For Commissioners

MAC-UK wants to work with designers and commissioners of services for young people to understand the intricacies of the systems they are working in.

Here we break down the nuts and bolts of nurturing a Psychologically Informed Environment, or “PIE”, and co-producing solutions with young people for greater social impact.

What you might be thinking about What we might explore together drawing on MAC-UK’s learning

How should we approach the funding or commissioning of services in order to enable the principles of co-production and/or PIE in practice?

Support with challenges such as:

  • How to build lived experience input into the design and decision making of your spending principles
  • Taking an asset based not a deficit based view, to help solutions to emerge, and shift the emphasis away from the seemingly intractable problems, to seeing opportunities
  • Enabling your partners to adopt a collaborative, not competitive stance, through design, timetabling and criteria

What capacity building support might our system, service or workforce need to apply the approaches of co-production and/or PIE?

Training, workshops and space to:

  • Support staff in gaining a holistic understanding and myth bust any existing perceptions of mental health
  • Support the managing of difficult behaviours and how to recognise distress in people when they are experiencing mental health challenges
  • Introduction of psychological theories or practices such as mapping and formulation or therapeutic conversational skills
  • Staff consultation to address specific challenges or cases
  • Co-creating a training programme which is flexible, dynamic and responsive to staff needs and preferences
  • Facilitate reflective practice and staff self-care
  • Enable staff to gain insight into what parts of the ‘self’ they bring to their practice and how to manage and contain what the complex work may throw up for them
  • Explore how to work as a team, particularly in multi-agency or multi-disciplinary units, where all the skills and expertise should be harnessed
  • Be supported to develop and test ‘one-down’ and collaborative problem solving techniques that lead to shared ownership of solutions

What infrastructure adaptations would we need to make, to create the right conditions for these approaches to thrive?

Policy and governance

Culture and practice

Clinical supervision (one to one / group / peer)

  • Systems and processes that are co-produced in order that they work to enable, not restrict, user led service design and in consideration of wider contextual challenges such as multi-agency working or competing / conflicting agendas
  • Supervision might allow the management team to embed the training and psychological framework into their team structures and practices, and to foresee and respond to any potential issues before they become challenging/actual areas of conflict
  • To nurture a group dynamic and a ‘we support each other’ culture that encourages staff and young people to give attention to each others individual needs and interests
  • Staff support is essential to the provision of consistent and optimal young person care and that relationships between staff and young people are essential to achieving shared aims
  • Explore how to build space for lived experience in your professional workforce, what it takes and what needs to be in place

How might we assess what and how much we are already doing, what’s working well, and how far might we have to travel?

Starting with the strengths in the system

  • The start point with each environment or team of practitioners is to ask them to explore what is working well, what are the gaps, and what do they need to know or to do to ensure that they are drawing upon a collective evidence-based frame?
  • What might a wider systems asset map tell us about local resources and opportunities that we could draw on?

MAC-UK is a registered charity (no 1126144) and company limited by guarantee registered in England (no 6693712). Copyright MAC-UK 2020.