Tau-U analysis will be used to analyse changes in outcome variables between the four assessment time-points. You can also email The Samaritans though they may take up to 24 hours to reply to emails. 2 participants will be randomly allocated to a baseline of 4 weeks before commencing CONNECT intervention. This is important clinically given the pressures of services to meet demand for psychological interventions. Which patterns can you see? The WAI-SR is a self-report scale consisting of 12 items rated on a five-point likert scale. Why Should I Register and Submit Results? - CONNECT therapy will lead to increased perceived movement towards goals. Visual analysis is routinely used in SCED research and will be conducted according to established guidelines. Treatment motivation: Indicated that they consider voices and dissociation as a presenting difficulty, and that they would like to receive a psychological intervention specifically designed to address these difficulties. This study will be carried out during working hours in clinical rooms within the GPTS. The brand names, logos, images and texts are the property of these third parties and their respective owners. Counselling services are free and provided by the NHS. Email CV's and covering letter to : recruitment@glasgowpsychologicalservices.co.uk Our Team Meet our team. Changes in dissociation will also be measured using a session measure as used in previous studies (Varese et al., 2012). Please note, these videos are not designed to be used as a training resource and should not be shared with this purpose. Dissemination plans will be discussed with participants who will receive a summary of the results upon completion. If interested in taking part, a follow-up consent appointment will be made whereby the participant will sign the consent form and fill in screening questionnaires to ascertain whether the person is suitable for the study based on the below inclusion/exclusion criteria. Complex trauma often produces feelings of fear, sadness and despair that can be difficult to manage and control. Background. Glasgow Psychological Trauma Service. Our clinic in Central Glasgow has a wide client base spanning Scotland from areas such as Greater Glasgow, Renfrewshire, East Renfrewshire, North & South Lanarkshire, Ayrshire, Dunbartonshire and beyond. This should consist of no additional learning of strategies to target dissociation. CBT therapist with experience of working with clients with ADHD and ASD required to join our practice as a part-time associate. Equally, if therapeutic change is demonstrated across participants allocated to different baseline lengths, we can be confident that it is not the length of the baseline that is responsible for this effect. Should you wish to be referred to the service please discuss this with your GP or other services you are involved with. A free telephone and video counselling service for adults who experienced abuse in childhood. Brief Betrayal Trauma Survey (BBTS; Goldberg & Freyd, 2006) is a 14-item self-report measure of frequency of traumatic experiences with responses ranging from 'never', 'one or two times' or 'more than that'. This study utilises a randomized multiple baseline Single-Case Experimental Design (SCED) with assessment at four time points (baseline, start of intervention, end of intervention and follow-up). Positive Action in Housing Ltd 98 West George Street Glasgow G2 1PJ This phase is often called safety and stabilisation. Some cookies are essential for our site to function. (Smelling salts are particularly good when a person has such a severe flashback that they do not respond to others calling them. Art Psychotherapy provides a different way for people to communicate, understand and work with their trauma related difficulties. You can watch the videos as many times as you would like to. They will have previous work experience where relating to other people has been a central part of their role, have excellent communication skills, an understanding of the needs and difficulties of people with mental health problems and an ability to apply existing psychological knowledge to a mental health context. It works with people over the age of 16 affected by complex trauma, who are homeless or at risk of homelessness and have significant mental health difficulties associated with this history of trauma. I offer in-person sessions in Oban. Dr Morven Templeton Chartered Counselling Psychologist These staff members have a background in mental health and are trained in psychological therapies to help people understand and deal with their mental health. Therefore the brain tries to find ways to manage these feelings in the context of ongoing abuse and then when trying to process these experiences. