Mental Health Powerpoint


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Mental Health Powerpoint

  1. 5. MENTAL HEALTH The Facts and the Fiction A Patient's Perspective
  2. 6. Banishing the Myths A Personal Perspective <ul><li>Perhaps........ </li></ul><ul><li>Perhaps the most worrying aspect of mental health problems for the patient is the reaction of other people to their 'condition'. Often the reaction is one of embarrassed silence. For this reason, I say I have been in 'hospital' and avoid saying why or naming either Marchwood, Melbury Lodge or Connaught House. It would be easier to explain a burst appendix. </li></ul>
  3. 7. The Patient's Perspective <ul><li>Entering the system </li></ul><ul><li>For most this starts with </li></ul><ul><li>a visit to the GP </li></ul>
  4. 8. NHS or Private Mental Health Provision <ul><li>Melbury Lodge – NHS Winchester </li></ul><ul><li>Marchwood Priory - Private </li></ul>
  5. 9. The Main Differences to me between the Private and NHS Mental Health Hospital <ul><li>Marchwood Priory </li></ul><ul><li>PRIVACY </li></ul><ul><li>Lovely rooms with en suite facilities and television in rooms </li></ul><ul><li>No locks on bathroom doors! </li></ul><ul><li>Plenty of staff so if you needed to talk you could always do so </li></ul><ul><li>Regular/daily appointments with counsellors/psychiatrists, etc </li></ul><ul><li>Melbury Lodge </li></ul><ul><li>Staff did not wear uniforms so relationships less formal perhaps </li></ul><ul><li>Much larger patient:staff ratio and no regular counselling sessions </li></ul><ul><li>I felt very lonely – this is different to wanting to be alone – there was very little privacy </li></ul><ul><li>Less attractive surroundings </li></ul>
  6. 10. The Main Differences to me between the Private and NHS Mental Health Hospital continued ... <ul><li>Marchwood Priory </li></ul><ul><li>I could hide if I wanted to and be left alone without intrustion or intervention – that mattered a lot to me </li></ul><ul><li>Here I felt I could take life at my own pace </li></ul><ul><li>Melbury Lodge </li></ul><ul><li>Bathrooms did have locks on doors!!! </li></ul><ul><li>CV involved staff even coming with you to the loo!! </li></ul><ul><li>Here I felt under pressure each day at least to demonstrate some pretence of wanting to move forwards – I felt it was the only way I could get out – the only other route was suicide which one patient chose whilst I was there </li></ul>
  7. 11. Consultant Psychiatrist Occupational Therapist Care Worker Psychiatric Nurse
  8. 12. THERE ARE, OF COURSE, OTHER HEALTH PROFESSIONALS WHO BECOME INVOLVED <ul><li>GP </li></ul><ul><li>CASUALTY OFFICERS </li></ul><ul><li>THE DUTY OFRFICER AT THE MENTAL HEALTH UNIT </li></ul><ul><li>THE CRISIS TEAM </li></ul><ul><li>THE SAMARITANS# </li></ul><ul><li>RASAC and other voluntary organisations </li></ul>
  9. 13. The Consultant Psychiatrist <ul><li>A problem solver – the problem being YOU the 'client'. </li></ul><ul><li>OK I'll admit it – these people make me scared </li></ul><ul><li>They have the power to turn my life upside down </li></ul><ul><li>I'm frightened of decisions they can maker about my care – about powers they may exert simply because they feel they had to 'do something' because their job tells them to </li></ul><ul><li>When maybe I just need to stand still .......... </li></ul>w
  10. 14. The role of the Occupational Therapist A heavily disguised Health Professional!!
  11. 15. The Occupational Therapist <ul><li>These are really 'good guys'. They are teachers of life skills; they are great listeners; they can be putting you through your paces on an anxiety management course one minute, and partnering you in badminton the next. They get you 'back on track' so-to-speak. </li></ul><ul><li>Difficult to spot – may be dressed in 'classic' clean cut straight out of public school attire, or promoting the 'alternative' life-style of pony tail and tie-dyed t-shirt. </li></ul><ul><li>These guys do not judge you. </li></ul>
  12. 16. I SO DO NOT NEED A SOCIAL WORKER OK? That was before I met Len
  13. 17. The role of the Social Worker <ul><li>He listens and doesn't judge </li></ul><ul><li>He's a friend </li></ul><ul><li>He makes things alright </li></ul><ul><li>He doesn't carry a hidden agenda </li></ul><ul><li>Nothing I do or say causes him to flap! - and I have tried!!! </li></ul><ul><li>He's just a normal kind of guy who takes me out for coffee like I'm just a friend </li></ul><ul><li>He asks the right questions and knows when to stop </li></ul><ul><li>Nothing is ever too much trouble for him </li></ul>
  14. 18. DAY CARE <ul><li>For most people who have been patients in the NHS system, this is the main route back to 'normal' life after a spell in hospital. </li></ul><ul><li>The disadvantage for the person who has been in a private facility is that they can be returned to 'normal' life with no support or further provision. </li></ul>
  15. 19. CONNAUGHT HOUSE <ul><li>Home to an assortment of Health Professionals and 'clients' </li></ul><ul><li>'If you can tell the difference between the Health Carer and the Client – then there's something wrong' Chris Wagg, OT </li></ul>
  16. 20. Making the Transition <ul><li>Clients at Connaught House are encouraged to access a range of activities and courses designed to build confidence, physical well-being, social skills and skills which may help with future employment. </li></ul>
