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Publications (15)
This chapter discusses how transitions and endings fit into the structured clinical management (SCM) treatment pathway, key factors in the ending and transition process, and the therapeutic implications of these for what makes a good or poor transition or ending. Clinical examples of good and poor transitions are used to illustrate principles. Mana...
This chapter outlines the content of group sessions, the processes of delivery, and offers some guidance on how practitioners may overcome frequently seen problems that occur. The group component of structured clinical management (SCM) is a key ‘socializing’ element to the model along with fostering a sense of social connectivity. Motivational work...
This chapter provides reflections on the process of writing the book on structured clinical management (SCM) and suggests areas where SCM may usefully be developed and applied further. Writing the book has been an eminently practical undertaking. It has involved gathering the collective wisdom of many practitioners, supervisors, trainers, service u...
This chapter outlines what structured clinical management-trauma stabilization (SCM-TS) is and how it was developed so that it can be used by generalist practitioners to address complex trauma and dissociation alongside personality disorder problems. SCM-TS is an individual intervention (one session of up to an hour weekly) based on the principles...
This chapter outlines how mental health services can ensure effective integrated team and service interface working within a structured clinical management (SCM) pathway for borderline personality disorder (BPD). It then reviews some of the problems experienced across the whole healthcare system and how these can be understood within the SCM approa...
Trauma-informed care for people seeking help with complex experiences of adversity and trauma needs to enable people to be genuinely heard, meaningfully understood and offered attuned help. We consider how the Power Threat Meaning framework (PTMF; Johnstone et al., 2018) can be applied to understand a person's history and current experience and we...
