Welcome to Harrison Training
We are pleased to welcome you to the Harrison Training website which we hope you will find easy to use and informative.
In a rapidly changing and fast developing world, there is a need to be responsive and adaptable. This is particularly true within the areas of health and social care provision, which are currently undergoing significant change.
The demands on healthcare workers, professionals, including Occupational Therapists, and teams in these sectors are increasing all the time, and include the need for them to be current and evidence based in their practice, flexible and creative, but also demonstrating adherence to standards of quality and excellence/
At Harrison Training, our overall objective is to provide the ‘stepping stones’ by which our clients, individuals or teams, can acquire and develop the skills needed to respond to these demands effectively, now and in the future. We are not interested in delivering quick and easily forgotten training courses. Instead, we work with our clients to provide high quality training which develops teams for the long term, helps with staff retention and improved service standards, and is built on adult learning principles as supported by the latest evidence. We do this by providing, either ‘in-service’, or organised events for individuals to attend:
- team development/training days
- clinical skills development pathways for modular learning
- individual courses
- advice or consultancy, e.g. service review and development
- mentoring or supervision
Our network of highly skilled and experienced Associates enables us to offer a wide range of services, and work with increasing numbers of clients (both public and private sector) in identifying appropriate resources to meet demands for service improvement and Continuous Professional Development (CPD). These include in areas of clinical practice, leadership, team development, professional skill development, goal-setting, and development of client and service outcomes.
In addition, all staff at Harrison Training are strongly committed to ensuring that skills and resources are also shared with those people and communities whose access to good quality health and social care is severely limited. As such, we are currently working with projects in Romania and Tanzania to equip and support local providers, and facilitate the development of services.
Occupational Therapy for the Rehabilitation of People with Neurological Upper Limb Disorders - Useful Reading
Anyone interested in the rehabilitation of people with neurological upper limb disorders may find the links below, to relevant reading, useful. This is particularly helpful if you are planning to come on one of Harrison Training courses to use as pre-course reading. It can also be used as a follow-up if you have recently attended this course.
Solutions to Health Behaviour Change and Soluion Focussed Brief Therapy - New Courses for 2014
Lifestyle behaviours are now regarded as the biggest threat to health and promoting healthy lifestyles is firmly at the centre of today’s public health policy landscape. In response, these new courses (1 & 2 day options) introduce health and social care professionals to the latest outcome-focused skills for improving individuals’ health behaviours.
Solution Focused skills are evidence-based and provide frontline practitioners with a remarkable opportunity to prevent avoidable disease by proactively, routinely and sensitively addressing patients unhealthy lifestyle choices. Official recommendation for Solution Focused skills: • North Yorkshire and the Humber, 2011. Prevention and Lifestyle Behaviour Change: A Competency Framework. 2nd edition.
These new courses, offered by Harrison Training have been developed by a trainer who’s clinical experience includes setting up and running an outpatient service for medically compromised adults with obesity and a service enhancing self-management of long-term conditions in general practice. Our trainer has extensive experience of supporting multi-disciplinary practitioners in moving from problem-focused to Solution Focused practice.
These courses introduce motivational strategies that are vital for all practitioners working in primary, community, home-based care, hospital services and across all patient and condition groups. They can be utilised within planned face-to-face consultations, groups and telephone-based care.
“I will integrate it into all my sessions.” Occupational Therapist
“It’s totally changing the way we talk to patients.” Physiotherapist
“Brilliant. I loved it.” General Practitioner
“The most useful training I have done in 15 years.” School Nurse
Look out for course dates on the website. Follow the links for a Course Outline (Application Form will be available once a date is confirmed), or contact Harrison Training on 01225 309333 if you are interested in discussing further.Further Information MH10
Further Information PP14
An Introduction to Coaching and Mentoring in Long-term Conditions NEW COURSE look out for new date Summer 2014
This exciting new course offers any health and social care professionals working with clients with long-term conditions an opportunity to evaluate their current practice and discover how coaching and mentoring can enhance their skills in achieving client-centred outcomes.
