

a service to contributing to how it is delivered, and this involves a power shift: not just in the therapeutic relationship but also in the set up of services. The Young Minds organisation of MIND is also putting participation into practice, nationally.

What might participation look like?

Involvement is a generic term – it may

mean diff erent things to each service and to each family or young person accessing it. It may mean giving information about services, diagnosis, self-help, and psycho- education, improving leafl ets, letters sent home, including photos of clinicians on fi rst appointment letters so staff s are recognisable. They organised monthly meetings for parents and young people’s feedback groups and designed a poster for the waiting room with a phone number requesting people ring and leave feedback about their experiences. Crucially, this


AFT National Conference workshop reports

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