December information pack.2013


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December information pack.2013

  1. 1. Merry s hristma C | Edition 17 | December 2013 | | | | 1
  2. 2. 2 3 4 Stonham Home Group would like to ensure that our clients are at the heart of everything we do. If you would like to receive this pack in another format e.g. large print, on tape or in Braille, please telephone the Carers Support Service on 0121 380 4949, or email We’d absolutely love to hear from you. The pack is also available to download at: 2 Backdated Information Packs 5 Send your photos, stories & artwork to us at… Stonham Birmingham Mental Health Carers Support Service, Unit 3, Holt Court North, Heneage Street West, Birmingham Science Park, Aston, Birmingham B7 4AX Contact us Positive mental health group pals contact details Young carers day 6 7 8 9 10 11 12 13 STaR service details Concerns of young carers Christmas events Barnardo’s Filter me Buzz guide—useful numbers Franfurt Christmas market How many carers in the uk 14 Issues facing mental health 15 16 17 18 19 20 LGBT Carers forum Young people Medication for mental illness Triangle of care Volunteering Young carers 21 22 23 24 25 26 27 Self harm. Personality disorder Depression Mental health charities uk Festive period & mental health Football & mental health Carers UK Carers UK advice line 28 29 30 The library project Are you suited to being a carer? Headway - Aquarius Websites for carers 31 32 33 34 35 36 37 38 39 10 things to do Poster childrens centre, HUB PMHG Christmes party poster Carers groups Carers groups continued Carers groups continued Fire safety checks To report a hate crime Carers feedback sheet
  3. 3. Positive Mental Health Group Monthly Networking Meeting dates for 2013 Come and join one of the biggest Mental Health networking meetings in the Midlands, every month! Just turn up – no need to book. Meetings include guest speakers, information table, light refreshments and a chance to chat and catch up. Thursday 19 December – 2.30pm to 4.30pm PALS customer relations (Patient Advice & Liaison Service) Can provide information on a range of mental health matters, and liaison with all Trust services Monday to Friday 8am to 8pm Contact 0800 953 0045 Text 07985883509 Email The group is open to anyone with an interest in promoting a greater awareness of mental health issues across the communities of Birmingham and Solihull. This is your chance to share information, news and views among statutory agencies, voluntary sector organisations, users and carer groups. Everyone is welcome to this lively meeting which includes guest speakers, information stall, light refreshments and a chance to chat and catch up with others. The group meets at the Friends Institute, 220 Moseley Road, Highgate, Birmingham, B12 0DG. Buses route 50 operates to the door of the Friends Institute every few minutes from Moor Street, Queensway, Birmingham City Centre. Inner circle route 8 is a short walk from the venue. 3 Website: Please note that the PALS team is NOT a medical team. If you have an immediate health problem please contact NHS Direct (0845 46 47) or your GP IMPORTANT NOTICE Before using any of the contacts, information or resources in this Information Pack, you must check it for safety/reliability/appropriateness. Advice in this pack is intended for guidance only, and is not a substitute for professional advice. Stonham cannot accept any responsibility for loss or liability occasioned as a result of any person acting or refraining from acting on information contained in this pack. A lot of the material in this Information pack has been sourced from the internet.
  4. 4. If you would like to read any of our previous Information Packs please click on the links below: please click on the links below: July 2013 January 2013 August 2013 February 2013 September 2013 March 2013 October 2013 April 2013 November 2013 May 2013 Alternatively you can type: June 2013 which will take you to our website, there you can print, read or download the packs for your information. Happy reading!! 4
  5. 5. & L ee Christina Sydney, Sunday 3rd November Lee, Christina & Sydney met up for a trip to Malthouse Stables Outdoor Activity Centre in Tipton, for rock climbing, archery and team games were the young carers verses the staff from Stonham; our young carers won of course. 5
  6. 6. The STaR Service support and time to recover from mental health difficulties What is the STaR Service? The STaR Service stands for ‘support, time and recovery’. We work with people with mental health difficulties to: • help them achieve their full potential by taking part in activities • have more choice and control over the way they receive support. How can I get the STaR Service? The STaR Service is available to people with mental health difficulties who live in Birmingham. If you have mental health difficulties and you would like support from the STaR Service, a social care worker needs to carry out a social care assessment with you. You can ask for an assessment by phoning your nearest mental health social work team: • South Birmingham on 0121 678 2830 • East and North Birmingham on 0121 685 7832 • Central Birmingham on 0121 685 7628. What does the STaR Service offer me? Our STaR Service gives you the opportunity to explore your own aims and plans with experienced and skilled workers, who will help you deal with your mental health difficulties. 6 Individual support We can help you: • work out what your aims and interests are • develop an action plan • get involved in new activities and • think about the progress you are making. Group support We can help you: • take part in group work which can help you build up your confidence and self esteem • develop your own support group and • work with volunteers to run drop-in sessions and groups for other people with mental health difficulties. More information and contact details For more information about the STaR Service, please contact us. Support, Time and Recovery Team Main Street Resource Centre 86 Main Street Sparkbrook Birmingham B11 1RS Phone: 0121 773 2922 Email: Our service is available Monday to Thursday from 8.45am to 5.15pm, and Friday from 8.45am to 4.15pm.