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Support and advocacy service specialising in working with women from black and ethnic minority communities; . Following referral, there will be a team discussion to ensure the clients current needs meet our service criteria and that it appears the right time for the client to engage in assessment and potential intervention. If you are referred there today. People may also experience dissociation. We offer consultation slots which all staff working with people affected by complex trauma can book into to discuss complex cases or potential referrals. In the period following a traumatic event, it is normal to experience some symptoms of PTSD. The GCS gives healthcare providers a way to measure a person's functioning in three key areas: Ability to speak, such as whether the person speaks normally, speaks in a way that doesn't make sense, or cannot speak at all Ability to open eyes, including whether the person opens his or her eyes only when asked Ability to move, ranging from moving one's arms easily and on purpose to not . Afterwards engage in some enjoyable or comforting activities to help to keep you in the present moment and to change your focus and mood e.g. In NET, with guiding and directive help of the therapist, the person will be asked to talk about the trauma in the context of their whole life story in detail while re-experiencing the emotions, cognitions, bodily, behavioural, and sensory elements associated with traumatic events. If an individual requires more urgent input, please refer to the persons local CMHT/Crisis service, or Mental Health Assessment Unit if the person is not open to a mental health service, and requires an emergency mental health assessment. Flexible, toolbox approach including but not limited to grounding strategies using objects, therapy oils and naming objects in the room. To book a consultation slot, please call our office number and we will be happy to book you in. Work in partnership with others to give children, young people and parents/carers a voice. Below are some examples of Type 2 trauma: Complex trauma, another term for Type 2 traumas, can be defined as long-term, interpersonal abuse, occurring on multiple occasions and often beginning early in life (Herman, 1997). Voices will also be measured using a session measure as used in previous studies (Varese et al., 2012). This is a confidential telephone line where you can talk to someone about the things you are finding difficult. Attending appointments, practising new coping skills, studying or work, or navigating complex legal proceedings all benefit from getting these building blocks of health as strong as they can be. If we are sleeping badly, eating poorly, and staying inactive, it can mean we have much less energy and focus for doing the things that might help our recovery from trauma. Ability to work with children and teenagers essential. Traumatic events can impact upon people and their mental health in a wide range of ways. Previous case series of a similar nature have included between nine and ten participants however participants in these studies did not have as much outcome data as the current study. Phase three of treatment focuses on the person reclaiming their life, reconnecting with valued activities and their community, and looking forward to a life less dominated by trauma. The government website Clear Your Head has helpful tips for looking after yourself when you feel stressed. The WAI-SR has good reliability and validity with moderate correlation to clinical outcomes (r=0.24; Martin et al., 2000). If the trauma happens on multiple occasions, it is called Type 2 trauma, or complex trauma. For some people, the first phase of treatment may be sufficient to meet their needs, or may be all they are ready or able to do. Individual levels of dissociation and voices will be compared during baseline and intervention periods using visual analysis and Tau-U. We can take small steps to improve our mental well-being. You have reached the maximum number of saved studies (100). and our We promote a culture of inclusion across the organisation and are proud of the diverse workforce we have. Cookie Notice It involves bilateral stimulation using eye movements or tapping etc with talk therapy in a specific and structured format. Privacy Policy. The Clinical/Counselling Psychologists in this team have particular knowledge and experience of working with difficulties relating to complex trauma. The Trauma and Homelessness Team is a mental health team and the only one of it's kind in Scotland. CONNECT will adopt a 'toolbox' approach to learning strategies aimed to reduce dissociation and choice of strategies will therefore vary between participants, as this will be led by their individual preferences. GPTS also has no access to mental health dietetics and therefore cannot accept referrals with needs relating to eating difficulties. Answer the telephone, take messages if a staff member is out of the office, type letters and support the therapists to do their work. The field supervisor from the GPTS, Dr Kirsten Atherton, will be involved in this decision-making process and may also attend the appointment. Some people develop PTSD after a traumatic experience. Responses range from a scale of 0% to 100%. Safety and stabilisation can be delivered individually or in a group. Our specialist services can be accessed by referral from your GP or health insurance companies and you can also access our services privately by self-referral. She has extensive NHS-based experience of working therapeutically with survivors of human trafficking, torture, gender-based violence and other human rights abuses. Offer the opportunity to