Annual Report
Introduction
The Marlborough Family Service combines a Child and Adolescent Mental Health Service with an Adult Psychotherapy Service. It can be accessed by Westminster residents of any age, as well as by Westminster referring agencies. Together with another CAMHS team of the CNWL Mental Health NHS Trust, the Paddington Green Department of Child and Adolescent Psychiatry, the Marlborough Family Service provides mental health services for children and teenagers in the London Borough of Westminster. In addition it offers specialist services for adults and families both in Westminster and the Greater London area. Its aim is to provide services to the community, which are accessible, flexible and responsive to the clients’ diverse psychological, social and cultural needs and the referrers’ requests.
1. Clinical Work
In the year 2003 the Marlborough Family Service received an unprecedented large number of referrals: 803. In addition, there are many ongoing long-term cases, reflecting the high level of complexity many of the families and individuals attending the service present. During 2003 there were 8420 face to face contacts between clients and clinicians.
Social Work and Family Therapy Team
This team is headed on a full time basis by Jane Dutton, and there are currently three other staff members in post. All are experienced UKCP registered systemic family psychotherapists and hold postgraduate qualifications in social work. The team also brings specialist child protection knowledge into the multi disciplinary context.
The post holders currently work directly with individuals, couples and families at any one time and a substantial proportion of these have a child protection and/or domestic violence element in addition to mental health concerns. The team also offer clinical consultation within and without the service; the most prevalent areas are in mental health and child protection, domestic violence, anger management and development of self-esteem, self concept and identity.
The diversity of skills and interests within the group are reflected in the initiatives which they have contributed to or for which they have been responsible. These are as follows:
- Chairing the Domestic Violence Forum Prevention Strategy Sub Group.
- Contributing to the award winning Domestic Violence Prevention Pack, to be provided to all London schools.
- Monthly clinical consultations to local WS&CS Children and Families team
- Regular consultative/training input to local WS&CS Duty and Assessment team
- Weekly individual anger management sessions on site for pupils at a local secondary school, and consultation for staff.
- Supervision of family therapy trainees from The Institute of Psychiatry and The Tavistock Centre
- Supervision of Social work students from the Open University and Royal Holloway College, University of London.
- Lecturing, tutoring and workshop presentations at The Institute of Family Therapy, The Tavistock Centre, Royal Holloway College, London University, Middlesex University, University of Surrey, Roehampton.
- The McPherson Group at the MFS, and representation of same on the Equality and Diversity Committee, run by the Trust.
- Coordinating and running weekly Family Therapy Skills Group for MFS staff and family therapy trainees.
The above initiatives also reflect a commitment to working across disciplines and institutional boundaries, which the team holds in common with all their colleagues at MFS.
Domestic Violence Clinic
This clinic is run by a multidisciplinary team, led by Dr Arturo Varchevker. It offers consultation and direct work with families who are being affected by violence. There is a high referral rate to the MFS for issues related to domestic violence. The main referrers were: Social Services:50; School: 35; GPs and HVs: 18; Self: 15; Courts: 11; CIAC: 6 (data compiled by P Mandin). A male was the perpetrator of domestic violence in 87% cases and a female in 13%.
Family and Parenting Assessment Service
This service has further developed over the past year, being regarded by the Courts and many Social Services departments as one of the centres of excellence for this type of work. Each week we receive approximately 10 referrals, but we do not have the capacity to meet the demand. In 2003 we carried out some 60 parenting assessments, with detailed reports. Approximately half of these were commissioned by Westminster Social Services, as part of the service level agreement between the CNWL Trust and Westminster City Council. The other assessments are carried out in response from requests from different Local Authorities and has been a significant source of income generation, allowing retention of staff, the development of new services, the support of research and training, as well as funding other initiatives. Some of the assessments involve the Family Day Unit and the Education Unit, but the larger part was carried out by members of the out-patient team.
The Asian Counselling Service
The Asian Families Counselling Service provides a clinical and consultation service. The team consists of seven part time bilingual therapists from the Bangladeshi, Chinese and Pakistani communities. They speak a range of languages, including Sylethi, Bangla, Urdu / Hindi, Punjabi, Cantonese and Mandarin and are themselves first or second-generation migrants. All members of staff have completed, or are in the process of completing, a professional training in systemic therapy. Some members of the team have also undertaken trainings in other models of therapy, such as Islamic Counselling.