  7. 7. Concerns of Young Carers Identifying Young Carers Young carers are not a well-defined group, and in fact the only real commonality between them all is that they are under the age of 18 and look after a family member who suffers from physical or mental ill health. The care such a young person provides can be almost anything, from household chores to personal care, medical care to translation or interpretation services. Often young carers live in the same household as the relative for whom they care, such as the case of a child caring for a parent or a teen caring for a sibling, though they could live in separate dwellings but provide care for close relatives such as grandparents, aunts or uncles. Concerns for Young Carers There are many concerns for young carers who may not live balanced lives as a result of their caring activities. Many adults worry that young carers: • • • • • • • 7 Assume inappropriate responsibilities for their ages. Take on too many responsibilities with little support. Lose out on childhood or teenage years by assuming the responsibilities of an adult. Become awkward or inexperienced socialising with others their own ages. Suffer at school due to lack of concentration, energy or enthusiasm. Find their hopes for the future curtailed due to feeling responsible for others’ care. Shun hobbies, sports or other leisure activities as frivolous or unnecessary. Suffer physically, mentally or emotionally from added responsibilities. Stresses of Young Carers Many young carers also find that they have stresses and concerns associated with their new roles, though some may be unwilling to acknowledge them for fear that they are viewed as weak, unable to cope or even somehow disrespectful to the loved one for whom they are caring. Many young carers may worry about their loved ones, their schoolwork, their friends and romantic relationships and needing assistance with any aspect of their lives. Some may even worry that by disclosing their caring activities or status as a carer that their lives will be adversely impacted and so choose to remain quiet about assistance they may need. Support for Young Carers Young carers may find a great deal of acceptance and support from other young carers, such as through a local council support group or a wider Young Carers Project. Such young people may also find that teachers, home link workers, friends, medical professionals including a school nurse, and other relatives can all provide support and help access greater assistance as needed. Family friends, parents of their own friends, members of the clergy, coaches and other trusted adults may also be able to provide support for young carers who need it. Young carers take on responsibilities that many of their contemporaries never need worry about. Identifying young carers, exploring typical concerns for this group, acknowledging the stress of these young people and find out more about support for young carers can all help them achieve a more balanced, healthy lifestyle.
