Solution Focused Approaches

We are currently getting excited about our plans to further develop Staffordshire's SF Community of Practice in 2009.

For a breif recap we have plans to develop more youtube videos, develop a CD-rom, produce leaflets, booklets and fylers, write more content to reach out into the daily lives of everyday people and very importantly, to develop the training potential of the SFA Commnuity.

We are currently planning the revamp of the look and feel of the SFA Community which will include a consistent brand and tone across the new medias as well as defining ourselves as the outcome focused, supportive, informative and developmental collective we are.

We plan to extend the interest groups throughout 2009 and hope to meet with people outside the health and social care fields.

So, look out for the signs of progress early 2009 starting with changes to the look of this site!

happy new year....

Carl

Solution Focused Brief Therapy and Stepped Care.
Steve Freeman, MA, RN, BN(Hons).
pca11@keele.ac.uk


The Café.


“You’re hungry and go into a cafe.
Manager; ‘How hungry are you?’ How long have you felt like this?’ ‘For how long has this been a preoccupation?’ ‘Were you hungry in the past?’ ‘How did hunger affect your family and childhood?’ ‘What are the advantages and disadvantages of hunger for you?’
You insist on some food.
The manager says that you must first complete a number of questionnaires about you, food and other things that the manager feels are important.
You are given food that you did not order but the manager insists that he knows what is best for you.
Fredrike Bannink, J Contemp Psychoter, 2007


Solution Focused Brief Therapy (SFBT) is an evidence based health and social care intervention. It has been incorporated into organisational development, team building, clinical supervision and management across the world. The UK is seen as a leading area of practice and Staffordshire has achieved (inter)national recognition as a centre of excellence.
See
http://www.ebta.nu/
 http://www.solutionfocusedapproaches.co.uk/
http://www.ukasfp.co.uk/


Stepped Care; most for least.



Most clinical efficacy and economic efficiency.
Least impact on people and use of secondary care.

AND

SFBT; ‘not one minute more than is necessary and not one minute less’ ‘dual expertise’ ‘skilling up’.

BOTH
Have links to single session therapy.

Wolstenholme et al 2006.

Stepped care in NW England.
“What is” vs. “What might be"
Services.
Nice guidelines.
GAP Work.
CSIP NW audit and review.
CSIP SW.

SFBT integrated into Stepped Care in Cornwall C2 Project.
Lancashire Care NHS.
“NICE Guidance Plus.”
SFBT integral to plan and practice.
Stepped Care, the USA and AHPs.

Know your roots!
Jennifer Russel and team. Galsgow.
Stepped Care, NICE, brief psychological interventions in a range of formats.

CMP, IAPT and SFBT.

Low intensity brief therapy as a starting point. Then on to ‘intensive’ work. MOST people leave at the low intensity stage where SFBT is a key factor. Anecdotal feedback from across the UK suggests that people are achieving their goals i.e. ‘getting better’.

What else……..
SFBT principles can be applied to all conversations. The move to SFA and SFP.

Questions?