Watch this short (8 minute) Film explaining  Trauma Informed Ladder4Life P.I.E. which introduces the training I offer:

I have produced a range of PIE Training resources, such as podcasts, printed psychological frameworks and online Films.
Here is an example of a PIE FILM resource - where I  interview the inventor of the P.I.E. concept, Robin Johnson, and ask him to explain PIE!

Other Ladder4Life  PIE training Resources involve interviewing Experts by Experience with complex Needs. Their experience is then used in the training to help staff reflect - on how to UNDERSTAND their clients more psychologically, and to develop SKILLS to deliver a better service.
​An example of this kind of Film is:

Recent News

I offer two levels of Training:
Level One is for whole teams of front-line staff and covers the PIE areas with a focus on Reflective Practice and Understanding Complex Needs. 
Level Two is a "Training the PIE Facilitator" training course to train staff within services to develop PIE within their own service.
 To find out more about either training course just email me at Ray.Middleton@ladder4life.com 
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I have written a Psychological Framework in plain English called Ladder4Life.
​Staff and Clients feedback they find this easy to use and understand. Here is the framework:

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The PIE I have developed in services has been researched and evaluated very positively and the report can be read here: 

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How to develop PIE Psychologically Informed Environment (PIE)

If you are involved in delivering a service to people with complex trauma or multiple needs there are a number of ways to move forward. You could start by registering to be a member of pielink.net which is free and is a community of practice around PIE sharing ideas and resources. You could read the PIE guidance document written by Claire Richy for Westminster City Council available on pielink.net. 
You could also watch some of Films about my Ladder 4 Life PIE framework or email me Ray.Middleton@ladder4life.com 
The PIE I have developed in front-line services were referenced in Westminster City Council's PIE guidance which can be read here:

The Kings Fund and Public Health England invitation to talk about Dialogical PIE

I was also invited by The Kings Fund and Public Health England to talk about my Dialogical PIEs at their Health and Housing Conference. A 15minute Film of Robin Johnson and myself explaining PIE at this conference can be viewed below

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The Story of my Recovery Journey published by AFT CONTEXT magazine "Open Dialogue" ed 

I experienced Complex Needs in the 1990's and since finding ways to get better have been passionate for 20 years about developing and delivering better services for this client group. I have managed Personality Disorder Accommodation services and been a senior Care Co-coordinator in an Early Intervention in Psychosis (EIP) service.  I am also a Systemic Practitioner within Systemic Family Psychotherapy and  wrote an article about my recovery from trauma and how it relates to the"Open Dialogue" approach to mental health recovery. I am currently completing a PhD in Complex Needs.
​My article was published by the Association for Family Therapy and Systemic Practice (AFT) CONTEXT magazine, Issue 138 on "Open Dialogue", April 2015 and can be read here:

context138-raym.pdf
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