  8. 8. Christmas lunch Carers UK Birmingham have some new dates for your diaries this year for some wonderful new upcoming events and some of the usual favourites. If you would like more details about dates, times, locations of then please read on. Carers Rights Day Event – Friday 29th November 10.30am start at the United Reformed Church, Brassington Avenue in Sutton Coldfield Carers UK Christmas Meal – Saturday 7th December 12.30pm – 4.00pm at the Quality Inn, Hagley Road, Edgbaston We would be glad to see as many people of possible at any of these events so if you need any more details then please call Carers UK Birmingham - 0121 355 1006 Mell Square Solihull West Midlands B91 3BG The all-new Solihull Christmas Market opens with 40 stunning, traditional stalls offering a wonderful range of gifts including candles, jewellery, hand-made gifts, decorations and wooden toys. An outdoor bar will tantalise the taste buds with the delicious aroma of Gluhwein and there will be plenty of traditional foods to sample in the square too. The market will be open from: 10am-8pm MondayWednesday. 10am -9pm Thursday-Saturday. 10am-5pm Sunday. 0121 285 1370 8
  9. 9. Young carers Young carers are children who help look after a member of the family who is sick, disabled or has mental health problems, or is misusing drugs or alcohol. Their day to day responsibilities often include: • • • • • cooking cleaning shopping providing nursing and personal care giving emotional support. With so many adult responsibilities, young carers often miss out on opportunities that other children have to play and learn. Many struggle educationally and are often bullied for being ‘different’. They can become isolated, with no relief from the pressures at home, and no chance to enjoy a normal childhood. They are often afraid to ask for help as they fear letting the family down or being taken into care. Young carer facts • The average age of a young carer is 12. • Young carers are children and young people under 18 who provide regular and on-going care and emotional support to a family member who is physically or mentally ill, disabled or misuses substances. • The 2001 census identified 175,000 young carers in the UK, with 13,000 caring for more than 50 hours per week. The 2011 census identified 178,000 young carers in England and Wales alone; an 83% increase in the number of young carers aged 5 to 7 years and a 55% increase in the number of children caring who are aged 8 to 9 years. 9 Services working with young carers Barnardo’s runs 15 services across the UK which work to support young carers and their families in a variety of ways: Helping the family to find the support they need, and are entitled to, from local services, so that a child’s caring responsibilities can be reduced. • Supporting young carers to use local services such as sports clubs, support groups, and health centres. • Providing advice and emotional support through counselling and drop-in sessions • Liaising with schools so that teachers can better support their students • Providing opportunities for young carers to take a break from their caring responsibilities, spend time with other young carers and share experiences Providing opportunities for young carers to learn more about their parent’s illness or disability. •
  10. 10. Merry Christm as What is Filter? Filter is how cultural organisations in Birmingham show children and young people up to the age of 24 to things going on in the city that are designed just for them. Filter is your route to a Creative Future and the best way to find out how you can engage with the hundreds of arts, sports, heritage, activities, projects, and showcases in the city. Filter will try its best to tell you about all other activities for children and young people happening in the city. We also try to give you easy access to opportunities and activities plus exclusive discounts, vouchers and competitions. 10
  11. 11. Age UK groups, advice, services and information for the over 50s 0121 236 2197 Alzheimer's Society groups, training, advice and information on dementia 08453 000 336 Barnados / Amazon Young People’s Counselling 0121 236 9222 BEAT eating disorders support groups, education, advice 0845 634 1414 Birmingham Chinese Community support, groups, info. 0121 685 8510 Birmingham Irish Community social, welfare and cultural services 0121 604 6111 Your opportunities yearbook 2012 / 2013 Please copy and distribute widely For more information or to advertise your activities in this booklet please contact Mark Hillier, head of patient and public involvement, by email Birmingham and Solihull Women’s Aid domestic violence, legal and counselling 0121 685 8550 British Red Cross emergencies, finding missing family, teaching, refugees 0844 871 1111 Brook Advisory support and advice on sex and relationships for young people 0121 643 5341 Connexions careers, education, training, employment, disabilities - information for young people – plus advice for parents / carers / employers 0121 675 6105 Community Projects Team project workers, groups and drop-ins 0121 303 3316 COPE Black Mental Health Foundation supports users, carers and families 0121 551 7984 11 Crossroads support, training, groups, respite, paid care for carers 0121 622 0571 Dementia DISC information and support for carers 0121 622 0578 Headway Brain Injury Support information, support and services 0121 457 7541 Health Gay Life Clinic sexual health screening, testing and health checks 0121 440 6161 Home Start support, wellbeing and volunteering for families0800 068 63 68 Lesbian and Gay Switchboard National information, advice and support service 0300 330 0630 No Panic support & information for phobias, anxiety and neuroses 0808 808 0545 Stepping Stones support with children, young people and families 0121 772 0613 Terence Higgins Trust HIV support, safer sex campaigns, courses, training 0121 694 6440 Asian Women's Centre training, support groups, projects 0121 523 4910 For further help and advice contact: PALS Customer Relations Call 0800 953 0045 email or visit Also check regional and local groups are also listed at and