express and explore difficult feelings through the use of art materials and art making. Our service is open Monday to Friday 9am to 5pm and is closed on public holidays. At First Psychology Glasgow, we offer a range of therapies for clients who have experienced trauma and post-traumatic stress disorder (PTSD) including: Cognitive behaviour therapy (CBT) Eye movement desensitisation and reprocessing (EMDR) Counselling Psychotherapy What is the best therapy for trauma and PTSD? CPTSD includes PTSD symptoms (re-experiencing, avoidance/numbing and hyper arousal) and also additional features that reflect the impact that trauma can have on a person; specifically their view of self (e.g. Mae'r dudalen hon hefyd ar gael yn Gymraeg. This is a 5-item scale with questions on voice frequency, distress and control. Randomisation: Participants will be randomised to baseline periods of two, three or four weeks using a pre-determined simple randomisation method. has a disability - this can be a mental health condition. This study will use a randomized multiple baseline single-case experimental design, meaning that participants will be randomly allocated to a baseline of two, three or four weeks and then will begin eight weeks of Connection to Environment Cognitive Therapy (CONNECT). Glasgow Psychological Trauma Service is located in Festival Business Centre 150, Brand St, Glasgow G51 1DH. Aims and Hypotheses The aim of the current study is to investigate whether targeting dissociation through Connection to Environment Cognitive Therapy (CONNECT) is associated with improvements in distressing voices in people with a history of trauma. Read our, ClinicalTrials.gov Identifier: NCT04127526, Interventional Although it is provided in a group format, there is no requirement for people to disclose anything about their own experience of trauma. On Mondays, Wednesdays and Fridays there is a staff member available for consultation. This includes a 1 wte vacancy in the Glasgow Psychological Trauma Service. Glasgow Fcpsyservices aims to provide skilled and experienced registered psychologists to prepare reports for legal purposes. There are specific trauma services which support refugees based in Glasgow, such as Glasgow Psychological Trauma Service and specialist services for survivors of torture, such as Freedom From Torture. CPTSD is now recognised as a mental health problem in the ICD-11 (International Statistical Classification of Diseases and Related Health Problems (11th Revision). More. If it is a single, one-off, unexpected event, it is called a Type 1 trauma. Please note, our email address is also only monitored Monday to Friday 9am to 5pm. Together the person and the Art Psychotherapist will begin to understand and process emotions stemming from trauma. University of Glasgow We are looking for enthusiastic people who share our values (Kind, Passionate and Creative) to join our services accommodating and supporting people experiencing homelessness and empowering them to thrive. As CONNECT is a new therapy, individual case reports may also be written and published in an academic journal to look at the feasibility and applicability of this therapy in more depth. 2023 Glasgow Association for Mental Health. For a targeted intervention, like CONNECT, which is predicted to lead to change in voices, even after therapy has stopped, a multiple- baseline design is the most appropriate form of SCED. Glasgow Psychological Trauma Service Inverness Women's Aid Law Society Criminal Law Committee Law Society of Scotland Mental Welfare Commission for Scotland Miscarriages of Justice (Scotland) Moira Anderson Foundation NHS NHS Greater Glasgow and Clyde People Experiencing Trauma and Loss ( PETAL) Police Scotland Rape Crisis Scotland "Voices occurring at least once a day") on the frequency item of the Psychotic Symptom Rating Scale (PSYRATS). Phase two may also consider a persons identity and how the traumatic experiences have impacted this. Equipment will include participant information sheets, consent forms, paper copies of measures, paper, pens and a 'toolkit' consisting of various grounding objects e.g. or listen to the radio or TV. Karen is an experienced person-centred senior counsellor with a gentle and compassionate approach to her therapeutic practice. Once youre connected to an interpreter youll have a three way conversation with Breathing Space. GAMH is an independent charity registered in Scotland. We offer offices in the centre of Glasgow and the opportunity to generate a part time income with flexible hours. Ability to work with children and teenagers essential. The intervention will focus on learning strategies to manage dissociation. Glasgow Psychological Service is also accredited with the British Psychological Society to provide a probationary period for new entrants to the profession. Treatment plans are idiosyncratic and collaborative so it may be that people only need some not all of these aspects of work. It's a specialist service for victims of sexual violence, torture, street homelessness. Finding it hard to understand or manage emotions which can be overwhelming and frightening at times; Finding relationships difficult to manage and feeling that other people can be difficult, hurtful