Coaching and mentoring approaches aim to empower people to see the options they have in their lives and take small steps towards a happier, sustainable future. It embraces the idea of enabling people to make choices about their independence and crafting a life that works for them. In health and social care settings coaching and mentoring supports people to co-create health/well-being, find joy and build resilience rather than just managing ill-health or depression.
Focusing on health behaviour change, this course will introduce theoretical and practical ways to incorporate coaching and mentoring approaches into your practice.
There will be an opportunity to both identify and try out new and different skills as well as sharing resources.This course is being run in the autumn 2013, in Bath. Please watch for details on the website. Follow the link for a Course Outline (Application Form will be available once the date is confirmed), or contact Harrison Training on 01225 309333 if you are interested in reserving a place. Further Information PP13
Coaching in Health and Social Care - New Courses proposed
Occupational Therapy Coach, Jen Gash, proposes Coaching as a means of empowering people to manage their condition and change lifestyles.
Health and social care services have been trying to empower patients to manage their conditions and support them to change their lifestyles for many years. Many people still remember early Health Promotion tactics based on scaring people to make change and telling them what to do. This approach led to limited success and it has only been in the last 20 years or so that we have begun to see what really helps to support people to change.
The concept of Life Coaching has received much media coverage in recent years; raising awareness, intrigue and questions about its benefits. Books and journal articles about this relatively new subject have also increased. As a result Coaching has started to be used in a variety of health and social care settings including; mental health, recovery, vocational settings, condition management to name a few.
However, we not just talking about stopping smoking or getting more exercise here. Coaching aims to do more than that including; making good choices about career pathways, enabling people to return to, or stay in, work, empowering them to see the options they have in their lives and take small steps towards a happier, sustainable future. It embraces the idea of enabling people to make choices about their independence and crafting a life that works for them. In health and social care settings Coaching supports people to co-create health/well-being, find joy and build resilience rather than just managing ill-health or depression.
Coaching provides health and social care professionals not only with a “tool” to use with their clients, but a whole new way of being with their patients, clients and service users.
I am often told “but I do this anyway!” and I thought this too until I attended my first coach training day. When I witnessed a coaching in action, I saw something very different: curiosity was used to evoke broader thinking; deep listening helped create resonance and change; I saw how ways forward seemed to appear without struggle. I certainly started to take a lot more notice.
For further information, literature and research about coaching in health, wellbeing and social care, check out “An Annotated Bibliography of Life Coaching and Health Research” by Morrow, Irwin, Gorczynski and Newnham-Kanas by clicking the link below.Further Information on coaching in health and social care
Harrison Training is running an Introductory day on coaching and mentoring for professionals working with clients with long-term conditions in June 2013. You will find information about this course by clicking the link below. It is envisaged that further courses on “Coaching Skills for Health and Social Care Professionals” will be delivered later in the year. In the meantime contact Harrison Training if you are interested in finding out more. Further Information PP13
Constraint Induced Movement Therapy (CIMT) Frontline Article
‘Enormous benefit’ of therapy overlooked.
An innovative and evidence-based treatment for stroke is being underused, says a physio who has developed a training course in the technique.
Constraint Induced Movement Therapy is recommended in the National Clinical Guidelines for Stroke, says Annie Meharg,Physiotherapist, who has 20 years’ NHS experience in neurological rehab units at hospitals such as Homerton and the Royal Free in London.
But physios don’t feel confident about using this challenging treatment, says Annie Meharg, who developed the one-day course with colleague Jill Kings, an occupational therapist.
Aimed at highly motivated patients after hemiplegia, CIMT involves restraining the unaffected arm while giving intensive task practice to promote use of the affected arm.
‘We’re giving people a task on the border between possible and impossible,’ says Annie Meharg. ‘That’s challenging for physios too. But it has the potential to be of enormous benefit for some patients.’
The Association of Chartered Physiotherapists Interested in Neurology says CIMT is an ‘emerging tool’ that is well researched for treating certain stroke patients.
Reference: Frontline Magazine, 21 July 2010, authors Annie Meharg and Jill Kings (Frontline author: Joy Ogden)
For more information about CIMT courses and when they are running please follow the link for an Application Form, or contact Harrison Training if you are interested in reserving a place.