  12. 12. Frankfurt Christmas Market 2013 Birmingham has been twinned with Frankfurt ( for more than 40 years. The partnership is celebrated every year by a range of economic, political and cultural events and exchanges involving schools, business, and community groups. Why not make a weekend of it? Birmingham's Frankfurt Christmas Market has become a huge favourite with both residents and visitors to the city from all over the UK and Europe. It is now the largest outdoor Christmas Market in the country. Having run for the last 12 years, the Frankfurt Christmas Market is now the centrepiece of the city’s annual Christmas events calendar. Birmingham's own traders offer an entirely different selection of beautiful hand-crafted items at the Christmas Craft Market, created by local artisans, as well as ethnic goods imported from all over the world. Venue: Victoria Square, New Street, Centenary Square & Chamberlain Square Date: 14th November – 22 December Time: 10am – 9pm Tel: 0121 303 3008 Traditional stalls offer the usual array of beautiful handmade toys, Christmas decorations, original jewellery and craft goods as well as a carousel to keep younger visitors entertained. Visitors can enjoy the delights of German mulled wine (Gluhwein), grilled sausages, vegetarian options, pretzels, German beer, and for those with a sweet tooth, gingerbread, crepes and marzipan sweets. 12 With so many stalls to browse (around 190 including the Craft Fair - pictured), why not avoid the evening crowds by taking advantage of one of the great centrally located hotels and stay for the whole weekend? With the markets right on your doorstep for a relaxing morning browse, there are also plenty of other activities in Birmingham to keep you entertained for the whole weekend. Visit for more details. Visitors to the markets can often get fantastic discounted rates at participating hotels. How to get to Birmingham's Frankfurt Christmas Market and Craft Market The Frankfurt Market is centrally located in Victoria Square just minutes away from New Street station. The Craft Market is in the adjacent Chamberlain Square and continues through to Centenary Square, home to Birmingham Museum and Art Gallery and the New Central Library.
  13. 13. Statistics and facts about carers How many mental health carers are there in the UK? It is estimated that there are over 3 million people in the UK caring for a relative or friend with a mental health problem. Hence, 1 in every 40 people is a mental health carer. These figures include over 50,000 children and young people looking after someone with a mental health problem in the UK. What proportion do mental health carers represent of the total carer population? Mental health carers make up to 25% of the estimated 6 million carers in the UK; 1 in 4 carers are mental health carers. There were also 175,000 young carers (ages up to 18) identified in the 2001 Census. Of that number, 29% (just over 50,000) care for a family member with mental health problems. How many mental health carers are seen by the Trust? The total number of mental health carers known to The Princess Royal Trust for Carers Centres is 27,603 (06/07 figures). 9% of all carers seen by the Carers Centre network are mental health carers. Of this number, 2048 are young carers. Out of all young carers seen by our Centres, 13% are caring for someone with a mental illness. 14 13 1 in 8 adults (around 6.5 million people) are carers. • What are the most common mental health conditions amongst the people cared for? Our Carers Health Survey 02/03 found that over 50% of carers were caring for someone with learning disabilities (e.g. autism), functional mental illness (e.g. schizophrenia), or organic mental illness (e.g. dementia). This would put the UK figure for carers of people with mental illness or learning disability at over 3 million carers. A separate study by Keeley & Clarke estimated that “40–50% of all carers provide care for another family member or friend with a mental health problem” or learning disability. • • • Carers save the economy £119 billion per year, an average of £18,473 per carer • • This is divided into: 11% caring for people with dementia, 7% caring for people with psychosis, schizophrenia or depression 8% caring for people with both mental and physical illness or disabilities 14% or people with learning disabilities or an autisticspectrum disorder. By 2037, it's anticipated that the number of carers will increase to 9 million Every day another 6,000 people take on a caring responsibility - that equals over 2 million people each year. 58% of carers are women and 42% are men Over 1 million people care for more than one person Over 3 million people juggle care with work, however the significant demands of caring mean that 1 in 5 carers are forced to give up work altogether. The main carer's benefit is £59.75 for a minimum of 35 hours, equivalent to £1.71 per hour - far short of the national minimum wage of £6.19 per hour People providing high levels of care are twice as likely to be permanently sick or disabled • • 625,000 people suffer mental and physical ill health as a direct consequence of the stress and physical demands of caring. Over 1.3 million people provide over 50 hours of care per week.
