There is increasing recognition of the value of multi-agency approaches to support people with hoarding difficulties. This service evaluation describes and presents preliminary evaluation data for an innovative multi-agency partnership in Wales supporting people with hoarding difficulties. The preliminary service evaluation analysed routine usage and outcome data recorded between January 2024 to July 2024. This included the number of individuals receiving support, referral acceptance rates, demographics of referrals and a range of service outcomes including changes in the quantity of possessions in living spaces, measured using the Clutter Image Rating (CIR) scale, and achievement of service objectives. The service was well-utilised, with 53% achieving positive outcomes upon discharge. The quantity of possessions in living spaces decreased from clinical threshold in 71% of participants from pre- to post-intensive support. The findings are considered in relation to the evidence base for multidisciplinary approaches for hoarding difficulties and the implications for service delivery. Mae gwerth dulliau amlasiantaethol o gefnogi pobl ag anawsterau celcio yn cael ei gydnabod fwyfwy. Mae’r astudiaeth gwerthuso gwasanaeth hon yn disgrifio ac yn cyflwyno data gwerthuso rhagarweiniol ar gyfer partneriaeth amlasiantaeth arloesol yng Nghymru sy’n cefnogi pobl ag anawsterau celcio. Roedd y gwerthusiad rhagarweiniol o’r gwasanaeth yn dadansoddi data defnydd a chanlyniadau arferol a gofnodwyd rhwng mis Ionawr 2024 a mis Gorffennaf 2024. Roedd hyn yn cynnwys nifer yr unigolion sy’n cael cymorth, cyfraddau derbyn atgyfeiriadau, demograffeg atgyfeiriadau ac amrywiaeth o ganlyniadau gwasanaeth gan gynnwys newidiadau yn nifer yr eiddo mewn mannau byw, wedi’u mesur gan ddefnyddio graddfa Sgorio Delwedd Annibendod (CIR), a chyflawni amcanion y gwasanaeth. Roedd defnydd y gwasanaeth yn dda, gyda 53% yn sicrhau canlyniadau cadarnhaol ar ôl cael eu rhyddhau. Gostyngodd nifer yr eiddo mewn mannau byw o drothwy clinigol ymysg 71% o gyfranogwyr cyn cael cymorth dwys ac ar ôl ei gael. Ystyrir y canfyddiadau yng nghyswllt y sylfaen dystiolaeth ar gyfer dulliau amlddisgyblaethol o ran anawsterau celcio a’r goblygiadau ar gyfer darparu gwasanaethau.
Background: Home visitation has emerged as a promising prevention strategy for the escalation of difficulties. Research into practitioners’ experiences of home visiting has been conducted in various populations however, is limited in terms of providing mental health care to children, young people and families. The present study aimed to explore, from the perspective of practitioners within the Family Intervention Team in Gwent, South Wales, the opportunities that offering a service in people’s home provides, with the aim of developing our understanding of best practice in this context. Method: A thematic analysis approach was utilised on semi-structured interviews conducted with eight practitioners. Results: Three themes were identified: General Opportunities, Best Practice and Therapeutic relationships and emotion, with sub-themes relating to settling power imbalances, considerations for scaffolding the intervention and the opportunities that arise from the context. Discussion and conclusion: These findings are discussed in relation to Welsh strategic priorities, attending to power, threat and safety as well as contextual richness. Best practice considerations and future research suggestions are made. Mae ymweliadau cartref wedi dod i’r amlwg fel strategaeth atal addawol ar gyfer uwchgyfeirio anawsterau. Mae ymchwil i brofiadau ymarferwyr o ymweld â chartrefi wedi cael ei gynnal ymysg poblogaethau amrywiol, fodd bynnag, mae’n gyfyngedig o ran darparu gofal iechyd meddwl i blant, pobl ifanc a theuluoedd. Nod yr astudiaeth bresennol oedd archwilio, o safbwynt ymarferwyr yn y Tîm Ymyriadau Teuluol yng Ngwent, De Cymru, y cyfleoedd y mae cynnig gwasanaeth yng nghartrefi pobl yn eu darparu, gyda’r nod o ddatblygu ein dealltwriaeth o’r arferion gorau yn y cyd-destun hwn. Defnyddiwyd dull dadansoddi thematig ar gyfer cyfweliadau lled-strwythuredig a gynhaliwyd gydag 8 ymarferydd. Nodwyd tair thema: Cyfleoedd Cyffredinol, Arfer Gorau a Pherthnasoedd ac Emosiynau Therapiwtig, gydag is-themâu sy’n ymwneud â datrys anghydbwysedd o ran pŵer, ystyriaethau ar gyfer strwythuro’r ymyriad a’r cyfleoedd sy’n deillio o’r cyd-destun. Trafodaeth a chasgliad: Trafodir y canfyddiadau hyn yng nghyswllt blaenoriaethau strategol Cymru, gan roi sylw i bŵer, bygythiad a diogelwch, yn ogystal â chyfoeth cyd-destunol. Gwneir ystyriaethau o ran arfer gorau ac awgrymiadau ymchwil yn y dyfodol.