Life stories and Stories of Recovery – Two New Courses
In response to the continued growth of the concept of ‘Recovery’ as a guiding principle for mental health services many Mental Health Trusts need to find ways to implement this agenda.
The ‘Recovery’ approach to mental health has been described as “...the process of building a meaningful life as defined by the person with a mental health problem themselves.” (Rethink Mental Illness 2011). The four key components of this process: Finding and maintaining hope, re-establishment of a positive identity, finding meaning in life and taking responsibility for one’s life contribute to both clinical and personal recovery. While the focus of clinical recovery is on eliminating symptoms and restoring social functioning, personal recovery focuses on building a meaningful life as defined by the individual.
Use of writing and other creative media to enable clients to explore, reflect on and share their personal stories is one way of making a valid contribution to this return to a meaningful life. Specifically, recovery story work provides a range of potential benefits to clients, helping them to reflect on and make sense of traumatic and difficult periods of their lives, offering validation of their personal narratives and the opportunity to gain new perspectives.
Two new courses, offered by Harrison Training aim to enable therapists to implement these interventions into their team. The courses have been designed by a trainer who manages the first UK Recovery College, has extensive experience of using writing as a personal development and therapeutic tool and has developed a range of therapeutic writing groups and programmes.
The Life Stories and Stories of Recovery course (MH8) introduces a range of techniques and exercises to enable clients to develop their recovery and life stories, explores the potential benefits and provides opportunities to practice via experiential activities. Grading and adapting interventions and sharing stories are a key part of this.
The Training Trainers – Life Stories and Stories of Recovery course (MH9) enables practitioners to take life story work further by exploring recovery story work as a complex intervention and equiping them with the skills to deliver a Life Story course or group in their area. The course highlights the current context for delivering groups that support Recovery principles, and considers implications for practice. A framework for planning, implementing and evaluating outcomes of a Life story course will be provided and tools for presentation and delivery of training will be explored.Further Information MH8
Further Information MH9
To what extent is there a need for standardised, accredited or certified professional pathway for case managers in the UK?
Harrison Training were pleased to be commissioned by the Case Management Society of the UK (CMSUK) to investigate and report on the above question.
To find out more and to read a full Project Brief please connect to the CMSUK website by following the link below.
Below is a brief summary:
Whilst there are several organisations, (E.g. CMSUK, British Association of Brain Injury Case Managers (BABICM), Vocational Rehabilitation Association (VRA)) supporting the professional practice and development of case managers, case management is not a recognised professional title in the UK and there is currently no formal professional pathway. Further, without the underpinning of a specific educational framework that may lead one towards the role of a case manager, there appeared to be no consistent mechanism for determining and measuring a case manager’s ability to take on this role and meet standards of practice. Key stakeholders who were providers and commissioners of case management services were surveyed through an online questionnaire and a focus group. The results indicate a strong preference for such a professional pathway among respondents to the investigation. However the detailed components and content of a pathway need further clarification to consider the most appropriate model for implementation and to address issues about partnership working, registration and professional qualification. CMSUK are currently discussing the implications for future practice and considering the next steps in implementation of the project results.
Harrison Training is available for similar projects and will deliver according to brief, within agreed time and financial limits, and to the highest standard.Further Information
CPD Portfolio Online Tool
At last! – Harrison Training take the Pain out of CPD...
Harrison Training have developed a long-awaited, easy to use continuing professional development (CPD) tool that really does make it easier to create and maintain a Health Care Professionals’ legally required CPD Portfolio. CPDonLine (CPDoL) can be easily accessed from the Harrison Training website and provides an interactive, online portfolio system in which to organise and record CPD evidence. The facility provides comprehensive and up to date descriptions of CPD terms and requirements; easy to follow guidance as to how to write and maintain your portfolio; and useful links to a wide range of CPD resources.