  14. 14. What are the key issues facing mental health carers? Risk of suicide of the person cared for – particularly for carers of people who experience depression or psychosis, there is a fear and risk that the person cared for will make suicide attempts. Preventing these attempts, or dealing with the aftermath of unsuccessful suicide attempts, places greater emotional strain on mental health carers. Unpredictability of caring for someone with mental health problem – the nature of mental illness often means that carers are faced with unpredictable (and in a minority of cases, violent) behaviour and personality changes in the people they care for, and need to deal with a “hidden” illness which makes it more difficult to understand. Certainly, the ‘highs’ and ‘lows’ of certain conditions often mean that the physical capabilities of the person may be ‘normal’ while their mental capabilities and emotional state may vary greatly. This means that it is hard to plan for the future when caring for someone with a mental health condition. Stigma of mental illness – due to common prejudices and misunderstandings around mental health, carers are less likely to discuss caring with friends and family who may be in a position to offer support and help. Mental health carers may well end up isolated trying to cope on their own. This can also act as a barrier to seeking professional support and help. 14 Increased financial burdens – given that carers may be unable to remain in employment when caring for someone with a mental health problem. Carers’ financial situation may be particularly severe when caring for someone who is spending uncontrollably (as with many severe cases of bipolar disorder, for example). This can result in increased financial strain or even poverty for mental health carers. Confidentiality and information-sharing issues –mental health carers often experience problems in obtaining sufficient information about the service users’ condition to care effectively. This leaves them under supported. Carers are frequently marginalised by health and social care professionals who may use patient confidentiality as a reason to ignore them, and their experience and expertise. In The Princess Royal Trust for Carers’ brief survey of mental health carers in 2007, 86% of these carers had been offered no services in their own right before contacting a Carers Centre. Lack of specialised respite – conventional ‘sitting’ services are often not appropriate or trained to work with mental health service users. There is a marked lack of understanding of how to work with families to provide appropriate respite when mental illness is involved. As a result, mental health carers have less time off from caring, which impacts on their own physical and mental health, and their capacity to care. Impacts on carers’ mental and physical health - given the above issues, it is unsurprising that mental health carers spend an average of 60 hours per week on caring tasks. Indeed, carers of people with physical and mental problems are “more likely to report high levels of neurotic symptoms than those caring for people with physical problems or old age”, 28% compared with 14%. Isolation from family and friends as a result of the stigma of mental health caring can also lead to depression and anxiety.
  15. 15. Caring can take on many forms. You may: • • • • do the shopping and prepare meals for your partner who is ill help your mum to manage her finances because she has dementia help your disabled child to take a bath and go to the toilet provide emotional support to your brother who is addicted to drugs and alcohol. Carers face many issues. You may worry about: • • • • • • juggling work and care debt and other money issues finding time for yourself looking after your own health and well being getting help in an emergency, or navigating your way through social services Being lesbian, gay, bisexual or trans and a carer can bring about additional issues. One such worry may be that existing services to support you and the person that they care may not be LGBT friendly, or you may also feel uncomfortable about ‘coming out’ to people who can help. On these web pages you will find information and links to places that can support you as an LGBT carer. As a lesbian, gay or bisexual person looking after a partner, there may be pressure to ‘come out’ about the nature of your relationship with the various professionals involved in their care. If you are caring for a parent or another family member, your own lesbian or gay identity may feel as if it is pushed to one side. Try to ensure that you make time for your own needs and interests. Social services are required to do a separate carer’s assessment in which you can request time away from your caring role and be advised on relevant benefits. 