The Asian Families Counselling Service aims to provide a culturally and religiously sensitive service to clients in their preferred language, as well as, consultation to other mental health professionals in the trust. There is a high demand for the outpatient service, which resulted in a waiting list being put into operation at various times during the past year. Much of the work of the service involves outreach and is community based. For example, Manu Rehman regularly conducts home visits with Bangladeshi clients, who would otherwise find it difficult to reach or engage with services, and Cecelia Ko and Marigold Lee provide an invaluable weekly outreach clinic for the Chinese community in Soho. In addition to outpatient services for individuals and families, the service has also been involved in running groups. This year Farra Ali Khan ran a well-attended multiethnic adolescent group. The team has also made important cultural contributions to parenting assessments, especially in cases where English is not the first language and families are not aware of the system.
There has also been a marked increase in requests for consultation and training in the past year. A number of staff have been involved in providing cultural awareness training to other mental health professionals, within and outside the trust. These have included workshops, plenary addresses, and conferences at the Institute of Family Therapy, St Bartholomew’s Hospital and a monthly Group Consultation with Clinical Psychologists at St Mary’s, as well as individual supervision for family therapy trainees. The AFCS has also been keen to work beyond the statuary sector, with voluntary and organizations such as An Nisa Women’s Group and raise general awareness within the Asian communities of mental health. For example this year: Raina Fateh organized a joint conference on ‘substance abuse and working with minority ethnic families’, with Freeda Noonan Taylor (Trust Specialist in Substance Misuse) and EACH - Ethnic Alcohol Counselling in Huns low, and Rabia Malik has been a regular contributor to BBC digital Asian Radio, discussing mental health and social issues pertinent to the Asian community.
Members of the AFCS have also produced research on Mental Health issues relating to the Asian community. Raina Fateh has researched ‘Acculturation and Identity Construction in Adolescents of Bangladeshi origin; Rakhee Haque is working towards a doctorate on ‘Self Harm Amongst Bangladeshi Girls, and Rabia Malik has applied for a major research grant from the Economic and Social Research Council, to research ‘Ethnic Identity and Family Dynamics in Second Generation British Pakistanis.
Another major development in the AFCS in the past year was the development of a new post – ‘Cultural and Minority Ethnic Services Development Officer’ - to which Rabia Malik was appointed. The aims of the new post are; to co-ordinate and further develop the work and expertise of the AFCS and expand the service beyond the Asian community to other minority ethnic communities. An important advance in this direction was the full time appointment of an Arabic speaking therapist - Housam Ebrahim – to work primarily with Arab communities.
Adult Psychotherapy Service
This service is headed by Dr Heiner Schuff and provides a comprehensive adult psychotherapy service. This in line with the recommendations of the NHS Executive around integrating work with adult psychiatry and child & family services. Heiner is both part of the MFS and of the adult psychiatric, clinical and management teams at Abbey Road CMHT and the Paterson Centre, also working with rehabilitation, in-patient and substance misuse services, as well as with primary care services. Within the MFS, this service is involved in providing joint clinical work as well as contributing to parenting assessments and adult psychiatric court reports. Consultation is provided by members of the MFS to the Abbey Road Community Mental Health Team and Ann Miller (Consultant Psychologist) ran a fortnightly Clinical Meeting for the Abbey Road Team. Heiner has in the past year been joined by two colleagues, Frankie Zimmerman and Finella Hill who job-share. They are both family therapists with backgrounds in mental health nursing.
A recent development has been the establishment of multi-family group meetings involving people diagnosed with schizophrenia and their families, and of an EMDR trauma therapy service, mainly for people with PTSD.
The adult psychotherapy service managed to go on operating without waiting lists for both assessments and treatments. Heiner Schuff is the psychotherapy tutor for the St Mary’s Rotational Training Scheme for junior doctors, and a succession of specialist registrars have chosen to be on placement with the service.
Child Psychotherapy Service
The head of this service is Beverley Tydeman and there are two other staff members, Priscilla Green and Nick Midgley who was appointed to this post in 2003. Together they make up the equivalent of 1.6 sessions. There is also a child psychotherapist in training, Annabel Kitson, who is in her second year of a four year post, held jointly at the Anna Freud Centre and funded by the Confederation.
