CAT in Services for People with Multiple and Complex Needs

YMCA Liverpool and Sefton has made use of the cognitive analytic therapy approach in a number of its services.  This began in 2014 when the service started working with CAT therapist, supervisor and trainer, Dr Karen Shannon.

Staff working within the Multiple & Complex Needs (MCN) services trained in CAT Skills Case Management.  CAT reflective practice was put into use by staff working with people in their services who were homeless.  Many of those using YMCA accommodation also had mental health difficulties, and were using drugs and/or alcohol.  Some were caught in cycles of behaviour which brought them to the attention of the police.

Ellie McNeil, Chief Executive of YMCA Liverpool and Sefton, describes the journey of the organisation in a recent blog.

“….we initially brought in the CAT approach to enable the delivery of a project supporting people with multiple and complex needs. Disenfranchised, excluded, rejected and frightened manifested as aggressive, disengaged, self sabotaging, and rejecting. We knew we needed a different approach, not only to elicit change with service users but more so to support the staff in their roles.

The team were trained in CAT Case Management, and we started to use reflective practice. Over the subsequent years we tweaked and changed our way of working. With the support of Karen, we had created a framework to work within. We’d developed a shared understanding of why the people we supported behaved the way they did and what we could do to change our response so that we could support them more effectively……

…..I am incredibly proud of where we are as a team and believe we have got to this place because of the shared understanding, language and framework that CAT gives us. Working in a CAT informed way helps me to ensure the organisation can be a positive place for service users and staff members now and in the future.”

You can read a further summary of this work in Homeless Link’s report on Reflective Practice in homelessness services: an introduction (pages 11 – 15)

In 2019, YMCA  Liverpool and Sefton, along with several other partner organisations, opened RISE Recovery Services.  One part of this is a new eighteen week residential service for people recovering from drug and alcohol dependency.  This too uses cognitive analytic therapy as a framework for all aspects of the service.  CAT reflective practice helps keyworkers deliver relational support to residents.  RISE also  employs a part-time CAT therapist to support this work and provide one-to-one work.

Thanks are extended to Ellie McNeil for helpful contributions to this page.

CAT in Services for People with Multiple and Complex Needs by ACAT Public Engagement Team
CC BY-SA 4.0  

Information for you about Cognitive Analytic Therapy (CAT)