This article outlines the rationale, strategy and initiatives undertaken to develop compassionate leadership and cultures across NHS Wales. It also explores the implications of these developments for clinical psychologists working within the NHS in Wales. Describing the strategic frameworks, leadership programmes, and evaluation methodologies, the article highlights the systemic approach adopted by Health Education and Improvement Wales (HEIW) and its partners to developing compassionate healthcare cultures across Wales. The discussion explores the role of clinical psychologists in contributing to this systemic approach through their influence on leadership, organisational culture, evaluation, clinical practice, and policy advocacy. Mae’r erthygl hon yn amlinellu’r rhesymeg, y strategaeth a’r mentrau a gynhaliwyd i ddatblygu arweinyddiaeth dosturiol a diwylliannau ar draws GIG Cymru. Mae hefyd yn archwilio goblygiadau’r datblygiadau hyn i seicolegwyr clinigol sy’n gweithio yn y GIG yng Nghymru. Gan ddisgrifio’r fframweithiau strategol, y rhaglenni arweinyddiaeth a’r methodolegau gwerthuso, mae’r erthygl yn tynnu sylw at y dull systemig a fabwysiadwyd gan Addysg a Gwella Iechyd Cymru (AaGIC) a’i bartneriaid i ddatblygu diwylliannau gofal iechyd tosturiol ledled Cymru. Mae’r drafodaeth yn archwilio rôl seicolegwyr clinigol wrth gyfrannu at y dull systemig hwn drwy eu dylanwad ar arweinyddiaeth, diwylliant sefydliadol, gwerthuso, ymarfer clinigol, ac eiriolaeth polisi.
Clinical Associates in Applied Psychology (CAAP) is a new psychological profession within the Welsh National Health Service (NHS). In this article, five CAAPs working in a range of adult lifespan services reflect on their journey into the CAAP profession and their role within their service. The article illustrates the versatile nature of the CAAP role and the positive impact of their work for the teams, the communities they support, and for them personally. The article highlights the impact of CAAPs within services, providing support to continue to grow this new workforce in Wales. Mae Cymdeithion Clinigol mewn Seicoleg Gymhwysol (CAAP) yn broffesiwn seicolegol newydd yng Ngwasanaeth Iechyd Gwladol Cymru (GIG). Yn yr erthygl hon, mae pump CAAP sy’n gweithio mewn amrywiaeth o wasanaethau hyd oes oedolion yn myfyrio ar eu taith i broffesiwn CAAP a’u rôl yn eu gwasanaeth. Mae’r erthygl yn dangos natur amlbwrpas rôl CAAP ac effaith gadarnhaol eu gwaith ar y timau, y cymunedau maen nhw’n eu cefnogi, ac iddyn nhw’n bersonol. Mae’r erthygl yn tynnu sylw at effaith CAAP mewn gwasanaethau, gan ddarparu cymorth i barhau i dyfu’r gweithlu newydd hwn yng Nghymru.
This article outlines the development of a DBT-informed skills group for emotional eating across Specialist Weight Management Services in Wales. It also considers the importance of collaboration in developing the group, and implications of collaboration across services for service development. Mae’r erthygl hon yn amlinellu’r broses o ddatblygu grŵp sgiliau ar sail Therapi Ymddygiad Dialectig ar gyfer bwyta emosiynol ar draws Gwasanaethau Rheoli Pwysau Arbenigol yng Nghymru. Mae hefyd yn ystyried pwysigrwydd cydweithio wrth ddatblygu’r grŵp, a goblygiadau cydweithio ar draws gwasanaethau er mwyn datblygu gwasanaethau.