The range of cases taken on is wide and the clinical work involves, assessment and treatment, which may take the form of once weekly work with individual children, or more intensive work; we also undertake work with parents. The team takes on referrals from within the service by other colleagues, who have already located a problem within an individual child after doing some family work and assessment. These children and families have been damaged by various life events and often require dedicated long-term treatment. The level of emotional disturbance can be great and being exposed to this can take its toll, as it does for all mental health professionals. The team is not only spending time behind closed doors with individual children and parents, but is also involved in the full range of multidisciplinary liaison. Work is done alongside colleagues in other disciplines and this is greatly enjoyed for the cross-fertilisation of ideas.
The team offer a diversity of skills and interests, reflected in a number of new projects. These include the setting up of a supervision group for other colleagues in the wider team to bring child cases for discussion and supervision. Individual supervisions are also undertaken for staff who might wish to have irregular consultations about complex cases. There is a regular session for child psychotherapy in the Education Unit and input is also provided to the Family Day Unit for the assessment of parenting and in-depth court reports required. We also have a presence in the Family Skills Workshop Group where family work is undertaken and a child psychotherapy perspective is offered. A very recent initiative is the Infant Mental Health Workshop, which is a training slot for the multidisciplinary team. The aim is to develop this into a service for parents with mental health issues and their infants within the next 6 months. The team has contributed to co-running a regular Health Visitors’ Forum which acts as a CPD event for them, as well as being a clinical forum where they can bring their cases for detailed discussion. Research projects are also part of the work load and one of the current projects is looking at how referrals are made within the Marlborough for child psychotherapy.
Clinical Psychology Service
This has provided a wide range of consultative and supervisory services for staff in the outpatient service and has continued to support the development of the Asian Service as well as provide supervisory or clinical input to the two day-treatment and assessment units (the Family Day Unit and the Education Unit). Ann Miller is the full-time Consultant and Joanne Early is a Psychologist employed in the Early Intervention Service of the Education Unit. In addition 3 trainees from the Doctoral Trainings of UEL & UCL have contributed to the therapeutic services of the MFS.
The Family Day Unit (FDU)
The FDU is headed by Derek Taylor. During the past year two members of staff have left, putting enormous pressure on Derek Taylor and Helen Wilde, Clinical Specialist. Both have heroically managed to continue running busy programmes with a skeleton staff. In November 2003 a new member of staff was appointed, Richard McKenny and he started work in March 2004. Two other new staff have been appointed in addition and they are due to start in June 2004. This increase of FDU staff will allow the unit to expand and diversify its work, including re-developing its out-reach service.
The FDU has been visited by many professionals from various different countries over the past year and similar units are now in operation in various countries. Last year a group from Belgium trained at the Marlborough and they are now running the first such unit near Brussels. We also had a trainee from Italy on a long placement who has subsequently joined the Family Day Unit in Milan, continuing the strong link between the two institutions. Derek Taylor has also started training two teams planning to replicate the FDU in England (Peterborough and Southampton), as well as making links with teams in Belfast and Dublin.
The Education Centre
The Unit continues to provide assessment and treatment for children aged 5 to 16 and their families. On any one day up to 9 families take part in the multi-family treatment programme delivered in the Marlborough classroom. The Unit was specifically mentioned as a model of good practice in the Government Green Paper ‘Every Child Matters’, Chapter 3, page 44. The service delivered by the Unit is provided under contract to Westminster City Council and is valued at £140.000-£145,000. The contract has been renewed this year for the next five years with the option of a further two years.
The Unit has grown dramatically over the last 12 months with additional staff recruited to enhance the quality of the treatment programme and to increase the capacity and scope of outreach work based on the Unit’s systemic model and multi-family approach.
The teacher colleagues who have completed the training placements in the Education Unit, described in last year’s report, have gone on to set up and run weekly multi-family groups in their own schools. These are groups designed to deliver mental health services for children and their families in the most accessible and relevant context. Groups are now well established in Barrow Hill Primary, Millbank Primary and Quintin Kynaston Secondary Schools. Staff from the Education Unit have co-run and supervised these groups. There are current negotiations to set up such multi-family group sin Portman Nursery, six more primaries and two secondary schools in Westminster. In addition, there is a very successful group running continuiously in Langford Primary School in Hammersmith.