or dangerous; and. Provide the Trauma Counselling Line Scotland for anyone aged 16 or over living in Scotland, who has experienced abuse in their childhood and (any one of these): is from a minority ethnic community. It serves to investigate the proposed mechanism in a clinical population using a therapeutic intervention. Randomisation will be completed using a computer-generated sequence before recruitment begins. Deemed to have sufficient English to engage in therapy or have access to an appropriate interpreter within the GPTS. If someone you have referred requires immediate support with their mental health while on the assessment waitlist we would recommend you contact their GP and/or local CMHT. Follow-up at 1 month There will be one appointment one month after CONNECT to re-administer measures and gain qualitative feedback of participation in therapy. Things to Hear listen to noises around you (how many different noises can you hear?) GPTS is one of many services who provide mental health treatment for CPTSD. In addition, the persons needs are currently appropriate for treatment with psychological therapies, Domestic abuse, including coercive control, Childhood abuse (sexual, physical, emotional, neglect). Participants will be randomized to 3 baseline periods of two, three or four weeks. However, it is acknowledged that small sample size may result in limited generalizability to wider population. It may be that another service will be more suitable, or that it is simply not the best time for the individual to be starting trauma focused psychological therapy. Also, because individuals are compared against their own baseline scores, a smaller sample can be recruited and participants do not need to be matched by age, education or other variables to have a comparable control group, like in a RCT. This consists of one question about voices "how much have the voices been a problem today?" ACT is a type of cognitive behavioural therapy that creatively uses values and mindfulness skills to help reduce psychological suffering and to build a meaningful life. Anchor (Glasgow Psychological Trauma Service) Specialist mental health service working with survivors with a history of complex trauma, that has led to a complex PTSD diagnosis; Her training includes Neurofeedback, Deep Brain Reorienting, the Comprehensive Resource Model and EMDR. 27/02/2023; Search. Connection to Environment With Cognitive Therapy (CONNECT): Exploring Trauma, Voices and Dissociation Through Targeted Psychological Intervention. Be polite - give feedback in a constructive way. As a Support Worker, you'll work as part of a team in providing safe, secure, supported . This study has undergone ethical review from the West of Scotland Research Ethical Committee (REC) and received approval (REC Reference: 19/WS/0125). It is important that the smell is not associated with any traumatic or upsetting memories. A trauma can be an event or experience that is deeply distressing to someone. I offer individual counselling for adults and young people aged 14 and over, both in-person and online (via video link). Treatment may also be provided by trainee clinical/counselling psychologists under the supervision of a qualified psychologist. You can get more information from their website: http://www.nhsggc.org.uk/. CPTSD is more likely to develop after repeated experiences of trauma or if trauma happened early in life, because of the psychological impact of these trauma experiences. We offer flexibility of working hours as well as a steady stream of clients. It can also leave you feeling numb, disconnected, and unable . Consultant Clinical Psychologist/Professional Lead North East Sector on 0141 232 1200 or email Jacqueline.Smith@ggc.scot.nhs.uk, NHS Scotlandapplicant tracking system delivered and supported by Jobtrain. However, further research is needed to understand which ER interventions have the most impact . We also have a team administration staff who are here to help you. There are also a number of other services you can contact by telephone or email/online that can be helpful and are listed below. This will be a 'toolbox' approach and therefore led by participant preference. Please check the website in the future for any changes. Trauma can be described as resulting froman event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life threatening and that has lasting adverse effects on the individuals functioning and mental, physical, social, emotional, or spiritual well-being (SAMHSA, 2014). Making artwork can help people to become more aware of their thoughts and feelings. If this does not feel right for you right now we recommend that you make an appointment with your GP to discuss whats going on for you. The Glasgow Psychological Trauma Service has a range of different health professionals who work together to contribute their different skills and experience. The intervention will focus on learning strategies to manage dissociation. G21 PJ, Copyright Glasgow Psychological Services. Emerging empirical evidence has suggested that dissociation is a robust determinant of voice-hearing in psychosis, and that dissociation mediates the link between trauma and voices.
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