For me, this beats any of the current CPD tools available to Occupational Therapists because it is electronic and this offers a number of attractive features. My office space is small with very limited space for filing documents and files. With CPDoL, I no longer need to transport and store paper documents and heavy lever arch files - I can upload certificates and written notes, store them electronically, and then dispose of the paper as necessary. I have the option to request electronic versions of course notes and certificates for the future to upload direct into CPDoL. I can now dip into my CPD Portfolio from a number of different interface terminals, including my iphone which offers me the opportunity to update quickly after a CPD event from home, office, or train! Finally, CPDoL is visually attractive and fun to use and this is very motivating. Whereas in the past I have worried about being behind with organising my CPD documentation and slow to get on with it, I now feel confident that I will be able to keep my portfolio interesting, accurate and up to date.
Clinical Specialist OT (Older People)
I do not think I am alone when I say that I have attempted, struggled and failed on numerous occasions to find a way of recording and maintaining my CPD activities. However, the CPD online tool has finally provided me with a method of achieving what I once thought was an onerous task. What I like about the tool is that I can access it wherever I am (at work or at home) without having to carry around a huge paper file. The sections provide a step-by-step approach to recording, maintaining and evidencing CPD activities in a reflective and meaningful way. The explanation drop boxes are really helpful as they walk you through what you need to be recording. Not only does the tool provide you with opportunity to record present CPD activities it provides advice on how to develop and plan for your future CPD, so for me the tool feels like it is a living thinking and as it grows I know it will positively influence and support my career development.Rachel Russell- Occupational Therapist
For your FREE 2 week trial please click link below. £22 for 1 year subscription.
CPDoL free trial registration
WHAT IS COGNITIVE BEHAVIOURAL THERAPY (CBT)?
Cognitive Behavioural Therapy (CBT) is a powerful way of helping clients to recognise and overcome the thinking patterns and underlying beliefs that can lead to psychological distress and restrict progress towards positive life change. It can also be a valuable personal development tool for therapists, offering a way to overcome limiting self-beliefs and thinking obstacles that may inhibit work with clients.
CBT is now widely accepted within the NHS, thanks to the recommendations of the National Institute for Clinical Excellence, and is the therapy of choice for many practitioners in the Improving Access to Psychological Therapies (IAPT) programme. It can be used effectively in a variety of different contexts, including:
- Physical health and wellbeing; developing attitudes that facilitate lifestyle change
- Mental health; overcoming depression and anxiety, managing stress and anger issues, managing phobias
- Treating somatic disorders such as IBS
- Personal development coaching; overcoming obstacles and developing self-acceptance
- Professional development; building resilience to stress, working towards professional goals
Developed by Aaron T Beck in the 1960s and 70s, and evolving alternative forms such as Rational Emotive Behaviour Therapy (Ellis) and Multimodal Therapy (Lazarus), the central premise of CBT is the connection between thoughts, feelings and behaviour. Our experience of ourselves, the world and other people is subjective; it depends upon core beliefs that we have developed in the course of our lives. These core beliefs dictate how we perceive and react to the problems and challenges we encounter. Negative core beliefs (“I’m a failure” or “Other people can’t be trusted” for example) generate negative thinking patterns that in turn give rise to mood states such as anger, anxiety or depression. We may then behave in unhelpful and unproductive ways as a consequence of how we feel; for example avoiding situations that take us out of our comfort zone, engaging in unhealthy habits as a way of “numbing out” or being overly aggressive or subservient in our relationships with others.
In supporting any kind of behavioural change, the client’s thoughts and beliefs about themselves and the process can make a significant difference to the outcome. The CBT approach helps clients to identify, and then to challenge and modify, thinking patterns that inhibit progress towards their goals and overall wellbeing, such as unrealistic levels of perfectionism or a fatalistic attitude towards the possibility of change. Highly collaborative, and firmly focused on the “here and now”, CBT draws on a varied and creative range of strategies to help the client establish more rational and helpful ways of thinking and behaving. These may include dispute charts and other writing-based tools, or homework exercises and practical experiments designed with the client, to test the reality of their beliefs and to try out alternative behaviours.
The complexity of the issues treated, and the depth of the intervention, will of course depend on the training and experience of the practitioner, but basic CBT skills can be learned fairly quickly and taught to clients, significantly enhancing their self-help toolkit and helping them to overcome obstacles in both the short and long term. Harrison Training’s courses provide a useful introduction to CBT skills and theory, enabling therapists to integrate this valuable approach into their work with clients.
(Chris Bowles 2011)