Two parents who were previously clients in the Education Unit have moved on to co-run the multi-family groups in Quintin Kynaston school. This has been a very positive and innovative way of the Trust employing the resources of service users to help other children and families experiencing difficulties. There are currently eight teachers on placement in the Education Unit representing six schools.
A very exciting collaboration between the Education Unit and Mikki Garvey from the Westminster Family Learning Service has enabled the adults attending to receive a literacy and computer skills training as part of the programme. Many of the parents have little or no literacy skills which commonly feeds into feelings of inadequacy in relation to their children’s experience of school. Several ‘techno phobic’ parents have been transformed.
Many visitors from Scandinavia and other countries continue to observe the Unit’s daily practice. Neil Dawson and Brenda McHugh have received a grant from Comenius (EEC) to further collaboration between European countries. The main partners at present are four centres in Denmark and Norway. These institutions are now replicating the Unit’s practice with great enthusiasm and are obtaining significantly positive results. Six schools in the Helsingore area of Denmark are now running multi-family classrooms based on the Marlborough model. Similarly the Day Education Unit at Arendal in Norway is running a full programme based on the Marlborough Education Unit’s practice. In the United Kingdom there are plans for replication being proposed in Hampshire and Sutton.
New staff recruited to the Education Centre during 2003 are:
Serena Potter, teacher, 8 sessions. Serena was previously a Head Teacher and has just completed the first two years of family therapy training at the Prudence Skynner Unit.
Genevieve Rowney, Early Intervention Worker, full time. Genevieve has post graduate psychology qualifications and previous experience working for Connexions.
Chris Mannings, Early Intervention Worker, full time. Chris was previously inclusion manager at Quintin Kynaston school.
Rosan McCall, Learning Support Assistant, 4 sessions. Rosan continues to work part-time at Quintin Kynaston school as well as at the Marlborough.
Genevieve, Chris and Rosan have all just completed the first year of their family therapy training at the Institute of Family Therapy.
Joanne Early continues to be managed by the Education Unit in her role of Early Intervention Worker funded by Westminster Education Action Zone.
The Early Intervention Worker Team of Jo, Chris and Genevieve are now delivering CAMHS services directly in most of the Westminster schools. Their activities are already being highly valued particularly in relation to their accessibility, flexibility and speed of response.
A specifically tailored package of therapist intervention was set up for St George’s RC Secondary School. This comprised of six Marlborough therapists offering a range of therapeutic services deliverable within the school context. The package was well received and the research outcomes signalled significant differences in performance post intervention as compared with pre intervention baseline measures. This package was funded by the Government’s Behaviour Improvement Programme and was managed by the Education Unit.
Primary Mental Health Worker’s Project in North Westminster
The Primary Mental Health Project for North Westminster has been in place for three years. This post represents both CAMHS clinics (MFS and 17 Paddington Green), and offers an interface with Tier 1 Primary Care professionals. The consultation groups to health Visitors (at six week interval) have been increased from four to six, now offering Health Visitors based in Health Centres their own group. At present this is available to Queens Park, Medical Centre, Lisson Grove, Linnet House, Hallfield Clinic and Upper Montague Street Clinic. There were a total of 48 group consultations to Health Visitors. The number of individual consultations (face to face and by telephone) has remained similar to the previous year, a total of two hundred and sixty individual consultations.
The three monthly Health Visitors Forum is co-ordinated with Beverly Tydeman. We had four seminars on wide ranging topics such as Talking about Domestic Violence with Clients, Postnatal depression, From Couples to parents, and Toilet training (when families get stuck).
Besides the training and consultation work with Primary Care staff, the clinical work continues to be based both in Primary Care (Health Centres, G.P. Surgeries, nurseries and voluntary agencies) and in the two CAMHS clinics.
