The PICT Model and Approach

The Psychologically-Informed Consultation & Training (PICT) approach is primarily to ‘consult to the system’ rather than work directly with the service user. We support the existing workforce (e.g., in primary care, crisis services, family intervention workers, community mental health teams) who have regular face-to-face contact with service users :

  1. Presenting with personality disorder (not necessarily formally diagnosed) or
  2. Multiple and complex mental health and challenging behaviours.

We equip the workforce with the knowledge, skills and confidence to work effectively with this client group.  We argue that this not only enhances the quality of case management delivery, but it is relatively quick and inexpensive to set up and the benefits achieved are sustainable beyond the PICT input.

This approach is predicated on the following principles:

  1. The care and management pathway for individuals with personality disorder/complex needs should eventually lead to integration and inclusion into mainstream society.
  2. Frontline practitioners need to be upskilled to work with this population or they will struggle to support effective recovery and community functioning, leaving service users making little progress at increasing human and economic cost.
  3. The vast majority of such service users will never enter formal treatment/therapy services for various reasons. The majority are managed and cared for in more mainstream services, e.g. primary and secondary care, probation, prison, housing organisations, local authority drug services.
  4. No single organisation or service (e.g. probation, GPs, community-based mental health, substance misuse, social services, housing, etc.) can meet the long term needs of this population across the whole recovery pathway, but an intervention aimed at practitioners can support a coherent and effective interagency approach.

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