  17. 22. COPING SKILLS <ul><li>Learn positive ways of coping </li></ul><ul><li>Relaxation </li></ul><ul><li>Challenging negative thoughts </li></ul><ul><li>Anxiety management </li></ul><ul><li>Learning to set realistic goals – the following demonstrates this ... </li></ul>
  18. 23. STORY OF A LIFE IN FIVE CHAPTERS CHAPTER ONE I walk down the street There is a deep hole in the pavement I fall in, I am lost, I am helpless It wasn't my fault
  19. 24. CHAPTER TWO I walk down the street There is a deep hole in the pavement I pretend I don't see it. If fall in again I can't believe I'm in the same place But it isn't my fault It still takes a long time to get out
  20. 25. CHAPTER THREE I walk down the same street There is a deep hole in the pavement I see it there, I still fall in, it's a habit My eyes are open I know where I am It is my fault I get out immediately
  21. 26. CHAPTER FOUR I walk down the same street There is a deep hole in the pavement I walk around it
  22. 27. CHAPTER FIVE I walk down another street oooOOOooo
  23. 28. THE BENEFITS Obvious – exercise Less Obvious – contact with others and building of social skills THE BENEFITS Obvious – exercise Less Obvious – contact with others and building of social skills
  24. 29. IT <ul><li>MIND come to Connaught House with lots of laptops </li></ul><ul><li>They work with each service user </li></ul><ul><li>Each session is tailored to the individual's needs </li></ul>
  25. 30. CRAFT GROUP <ul><li>A whole range of activities – painting, knitting, model making etc – and you can do whatever you like – or just sit and watch someone else </li></ul>
  27. 32. SELF HARM <ul><li>I am a self-harmer </li></ul><ul><li>I slash my arms </li></ul><ul><li>Sometimes I cut my face </li></ul><ul><li>You might think that I should be ashamed or embarrassed – but I'm not thinking of others when I do this – but I am desperate for the release it provides which is a positive feeling for me </li></ul>
  28. 33. <ul><li>I have to confess I often find myself peering closely at myself in the mirror looking for signs of 'madness' – some kind of distant look in the eye or the wild, uncontrollable edge of a typical James Bond style villain. </li></ul><ul><li>Actually, when things are really bad looking in the mirror is something I avoid – because I am frightened that I will see exactly that </li></ul>
  29. 34. STANDING STILL ... <ul><li>If I keep very very very still may be I can make sense of what is happening to me </li></ul><ul><li>If I don't move my head I might be able to work out which things in the room are real and which are in my imagination </li></ul><ul><li>I don't have to answer that question because the person asking it is only a shadow </li></ul><ul><li>.....These are some of the thoughts that pass through my head – could you help me? </li></ul>
  30. 35. Medication <ul><li>Mirtazipan </li></ul><ul><li>Venlafaxine </li></ul><ul><li>Lorazepan </li></ul><ul><li>Quetiapine </li></ul><ul><li>Zopiclone </li></ul><ul><li>These are some of the medicines that I take </li></ul>
  31. 36. The Tangible Effects of Medication <ul><li>FACT – I Like my medication </li></ul><ul><li>FACT – I like feeling supported </li></ul><ul><li>FACT – I like having the 'curtain' of medication to hide behind </li></ul>
  32. 37. CRISIS
  33. 40. So can the average mental health professional really understand the feelings and state of mind of someone on the point of a crisis?
  34. 41. How can they tell when someone is really on the edge of something or a feeling that they can no longer tolerate?
  35. 42. How can the mental health professional help when the patient no longer has the will or the energy to articulate their thoughts?
  36. 43. I'm not sure I know the answer to this one <ul><li>How can they possibly know how bad this is' – I used to think – a bit like listening to an ante-natal class leader who has never actually given birth describe the pain of childbirth||| </li></ul><ul><li>It has to start with trust. </li></ul>
  37. 44. WARNING!!!
  38. 45. PLEASE TAKE NOTE! <ul><li>Never underestimate how much the mental health professional is needed </li></ul><ul><li>Sometimes talking is too much, too painful </li></ul><ul><li>Sometimes threatened suicides are not 'just a cry for help' or emotional blackmail and do become a reality </li></ul><ul><li>Don't assume that textbook case scenarios apply to your client </li></ul><ul><li>Please avoid 'labels and psycho-babble </li></ul>
  39. 46. SO... <ul><li>Can you be still? </li></ul><ul><li>Can you listen? </li></ul><ul><li>Can you hear the hidden truth that someone is saying behind the words they speak aloud? </li></ul><ul><li>Can you develop that trust? </li></ul>
  40. 47. Some of the things that have made a huge difference to me <ul><li>The real respect and kindness shown to me – even when things have been wholly hopeless, and I know that the OT's for example must know my situation, but they just carry on as usual </li></ul><ul><li>The way the staff laugh with you NEVER at you </li></ul><ul><li>The sense of 'mucking in' and being one of the 'family' </li></ul>
  41. 48. Back to me .... <ul><li>I've been 'ill' for quite a long time now </li></ul><ul><li>I don't know when I'll be better </li></ul><ul><li>I do know that there is some support out there </li></ul><ul><li>I'm not alone on this jouney and I can trust </li></ul>