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Ray Middleton


Ray is the Workforce Development  Lead for Fulfilling Lives Newcastle Gateshead.

Ray is piloting a programme which will develop PIE (Psychologically Informed Environments) in 30 frontline services using the Ladder4Life framework he developed, which combines principles of an innovative approach to mental health called ‘open dialogue’ with PIE.

Ray is completing a PhD on dialogical/narrative approaches to complex needs. He has also written a chapter on our PIE work in a new book which opens a dialogue between America and Britain about innovative approaches to people with complex needs, called Cross Cultural Dialogues an Homelessness.

Ray is interested in using videos to assist his Multiple Complex Needs training programme, and is in the process of producing 5 new training films with our Experts By Experience Network.

Previously, Ray has set up and managed Personality Disorder Services and been a senior care co-coordinator in an Early Intervention in Psychosis (EIP) service where he chaired a working group on an ‘open-dialogue’ pilot.

Ray also has personal lived experience of complex needs and has used mental health and addiction services in the past, an experience which motivates him to improve services for others with complex needs in the future. He is a Systemic Practitioner (within Systemic Family Therapy) and has had an article published on open-dialogue in AFT’s ‘Context’ magazine.