The majority of referrals to PMHW came from Health Visitors (43 out 48 referrals). One referral from a school nurse and four from General Practitioners. The majority has been short term work following initial work done by Health Visitors. The cultural and ethnic mix of the client was varied, such as
- Arabic speaking Lebanese, Tunisian, Moroccan, Egyptian (60%)
- Mixed ethnicity such as White British/White America, Black British/ White British, Italian/Vietnamese, White British/Spanish, and Turkish/ White British (30%)
- White British (10%)
Based on feedback given by clients in a previous survey (2001/2002) the Health Visitor and the PMHW carried out the initial assessment together. The presenting problems were, eating difficulties, sleep difficulties, stuckness at the toilet training stage, oppositional and aggressive behaviour, adjustment to parental separation, anxiety and separation difficulties at nurseries, and parental mental health difficulties and the impact on parenting and early relationships. Some of these referrals were appropriate and able to use the Stepping into Parenting Groups. Three programmes were run with Health Visitors who referred into the group, each group had an average group of six mothers and the child they had particular problem with. The Health Visitors’ involvement at the initial stage and the end of treatment has been useful for clients who have commented that it has made it clear how the piece of work linked with the work of the health visitor.
Substance Misuse /Child and Adolescent Liaison Project
Freda Noonan-Taylor has a shared post between the Marlborough Family Service and Paddington Green Child and Adolescent Psychiatry team. She has provided invaluable consultation, joint assessment and individual work with staff members, clients and their families. She has also maintained links with services at tiers one and two (health visitors, Surestart , Youth Offending Team and school projects). Consultation with the Westminster Drug Project young people’ worker has continued, creating referral pathways into CAMHS. In recent months The Westminster Drug Project has opened a Drop-in service for young people involving interagency support response (Friday afternoons) Freda offers consultation (staff) and individual sessions to young people. There has been an increase in the number of presentations/training provision with Freda running a monthly substance misuse workshop. This provides ongoing learning and opportunity for consultation and discussion. There has also been an increase in her involvement with other agencies in presenting to Social Services Children and Families Teams and the Looked after Children’s Teams. The integration of the substance misuse liaison role into the service had kept substance misuse of families’ parents and young people on the agenda. The impact of parental substance misuse on children is considered as a matter of importance with all families attending the services. This focus is given national support through the Advisory Council on the Misuse of Drugs document Hidden Harm Responding to the needs of children of problem drug users (2003).
Group Work
Apart from a variety of multi-family group projects, there were also some other groups conducted, including social skills groups, predominantly for children and young people.
2. Liaison / Consultation work
Some of the liaison and consultation work provided by the service was as follows:
· Department for Education and Science
. National Family and Parenting Institute
· Young abusers Project (NSPCC) ·
. Asian Women’s Refuge
· Anna Freud Centre
· Bishop Hall Centre (Ho Ming Wa)
· CNWL Trust Lead role in providing Trust Child Protection training
· Named CNWLTrust doctor for child protection: Eia Asen (until August 2003)
· Westminster ACPC (Eia Asen)
· Chinese Community Centres, Soho, Lambeth, Camden, Hackney
· Chinese Healthy Living Centre, Soho
· Chinese Information and Advice Centre
· Confederation of Family Therapy Training Institutions
· Education Departments (Westminster, Barnet and Newham)
· Family Centres (Brunel, Portman, Soho)
· Health Centres (Paddington Green, Lisson Grove, Wright/Spiro practices)
. Marylebone Bangladeshi Society
· Medical Foundation for the Care of Victims of Torture
· North East Westminster ‘heavy users project’
· Queen’s Gardens Residential Mental Health Unit
· Queens Park Family Service Unit
· A Westminster Nursery
· Westminster Association of Mental Health
· Westminster Women’s Aid ·
. WALC (Westminster Accommodation & Leaving Care Team)
. Westminster SSD LAC Team (Looked After Children)·
. Westminster Domestic Violence Prevention sub-committee
· Westminster Primary and secondary schools
· Westminster Race Equality Council/Health Forum
· Westminster SSD/ Practice Assessments
· Adult Substance Misuse Service
· Westminster Drug Project
· The Hungerford Project
· Paediatrics accident and emergency St. Mary’s Hospital Paddington.
· Gordon Hospital Family Therapy Workshop
· Paediatric & Developmental Psychologists group in the CNWL Trust
· Medical Foundation for the Care of Victims of Torture
· Building Bridges Liverpool
· Leicester NHS Psychology Department
3. MacPherson Group
In August 2000 Alice Sawyerr submitted a proposal to the then Management Group to look at ways of taking forward at MFS the recommendations of the MacPherson Report on the Enquiry into the Death of Stephen Lawrence on eradicating “Institutional racism”. The emphasis of her proposal was on clinical work and practice at MFS. A working party was set up (self selected) from the multi-disciplinary team. Other topics were brought in by members of the working party.
