Workshops & Training

Certificate for

Trainer in Outcomes-orientated Approaches Service Transformation (TOAST)

Course facilitators : Sami Timimi, Dianne Tetley, Gill Walker

Start date : January 2016

End date : December 2016

Face to face training : Will take place on Monday the 7 th and Tuesday the 8 th of March at the Everyday Champions Centre in Newark (please see ). A further day of face to face training will take place in November 2016.

Cost: £1250 per person.

To book a place :  Please contact Vicki Dowse at This email address is being protected from spambots. You need JavaScript enabled to view it. or 01529 416255.

Qualification : Certificate of completion accredited by the British Psychology Society .  Completion of the advanced level training, leads to recognition as an approved trainer in Outcomes Orientated Approaches to Mental Health (approved OO-AMHS trainer).

Course structure


Access to on-line e-learning is enabled in January 2016 .

Four foundation level on-line e-learning modules need to be completed before first face to face training in March. Each module will take 3-5 hours concluding with a test that must be passed before progressing to the next module.

Two day’s mandatory face-to-face training will take in March 2016 .

Advanced :

Participants will undertake a project at their workplace, starting after the completion of the Foundation level training.

One advanced level on-line e-learning module needs to be completed.

Face-to-face, telephone, or web-based training/supervision/consultation will take place on a monthly/bi-monthly basis, to support implementation of the each participant’s project.

Final project report submission needs to be completed by December 2016 .

Overview of the OO-AMHS approach

Outcome Orientated Approaches to Mental Health Services (OO-AMHS) is a whole service model that draws on a large international evidence base that has consistently shown certain extra-therapeutic factors (such as social context) and intra-therapeutic factors (such as the therapeutic relationship) are most likely to influence outcomes from treatments for mental health problems. OO-AMHS is designed to incorporate this evidence into a whole service model that can improve outcomes for those experiencing mental health problems, at the same time as maximising efficient use of resources. OO-AMHS seeks to engage service users, and promote recovery thinking at the same time as respecting the challenges front line practitioners face.

Theory covered in the course includes: An introducing into the evidence base on what influences outcomes in therapeutic work with those who have mental health problems. The ‘common factors’ v ‘Evidence Supported Treatment’ perspectives are explored and critiqued. Differences between the outcomes achieved in research and real life mental health services and the so-called ‘lab-clinic gap’ are examined. The evidence base covering successful and unsuccessful whole service transformation projects in mental health services is looked at. The basis for designing successful models of service delivery and existing successful service delivery models are outlined. The theoretical and research basis that underpins the OO-AMHS model is examined including that of using session-by-session outcome and alliance feedback based systems. You will be introduced to using the on-line software programme MyOutcomesUK as a clinical practice and team reflection tool that helps to enhance your ability to incorporate active use of outcome data in individual, team and whole service practice.

Four CORE guiding principles underpin the OO-AHMS approach:

1. C onsultation (engaging with the broader context and other agencies),

2. O utcome (measure progress session-by-session, change treatment if no improvement),

3. R elationship (measure alliance regularly and address alliance issues) and

4. E thics of care (build a positive, recovery orientated team ethos).

The course is designed for developing a whole service approach to improving outcomes, client involvement and satisfaction, at the same time as decreasing costs and increasing capacity. Completion of the course will enable the benefits of OO-AMHS to reach clients, staff and services as a whole, through implementation of an OO-AMHS project at the participant’s workplace. Furthermore successful completion of all aspects of the course will enable the participant to be recognised as a qualified trainer in the OO-AMHS approach, enabling them to further disseminate this approach more widely in their organisation.

OO-AMHS draws extensively on Client Directed Outcome Informed ideas pioneered by Barry Duncan (see ) and Scott Miller (see ).

Course content

The course runs for one academic year.

Foundation level :

There are four foundation on-line e-learning modules followed by two whole day’s face-to-face training to complete the Foundation level of training. The course has an e-learning platform. The e-learning platform includes narrated PowerPoint slides, papers to download and read, and opportunities for entering reflections on theory and practice. Each of the four Foundation modules includes a test that participants must pass to progress to the next module.

The two day foundation level face to face workshops include: Overview and recap of e-learning modules, overview of the CORE features of the OO-AMHS approach, using outcome and alliance measures in real life clinical practice, case study examples, examples of successful projects, using the on-line database MyOutcomesUK for recording outcomes and reflecting on outcome data, using OO-AMHS in management and supervision, discussion of participants’ workplace, and development of potential project ideas.

Advanced level :

The advanced level training involves completing an Outcomes Orientated transformation project at the participant’s workplace. The advanced level includes one advanced on-line e-learning module and further monthly or bi-monthly contact (such as face-to-face, telephone or web-based meetings), to support implementation of each participant’s project. In order to complete the course and become recognised as an approved trainer in the OO-AMHS approach, participants must complete and submit a final report on their project. Participants who go on to complete the advanced training will be mentored by the course facilitators to help with implementation of their project.

The final write up for the project can be done using written or a number of multi-media based formats. The write up covers themes such as ‘aim of the project’, ‘outcome of the project’, ‘levers and strengths that helped in implementing the project’, ‘barriers and obstacles’, and ‘top tips for others’.

Course facilitators

Sami Timimi is a Consultant Child and Adolescent Psychiatrist and Director of Medical Education in the National Health Service in Lincolnshire and a Visiting Professor of Child Psychiatry and Mental Health Improvement at the University of Lincoln, UK. He writes from a critical psychiatry perspective on topics relating to mental health and childhood and has published over a hundred articles and tens of chapters on many subjects including childhood, psychotherapy, behavioural disorders and cross-cultural psychiatry. He has authored 4 books including Naughty Boys: Anti-Social Behaviour, ADHD and the Role of Culture , co-edited 4 books including, with Carl Cohen, Libratory Psychiatry: Philosophy, Politics and Mental Health , and co-authored 2 others including, with Neil Gardiner and Brian McCabe, The Myth of Autism: Medicalising Men’s and Boys’ Social and Emotional Competence . Reach Sami at: This email address is being protected from spambots. You need JavaScript enabled to view it. .

Dianne Tetley is Assistant Director of Research and Effectiveness at Lincolnshire Partnership NHS Foundation Trust, UK and an Honorary Research Fellow at the University of Lincoln, UK. Dianne is an innovator and implementer of quality improvement initiatives. She has received extensive training in the USA in the set-up and application of a client directed outcome informed approach to clinical work and service delivery. Her current projects include the continued development and implementation of outcome orientated approaches to mental health services across a variety of settings in the UK and further afield. Reach Dianne at: This email address is being protected from spambots. You need JavaScript enabled to view it. .

Gill Walker has over 30 years’ experience of working and supervising in a range of settings including child and adolescent, adult, and older adult, mental health. She is trained as a Registered Mental Health Nurse. Gill is passionate about outcomes and about Supervision. She has undertaken training in the UK, USA and Canada in using outcomes informed approaches and Routine Outcome Measures. She provides technical expertise and training and development for workforces in adult mental health services, child and adolescent mental health services, and third sector providers. Gill is an experienced project manager at both regional and national level and has undertaken project management within and across education and health and wellbeing settings; working with both commissioners and providers of services in Local Authorities, the National Health Service, and Independent and Third Sector providers. Reach Gill at: This email address is being protected from spambots. You need JavaScript enabled to view it. .

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