Human Rights, Dilemmas & Solutions in Personality Disorder

Clinical Psychologist, trainer, & author of Working with relational & developmental trauma in children & adolescents, London

Clinical Psychologist, trainer, & author of Working with relational & developmental trauma in children & adolescents, London

Dr Karen Treisman is a Highly Specialist Clinical Psychologist who has worked in the National Health System and children’s services for several years. Karen has also worked cross-culturally in both Africa and Asia with groups ranging from former child soldiers to survivors of the Rwandan Genocide. Karen has extensive experience in the areas of trauma, parenting, adversity (ACE’s) and attachment, and works clinically using a range of therapeutic approaches with families, systems, and children in or on the edge of care, unaccompanied asylum-seeking young people, and adopted children. Karen also specialises in supporting organisations and systems to move towards being, and to sustain trauma-informed and trauma-responsive practice. This work focuses on creating a cultural and paradigm shift across whole systems.

In addition to holding a doctorate in Clinical psychology, Karen has undergone a range of specialist training courses including in EMDR, Narrative Therapy, Dyadic Developmental Psychotherapy, Video Interaction Guidance, Sensory Approaches, and Theraplay.

Karen has previously worked in both Milton Keynes’s and Kensington and Chelsea’s Looked after Children (LAC) and fostering services, and within the National Implementation Service for evidence-based interventions for Looked after children, children on the edge of care, and children in custody at the Michael Rutter Centre in the Maudsley Hospital; and as Clinical Lead for a court assessment and intensive intervention team for children on the edge of care and in proceedings in Islington.

Karen is an external consultant, trainer, speaker, and assessor to a variety of local authorities and organisations including Barnardos, PAC-UK, AdoptionPlus, BAAT, Pause, Grandparents Plus, Three Steps Ireland, MedicaCPD, and the Fostering Network. Karen is also an expert witness and regularly undergoes a variety of assessments for court. Additionally, Karen is also a reviewer for the Journal of Adoption and Fostering.

Karen regularly attends and presents at local, national, and international trauma, parenting, and attachment conferences (See the events tab on this website).
Karen is also a TEDx speaker on the power of relationships and viewing behaviour as communication (https://www.youtube.com/watch?v=PTsPdMqVwBg). Karen is the author of “Working with children and adolescents who have experienced relational and developmental trauma” (Routledge, 2016) http://amzn.to/2txQefC; and the best-selling book- “A Therapeutic Treasure Box for Working with Children and Adolescents with Developmental Trauma: Creative techniques and activities” http://amzn.to/2nOIPlZ); Karen is also the designer of “A Therapeutic Treasure Deck: Sentence-completion and Feelings Cards”. http://amzn.to/2sug6V0; and “A Therapeutic Treasure Deck: Grounding, Regulating, Coping, and Soothing Cards” (http://amzn.to/2taWYRp). Karen is also the designer of Neon the Ninja toy and workbook- https://www.youtube.com/watch?v=Q86WADrAF30; Gilly the Giraffe (Self-esteem & confidence), and 3 other children’s therapeutic storybooks with accompanying workbooks under the series of “A Therapeutic Treasure Collection”- Also available for pre-order from amazon.

Karen was awarded a Winston Churchill Fellowship Travel Award which involved visited several places in the USA to further study whole system and organisational approaches to trauma-informed and trauma-responsive care. https://www.wcmt.org.uk/users/karentreisman2018 Karen was also awarded the 2018 Psychology Professional of the Year Award for Excellence in Attachment and Trauma.

Trauma-informed organisational change based on ACES

Presentation Points

This presentation will provide attendees with a rationale for trauma-informed and trauma-responsive organisational change.

The presenter will draw on findings from her recent Winston Churchill Fellowship which saw her visit over 12 cities across America, and conduct over 100 meetings to research best practice in trauma-informed and trauma-responsive organisational change.

This presentation will briefly describe some of the key ingredients and components of trauma-informed and trauma-responsive organisational change; as well as some of the main implementation barriers and success factors

Consultant Psychiatrist, Oxford Health NHS

Steve Pearce worked in general medicine before training in Psychiatry. He now works as a consultant psychiatrist and medical psychotherapist in Oxfordshire and Buckinghamshire, UK, where he runs the Complex Needs Service, a specialist service for people with personality disorders and related conditions. He is a past editor of the International Journal of Therapeutic Communities and past President of the British and Irish Group for the Study of Personality Disorder. He chairs the specialised mental health clinical reference group for NHS England.

Consultant Psychiatrist in Psychotherapy, Outpatient Clinical Lead, Cassel Hospital Outreach Service, West London Mental Health NHS Trust

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Formerly: Consultant Psychiatrist and Clinical Director, Bethlem Royal Hospital

Trained in Psychiatry at Kings College Hospital and the Institute of Psychiatry. He worked as a Consultant Psychiatrist and Clinical Director at the South London and Maudsley NHS Foundation Trust and its predecessor organisations. He was Editor of the International Journal of Social Psychiatry from 1991-1999 and Chair of the Rehabilitation Faculty of the Royal College of Psychiatrists from 2005-2009. His research interests include mental health services research, psychiatric rehabilitation and recovery and psychiatric ethics. Now retired from the NHS he currently works as a Second Opinion Appointed Doctor for the Care Quality Commission and Medical Member of the First Tier Tribunal, Mental Health.