15 16 Care Services Care is generally offered by staff who will not judge you. Since the implementation of the Government’s Equality Act 2010, no service provider may discriminate against anyone because they are lesbian, gay or bisexual. Care problems If you ever experience prejudice or intimidation from a care worker relating to your sexual orientation, make a complaint to the service manager. You have the law on your side. If you are not satisfied by the response from the service manager, you are entitled to pursue the matter further through the Care Quality Commission. Housing & residential care There are currently no specialist housing options for older lesbian, gay and bisexual people in the UK. However ‘extra-care’ housing - the privacy of independent flats with the support of a care home can offer positive choices for older lesbian, gay and bisexual people. When looking at care homes or sheltered housing , find out more about the attitudes of the manager and staff. Be confident to ask the manager directly what their policy is towards lesbian, gay and bisexual residents. Carers UK, General help and advice for all carers. 0808 808 7777 (free call to landlines) Care Quality Commission 03000 616161 The LGF’s Online Carers Forum & Advice
  16. 16. About medication Young People Services Medication will not always be the first choice, especially if your depression is mild. There are a number of different types of antidepressants available. Your GP can explain which they believe is the best for you and why. What your doctor prescribes will depend on the type and severity of depression you have. If you experience problems from your medicine or have any concerns, speak to your GP. If one medication does not work you may be prescribed something else. However it takes a few weeks before your medicine starts to work so you need to allow enough time to see if it is going to be effective. t is important that you take the medicine for the length of time recommended by your GP. If you come off your medicine too soon (even if you feel better) this can lead to a relapse where the depression returns. As a rough guide, you will usually have to remain on treatment for at least six to nine months and in many cases it could be longer. You need to follow your GP’s advice when you are coming off your medicine as it can be harmful if this is done too quickly. We support Young Carers and Young Adult Carers aged from 4 upwards, who provide support for a family member who suffers from a long term illness. This could be either a physical disability, mental ill health or substance misuse. Mental Health Carers of individuals with mental health problems come into contact with a range of health and social care professionals. Both in the community and in healthcare institutions, carers routinely link with psychiatrists, social workers, nurses, GPs, voluntary and charity staff, as well as many other workers. Mental health carers deserve support, both in relation to the people they care for, and for themselves as carers. Indeed, carers are often working long hours, in unpredictable circumstances and with little or no aid, to care for those closest to them. But in this way, carers are often an invaluable aid to health professionals’ work, giving an experienced insight into the care and needs of the service user. However, there are always challenges working with, and involving mental health carers. Dealing with issues such as confidentiality, disputes over care and treatment, and balancing the different needs of carers and service users are common experiences for many healthcare professionals. In this sense, professionals also need support, and the necessary resources to work in partnership with mental health carers. 16 Young Carers and Young Adult Carers who access our service can obtain advice and guidance from our dedicated teams of support workers. Additionally, we undertake a needs assessment to identify the sort of support that we can offer to those referred to us. This support may take the form of activities, peer support, 1:1 support and information. We also liaise with schools and colleges and other professionals. Worries about work, money or a legal situation Making sure that you do not feel overwhelmed by your work responsibilities is important because it gives you a sense of being in control. It’s important to make time for yourself to do things you want to do or to be with friends and family. • If you're struggling to cope with work pressures and you have access to an occupational health department, you can speak to them about how you are feeling. They may be able to help you to review your work commitments or address specific issues that are affecting your work. • If you are having financial difficulties, speak to your local Citizens Advice Bureau about how you might get financial help. • National Debtline provides free, confidential and independent advice for people with debt problems. If you are out of work or want to change your job, your local job centre may offer support in finding work. Both the Citizens Advice Bureau and your local social services department can also help you with advice about benefits if you are unemployed or unable to work because of depression. Where possible, you should always try to keep working. This is because people with depression often find that having something meaningful to do and a reason to get up in the morning is very helpful. Being with work colleagues, having a routine to the day, and the sense of achievement in getting a job done are all good for your mental health.
