HERSTORY An innovative group model for mental health care using peer facilitation and patient co-design Dr. Lora Cruise Lora Judge, MSW Sharon Van Manen October 29, 2015
HERSTORY
Timeline July 2013 Initiate Feb 2013 May 2013 content Project Focus creation Plan Group with peer Developed Starts facilitator D J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A HerStory Group 1 Dec 2012 Mar 2013 July 2013 Trauma Logic HerStory Group 2 Focus Therapy Model Group Group Complete Proposed
Unique Features • Co-Facilitation Model • Ongoing Group • Accepts new members into established group – Max capacity of 10
Peer Co-Facilitation • Making a connection based on shared experiences offers the most hope for women when what works is seen as present in the facilitator’s experience – The Copeland Centre – Sharon Van Manen
Depression Scores 8.0 Average Response Value 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 Survey Date
Anxiety Scores 6.0 Average Response Value 5.0 4.0 3.0 2.0 1.0 0.0 Survey Date
Somatic Symptoms 8.0 Average Response Value 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 Survey Date
Feelings of Shame 5.0 Average Response Value 4.5 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.0 Survey Date
Emotional Regulation 12.0 Average Response Value 10.0 8.0 6.0 4.0 2.0 0.0 Survey Date
Trusting Relationships 7.0 Average Response Value 6.0 5.0 4.0 3.0 2.0 1.0 0.0 Survey Date
Measures • Validated – PHQ9 – Beck Anxiety • Not Validated – Empowerment Scales – Somatic Scales – Based on trauma literature review
Learnings
“…Since I began attending the HerStory group, I feel different. For the first time in years I see color in my mind. The change may appear small but to me it is huge. I deeply appreciate the warm, encouraging and accepting environment that is HerStory which makes what I experience weekly so positive." "I lived for 15 yrs struggling with various kinds of eating disorders (anorexia, bulimia, calorie counting, etc) and no matter how hard I tried to get better, nothing worked. I went into HerStory not knowing what to expect but in my wildest dreams I never imagined that "When facing the Dark I have always gone with this group would heal my eating issues! It had nothing to do with food afterall - the eating disorder was a direct fear. I have just realized I result of the childhood trauma I experienced and I never would have put the two and two together if it wasn't for should embrace the Dark HerStory …” and see what is there."
Evolution of Participant Art
AFHTO 2015 Conference Presenter Disclosure • Presenters: Lora Judge MSW, Dr. Lora Cruise • Relationships with commercial interests: - none to declare • Potential for conflict(s) of interest: - none to declare
AFHTO 2015 Conference Disclosure of Commercial Support • Potential for conflict(s) of interest: - none to declare
AFHTO 2015 Conference Mitigating Potential Bias
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