There have been a series of meetings where the whole staff team have met in their professional disciplines and units and looked at:
· Practice issues and organisational issues
· DOH Guidelines, Race Relations (Amendment) Act
· Review of National Service Framework for Mental Health 2000 Summary
· Assessing Black Children in need and their families
· Excellence not Excuses – Inspection of Services for Ethnic Minority children and families, Social Services Inspectorate (July 2000)
· The Assessment Framework Triangle from the DOH Framework for Assessment 2000 and learning for all
· Standards for Racial Equality in Schools (CRE 2000)
Practical attention was given to the reception area of the Marlborough Family Service e.g. how welcoming it is for Black and Ethnic Minority clients who attend here. These included
· Ways of making the reception area look and feel user friendly
· Introducing newspapers and magazines from Black and Ethnic minority communities, decorating the reception area with photographs and posters
· Staff photographs were displayed
Documents from other Institutions on how they have been addressing issues of ‘race’, racism and cultural difference were discussed by the working party and an ‘away day’ was organised in 2003. Gareth Jones, the Trust’s Equalities Facilitator, was invited to it. Feedback was given to the whole staff group regarding recommendations made. These included the following:
· To develop a package of training for all staff
· To institute a Cross-cultural skill workshop –
· To audit culture / race sensitive practices in the MFS
· To involve service users in the McPherson group
· To purchase Arabic and other languages software
· To translate Education Centre, Family Day Unit and other programmes into Arabic
. To develop a resource pack for new staff induction at MFS
So far three training sessions for staff have been held, two new staff posts have been created and appointed, an Arabic staff member and a Cultural and Minority Ethnic Services Development Officer. The resource pack is being developed.
4. Income Generation and Contracts
During 2003 the Marlborough Family Service has continued to generate income in excess of meeting the required financial targets. The new contract with Westminster Council Social Services Department has substantially increased the revenue to the CNWL Mental Health NHS Trust. The contract with Westminster Education and Leisure Department remains the same though there has been additional funding for new initiatives. The satisfaction rates of both these purchasers with the MFS are very high. Court work, commissioned by agencies outside Westminster, has been a major income generator for the Marlborough and the Trust. Some additional income has also been generated through placements, visitors and conferences.
5. Training
In-Service Training has included
. weekly / fortnightly clinical meetings
· weekly court and assessment workshop
· fortnightly cross-cultural clinic
· weekly child psychotherapy seminars
· weekly Domestic Violence Clinic
· weekly Family Skills Workshop
· monthly substance misuse workshop
· EMDR supervision group
· Infant mental health workshop
Staff members continue to participate in advanced training – staff members were supported on Diploma, MSc and PhD programmes.
6. Research and Audit
- MFS is participating in a prospective multi-centre study (Cassel, Tavistock, Marlborough, Maudsley), evaluating day and in-patient hospital treatment of children and families (with Professor P Fonagy)
- Acute Intervention Project for Teenagers and Young Persons: a group of clinicians from MFS (Eia Asen, Neil Dawson, Rabia Malik) jointly with Anna Freud Institute and UCL (Prof Fonagy, Mary Target) and NELMHT (Dr D Bevington) are pioneering an innovative manualised EIP treatment for 14 – 21 year olds
- International Multi-Centre Anorexia Nervosa RCT (Eia Asen, with Eisler, Treasure, Schmidt, Scholz et al)
- Audit of Court Assessments in Family Day Unit
- Audit of Child psychotherapy referrals: criteria and procedures
- Audit of Domestic Violence
- Audit of Telephone Consultation Service for GPs
- Case note audit
- Audit of the Behaviour Improvement Pilot Project at a local secondary school·
- Audit of attendance rate in the Asian Family Counselling Service
7. Other Activities
Publications
Marlborough Family Therapy Basics by Alan Cooklin, Neil Dawson & Brenda McHugh (edited by Eia Asen) has now been completed and was published in late 2003. It is a family therapy course, aimed for use by family therapy institutions, systemic practitioners working in groups in various settings, as well as interested individuals. The package contains a long video, CD ROM, manual, glossary and exercises. Its price is £199 and the proceeds go to University College Charitable Fund.