The Fall of Social Psychiatry and the Rise of Recovery

• The origins of Social Psychiatry
• Academic Social Psychiatry and its lasting impact
• The war of the paradigms
• Recovery – one word, many meanings

Service Lead, Camden and Islington NHS Foundation Trust Personality Disorder Service Dartmouth Park Unit, Highgate Mental Health Centre

Zoë Dent is the Service Lead for Personality Disorder Services in Camden & Islington. She qualified as a social Worker in 2002 when she moved into working within residential crisis services with a therapeutic focus as an alternative to hospital admission for women and has since held various positions in Community Mental Health Teams, also training as an Approved Mental Health Professional. Once the specialist provisions were proposed within Camden & Islington included a community team with an MDT approach Zoë made the decision to put herself forward as a founding member of the team and has subsequently moved through senior positions to become one of the few people across the country leading services for people who have been given a personality disorder diagnosis who has a social work background.
Zoë has a keen interest in the work of multi-disciplinary teams within this field and is currently planning a piece of service user lead research into the impact of specialist community mental health pathways on long term outcomes.

Social Work and leaning into the discomfort

• Social Work and leaning into the discomfort
• How we understand the needs of people with severe personality disorders in community mental health teams
• What has the Care Act got to do with it?
• Keeping Social Working at the heart of social work

Clinical and Forensic Psychologist, Adult Psychotherapist and Independent Consultant for Institute of Mental Health

Anna Motz is a psychoanalytic psychotherapist working with adults and adolescents, and also a consultant clinical and forensic psychologist with extensive experience of assessing and treating people who have long-standing difficulties with violence against themselves and others. Anna Motz is also the author of The Psychology of Female Violence: Crimes Against the Body (Routledge, 2008) editor of Managing Self Harm: Psychological Perspectives <./span>(Routledge, 2009) and Toxic Couples: The Psychology of Domestic Violence (Routledge, 2014.) and co-author of the forthcoming Invisible Trauma: Women, Difference and the Criminal Justice System (Routledge, 2019)

Consultant in General Adult and Rehabilitation Psychiatry, Springbank Ward Fulbourn Hospital

I am a consultant psychiatrist working at Springbank Ward, Fulbourn Hospital, in Cambridge. Springbank is a specialist unit looking after women with complex presentations and a diagnosis of personality disorder (PD). I have developed an interest in reducing restrictive practices, as a way of improving the working environment and the outcomes for our patients. I share the positive results we have achieved at events like this, in order to encourage people to move away from the default restrictive management approach to treat PD, which is generally unhelpful. I trained as a general adult and rehabilitation psychiatrist at Cambridgeshire and Peterborough NHS Foundation Trust. During my training, I carried out an MPhil in Psychiatric Research at the University of Cambridge. My medical training and foundation years were spent in London at Guy’s, King’s, and St Thomas’ School of Medicine and the Maudsley.

“Safer Care for Patients with a Personality Disorder: The Springbank Ward Experience”

Springbank ward is an NHS specialist unit for women with borderline personality disorder. High risk patients are referred to Springbank from different parts of the UK after services have not succeeded in treating them.

We have tried 2 different approaches to manage the risks posed by these women: a risk containment approach (2011 – 2015) and a positive-risk-taking approach with a recovery focus (2015 – 2019).

We will present data and outcome measures comparing these approaches. In addition, one of our patients will present their personal experience of receiving treatment under each.

We will discuss issues around the Mental Health Act and the Capacity Act that make the ‘risk containment approach’ the default approach across specialist units in the country, despite evidence of it being less effective than less restrictive approaches.

Consultant Psychiatrist & Head of Complex Needs Psychotherapy Essex Partnership University NHS Foundation Trust

Dr Hamideh Heydari Waite is a consultant psychiatrist, psychotherapist and anthropologist, and studied Human Sciences and Social Anthropology before training in medicine. After more than a decade of heading a specialist service working with people and families diagnosed as suffering with severe personality and emotional disturbance, she returned to anthropological modes of inquiry. Her current research focuses on relational, contextualised ways of thinking and working with people and families experiencing complex psycho-social adversities.

Beam Consultancy - Providing Illumination & Support

Keir is an Occupational Therapist and DBT therapist who has worked in mental health over the past 20 years. In the past 10 years he has worked in the field of 'personality disorder', working in and setting up a number of day therapeutic communities. Keir completed his MSc in Personality Disorder this year where his research focused on how teams were able to avoid the use of long term private hospitalisation. Keir set up Beam Consultancy in 2017 to help organisations work more effectively with this client group and cease the use of expensive OOA provision. Keir blogs at TheDiagnosisOfExclusion.wordpress.com and regularly contributes to the Mental Elf website.