projects         

We’ve worked with the College Quality Network for Forensic Mental Health since the very beginning.

From writing See Think Act 2nd and 3rd Edition, to chairing and speaking at conferences, editing policy, and writing articles, we do whatever we can to help because the forensic network plays a really important role in the improvement of UK services.

Over the years we've worked on a number of programmes with NHS England.

Most recently we supported NHS London to help London community services think about what they'd need to put in place to effectively transition people with a learning disability from a secure hospital to a community support setting.

British Columbia Psychiatric Hospital provides care and treatment for people across an immense geographical province compared with UK services.

We're working with the service to develop a relational security strategy, focusing on building the skills and capability staff need to support people with highly complex needs.

“I really appreciated your thoughtful approach to leading and facilitating dialogue with our leaders and teams. You have helped set us on a strong and positive course.”

Rampton Hospital is a world-leading provider of specialist secure care, one of our longest-standing partners and a hospital we’re deeply committed to supporting.

We’re providing mentorship and support to security directors and security liaison officers, helping them continue to strengthen security in a therapeutic way.

We’re also supporting the ongoing enhancement of Rampton’s overall relational security approach through a programme of enhanced learning for the very specialised and dedicated staff who work in this setting.

Broadmoor is one of three high security hospitals in the UK.

We have trained psychologists in issues of relational security to enable them to support staff.

East London Forensic Service provide secure mental health services at the medium security John Howard Hospital and low security Wolfson House in Hackney, London.

We first introduced relational security as a full MDT here, and never looked back. We now provide relational security facilitator training to the wider trust for acute mental health services.

“These sessions enabled proper discussion and encouraged us to explore all the team member’s thoughts on key issues. The flexible format enabled us to use the time in the best way possible.”

Liz works as a consultant to Netcall, informing the development of care planning software to improve clinical effectiveness, health outcomes and patient experience.

Pennine Care provide non-secure inpatient mental health services. We’ve worked with the Trust to train and develop multi disciplinary teams to so they can work together to improve patient outcomes.

“We talked to our staff yesterday and they told us it was the best training they’d ever had. They said ‘this lady understands what our problems are but more than that, she can help us solve them’. They’re genuinely hopeful.”

We've worked with the general inpatient mental health services to develop relational security expertise at all levels of staffing.

“The training has been really well received. People are finding it so useful to reflect on the issues you’ve raised with them so thank you for all your hard working in bringing this to our organisation.”

Pompestichting is a high security hospital and forensic clinical research centre. We've supported the translation and implementation of See Think Act to the foundation, supported with research and development, and run a relational security faciliator programme.

“Thank you so much for all the work you have done. Not only was it an important step for our organization to go further in this project, we also had good fun (you have a lovely sense of humor)!”

We've worked with Look Ahead for a number of years training their staff and supporting them to develop their own edition of See Think Act for housing services.

“Over the past few years Elizabeth has provided invaluable and inspirational support to Look Ahead.”

London Cyrenians provide supported housing for people with mental health and substance misuse problems. We've worked with the organisation for a number of years on different projects to integrate relational security into the existing service safety and risk management strategy.

“Our sessions have been so informative and educational. We’ve benefited immensely from this programme”.

“We all wanted to say a massive THANK YOU for your wise and engaging talk today. Feedback for you was very positive and we are really excited about the future of the charity”.

Priory Group provide a range of mental health, eating disorder, substance misuse and addictions programmes. We worked with the Group on developing a clinical and relational security strategy.

“This has been such an interactive process involving every professional group. It’s made us think. Now we need to ACT! ”

Partnerships in Care (now Elysium) provide secure mental health services in the UK.

We've worked with PiC on many different projects over the years, the most recent being the development of PathNav, an electronic care planning tool that builds care plans and monitors patient progress against clearly stated health outcomes.

This programme run by the Cavendish Square Group is a collaboration of the ten NHS Trusts in London.

With Liz as a programme board member, the Group aims to introduce the See Think Act philosophy and resources to all acute and psychiatric intensive care units in London to reduce incidents of violence. In June 2022 we commenced the first of three pan-london facilitator programmes.

“I could spend months on this course. I think this could continue forever with examples, learning and reflectives.”

The Caswell is a medium security hospital in Wales, providing secure care for a range of diagnostic groups.

We reviewed the service and advised on areas of clinical effectiveness and efficiency.

“Liz brought her extensive experience, skills and knowledge to our service review and as a result we have a much clearer philosophy of care for our service.”

Along with 5 MDT relational security development days, we’ve provided development sessions for leaders on Strategic Relational Security and are now supporting new Relational Security Facilitators to become internal consultants in relational security to improve practice in a sustained way.

In addition to virtual training, we’ve run an onsite intensive one-week programme for leaders and staff, promoting relational security as a key partner to their physical security strategy.