Eia Asen
Eisler,I., LeGrange,D. and Asen,K.(2003) : Family treatments. In: Treasure,J., Schmidt,U. and van Furth,E.: Handbook of Eating Disorders: Theory, Treatment and Research. John Wiley and Sons, Chichester
Asen, K., Scholz, M. et al (2003): Multiple Family Therapy for Anorexia Nervosa Unpublished Treatment Manual. Institute of Psychiatry
Asen,K. (ed.) (2003) Marlborough Family Therapy Basics. An integrated video, CD-ROM and manualised teaching package. Marlborough Family Service: London
Leff,J., Alexander,B., Asen,K., Brewin,C., Dayson,D., Verneals,S. and Wolff,G. (2003): Modes of action of family interventions in depression and Schizophrenia: the same or different? Journal of Family Therapy 25: 357 -370
Asen,K. (2003) Families and Experts in Court: Promoting Change or Collusion? Context 66: 8- 9
BOOK: Asen,K., Tomson,D., Young,V. & Tomson,P.(2004) : 10 Minutes for the Family: Systemic Practice in Primary Care. Routledge: London
Rabia Malik
Malik, R. & Krause I-B. (2004) Before & Beyond Words: Embodiment &
Intercultural Therapeutic Relationships in Family Therapy. In C. Flaskas,
B. Mason & Perlesz. The Space Between: Experience, Context and Process in the Therapeutic Relationship. Karnac.
Philippe Mandin
Fyvel, S. and Mandin, P. (2003) The whole is greater than the sums of its parts. Context 66: 14-17
Priscilla Green
Chapter on Klein, Blake & Gzebiel in Acquainted with the Night: Psychoanalysis & Poetry ed H.Canhens & C.Satyarunnti. Tavistock Clinic Series. London. Karnac
Review of the film ‘Spirited Amy’ Association of Child Psychotherapy Bulletin
Review of ‘The Animated Macbeth’ at Pentonville Prison. Association of Child Psychotherapy Bulletin
Nick Midgley
‘Projective identification: a clinical exploration of the concept from a contemporary Freudian perspective’, British Journal of Psychotherapy.
(This paper was a winner in the BJP Student Essay Prize 2002).
‘Sailing between Scylla an Charybdis: incorporating qualitative approaches into child psychotherapy research’, Journal of Child Psychotherapy (in press).
Review of Daniel Widlocher (ed). Infantile Sexuality and Attachment, in the Journal of Child Psychotherapy, 29/2
Review of Abel Brafman, ‘Untying the Knot’, in Psychodynamic Counselling, 9/4
Gill Morton
Morton,G. (2003) ‘From Reaction to Reflection’ in: The Resilient Child (Proc. Conf.Lillehammer)
Morton,G. (2004): ‘Using group narrative with troubled children’ CPJ Vol 15.1
Derek Taylor
Taylor,D. (2003): In a day unit for families. Context 66: 10 - 13
Beverley Tydeman
The Work of the Child Psychotherapist in the NHS. with Sue Sherwin White, Alan Shuttleworth, Beverley Tydeman & Cathy Urwin
Conferences
The following conferences were organised and held at the Marlborough. Approximately 70 people attended each conference.·
- Gianfranco Cecchin 27th February 2003
“Curiosity Re-visited New Directions in Therapeutic and Consultative Practices”
- Tom Hegemann 21st March 2003
‘Intra and Inter Cultural Work.’ Prejudices, Inhibitions and New Openings. A German Perspective.
- John Burnham 5th June 2003
“Working with children in the context of their family and other systems of significance”
- Harsha Rai and Alison Keating 4th December 2003
“Substance Misuse: A Cultural Perspective-Therapeutic Approaches”
Courses
In 2002/2003 and 2003/2004 we ran two 9 months courses in systemic practice for Specialist Registrars from The Tavistock Clinic, Great Ormond Street and London Hospital rotations, led by Judy Hildebrand.
Placements /Visitors
The MFS is providing supervised placements as part of recognised professional training from clinical psychology, child psychotherapy, family therapy, general practice, psychiatry and social work. In 2003 we had over 100 visitors from Sweden, Denmark, Norway, USA, Germany, Italy, India, and Pakistan. The length of these visits has ranged from specially tailored day events for groups to individual placements for a week or several months.
8. Staff leaving in 2003
Sandra Ramsden, Consultant Child Psychotherapist
After