Understandably, Victoria Health is a favorite client. We’ve provided direct training for staff working in mental health and substance misuse services on the island. It’s a long commute, but completely worth it.

We’ve provided development sessions for leaders on Strategic Relational Security and run a Relational Security Facilitators Programme where selected staff became internal consultants in relational security to improve practice in a sustained way.

“Everyone has been so positive about the training.”

We’ve supported the executive team at Ohio State Hospital to develop a programme of learning for staff. Having trained a cohort of internal relational security facilitators on site for a week we now run a virtual mentorship programme to support the long term sustainment of the programme.

“Your direct approach was appreciated. I also received comments that people liked that you discussed some of your own struggles in the UK, and didn’t suggest that you have all the answers (as someone put it, you didn’t present yourself as the “be all and end all”).   Your sense of humor was also appreciated.”

Having adapted the relational security tools and relational security development workbook for community housing services, we’ve run strategic relational security events for leaders and developing internal facilitators to sustain the development of staff at each community housing site in North West London.

We’ve supported the secure services directorate with a programme of development for leaders and forensic service wards. Face to face and virtual sessions with full ward teams provided a unique space to talk about important issues of patient care and safety.

We got the rare opportunity to spend two full days with a single ward team at this Trust. It gave us time to look at all the elements of relational security and to talk about how to build on the staff dynamic. Supported by the Chief Executive and the Director of Finance we worked on clinical effectiveness, finding ways of eliminating needless paperwork and tasks so staff could give more time to patients.

“The sessions you provided has instilled the much needed hope and optimism that has been missing within the team for so long. Everyone ‘s buzzing from the away days and I have heard nothing but positive things from them today.”

We’ve worked with CNWL since 2019, bringing direct training to teams, leadership development workshops, and relational security facilitator programmes.

CNWL now use our relational security e-learning programme to sustain the progress they’ve made.

This programme brings relational security learning and development to our supported housing services in north west London. Leadership training, a facilitator programme, the relational security toolkit and ongoing mentorship will help sustain progress into the future.

“This training was interesting and engaging. It was very relevant to our work. Liz has a clear passion for the topic (obviously!) and I am confident in saying she has passed this onto all of us in the room. We will hope to continue her work in our services”.

“I thoroughly enjoyed the training and learnt so much. Having three days to participate in this training was invaluble. I am looking forward to sharing this knowledge with the team”.

“[The] training was a real eye opener and enhanced knowledge in various essential segments usually missed in assessing and formulating care packages”.

We’ve provided leadership development sessions and a relational security facilitator programme in Norfolk. Supported by the relational security resource toolkit and the development workbooks, facilitators now support their ward teams to improve their knowledge and capability in relational security.

“Once again, thank you so much, I thoroughly enjoyed this past 3 days and I feel more knowledgeable and ready to initiate the knew learning especially around our care planning and sec 17 recording”

We had the luxury of spending two full days with all the staff from the secure and and community forensic team. The two day workshop looked in detail at each element of relational security, explored opportunities to improve clinical effectiveness, and release time to care. We’ve also run leadership development sessions to build a relational security strategy.

Dorset HealthCare Forensic Service uses the relational security e-learning to support the induction of new staff.

Staff at Oxleas NHS Foundation Trust have completed the Relational Security Facilitator Programme.

Supported by the relational security e-learning programme, facilitators follow up learning with 1-1 and group reflection about relational security.

The south west of England is the first example of a whole region coming together to build on their relational security knowledge and skills.

Funded and supported by the Provider Collaborative, all forensic services have access to leadership training, the relational security facilitator programme, the relational security tookkit, the development workbook, and the relational security e-learning. This is the most comprehensive approach to supporting system-wide service improvement we’ve seen so far and we’re thrilled to be part of it.

We’re running a relational security facilitator programme at Timmins & District Hospital.

Supported by leadership training, the relational security development resources, and the e-learning, they’ll be on a path to sustained improvement in their relational security approach.

We’re supporting New South Wales with leadership development and a virtual relational security facilitator programme. Over several weeks facilitators will learn about each area of the model in detail, think about the learning outcomes for their teams, practice using the relational security development workbook and supporting resources, and receive support to implement relational security in a sustainable way.

We had a fun, frank, and inspiring week training 12 facilitators in Lincolnshire. Those facilitators, with ongoing mentorship and support from us will be bringing relational security to their acute wards in a way that meets the needs of each individual service.

Lookout provides shelters, supportive housing, independent housing, outreach, health services, extreme weather centers, and resource centers to people who are homeless and live with a mental health disorder.

We’ve run virtual development events for leaders in the service and a relational security facilitator programme for some key staff who can now adopt the principles of relational security in these important services.