  17. 17. Medication for mental illness Your health, your choices Other safety concerns The person you're looking after may be prescribed medication if they have mental health problems. In some cases, the medication may be prescribed for a limited period of time. In others, medication can be prescribed indefinitely. Medication is often combined with other treatment, such as counselling. Some medication works better for certain people than for others. It may take doctors a while before they can find the best medication, or the best dosage of that medication, for the person you're looking after. Taking medication As a carer, you may need to supervise medication for the person you're looking after, to ensure that they take it regularly and in the correct amounts. If that’s the case, you should make sure you have all the information you need from the doctor who prescribed the medication. You'll need to know, for example, the time of day the medication should be given, whether it needs to be taken with meals or before meals and whether some types of medication should be taken separately or can be taken together. You'll also need to ensure that prescriptions are dispensed in time so that the person you're looking after doesn't run out of medication. If you're worried about the person you're looking after remembering to take their medication, but can't be there to supervise, there are various ways they can be reminded: • They can use a pill box to make sure they take each day’s medication. Automatic versions of these boxes are available where the dispenser beeps and a small opening allows access to the tablets. • You can telephone them at the times they need to take their medication. • You can arrange for a care worker to visit at the hours of day medication needs to be taken. In some cases injections are available that release the medication in small quantities over several weeks. They aren't suitable for everyone and you and the person you're looking after should check the advantages and disadvantages with a doctor. 17 You and the person you're looking after can take a number of steps to ensure safety when taking medication: • Make sure that the medication is clearly labelled and dosage instructions are understood. • Be aware that over-the-counter (OTC) medication shouldn't be taken with prescribed medication unless a doctor or pharmacist has confirmed it's safe to do so. • Be aware that if a dose of the medication is missed, it may not be safe to take a larger amount later on. The person you're looking after may be willing to let you remove any surplus medication to make sure that they don't take it by mistake. If the person you're looking after refuses to take medication If you're worried about the health of the person you're looking after and feel their condition is deteriorating because they haven't been taking their medication, contact the local community mental health team or GP. In most cases people have the right to refuse to take medication. It's only in certain extreme cases that they can be forced to take it. Try to find out the reasons why they're refusing to take it. They may just be neglecting themself, or they may have reasons for not wanting to take it, such as a fear of side effects or of feeling out of control. You should encourage them to discuss these concerns with healthcare professionals. The person you're looking after may also feel a sense of despair. They may think that there's no point in continuing to take medication because it's not making a difference. Remind them that there are different types of medication and it's possible that they need to see their doctor to discuss changing to a different type. You and the person you're looking after should also be aware of alternatives to medication, such as counselling, which they may find more acceptable than medication.
  18. 18. Triangle of Care The Guide Carers Trust (formerly The Princess Royal Trust for Carers) and the National Mental Health Development Unit today published a guide which emphasizes the need for better local strategic involvement of carers and families in the care planning and treatment of people with mental ill-health. “The Triangle of Care - Carers Included: A Best Practice Guide in Acute Mental Health Care”, recommends better partnership working between service users and their carers, and organisations. Care Services Minister Paul Burstow endorsed the guide, saying: “it shows how professionals, service users and carers can better work together to access the support needed. “As a society we are becoming more aware that mental health issues touch all of us. One in four of us will experience some kind of mental illness in our lifetime but the wider role of family and friends in helping to care for those affected is still too easily over looked, especially when crisis situations arise.” Welcoming the guide as an innovative step towards allowing staff in psychiatric wards and acute care settings to work better with service users and their carers, Carole Cochrane, the Chief Executive at The Trust pointed out that: “There are currently 1.5m carers in the UK who look after someone with mental health problems, many of whom are also being treated in acute care settings. Sadly, too often we see that carers’ own expertise being ignored by professionals, or carers being left unsupported in their caring role. “In these uncertain economic times, staff must recognise the values of working in partnership with carers.” The ‘Triangle of Care’ approach was developed by carers and staff to improve carer engagement in acute inpatient and home treatment services. The guide outlines key elements to achieving this as well as examples of good practice. 18 The 2nd Edition guide can now be used across all mental health services, not only inpatient, and includes a new universal self-assessment tool as well as guidance notes. In addition the guide now includes new good practice examples from across the mental health care pathway. The Triangle of Care guide was launched in July 2010 as a joint piece of work between Carers Trust and the National Mental Health Development Unit emphasizing the need for better local strategic involvement of carers and families in the care planning and treatment of people with mental ill-health. The Triangle of Care approach was developed by carers and staff to improve carer engagement in acute inpatient and home treatment services. The guide outlines key elements to achieving this as well as examples of good practice. It recommends better partnership working between service users and their carers, and organisations. The guide received further validation when it was included Carers Strategy refresh in November 2010 and No Health without Mental Health in February 2011. In addition we have had enquiries from as far away as New Zealand about how to go about adopted the Triangle of Care standards in their services.
  19. 19. If you would like to volunteer with us… rry Me r Ring us and complete the Volunteer mas Christ Application Pack and we will contact you with information on the roles we have Volunteering with Stonham available and details of the application process. Carers Volunteering can offer new challenges, develop new skills and give a real sense of achievement. It also provides a good opportunity to meet new people and have fun helping Stonham Carers. You can volunteer as much or as little time as you lifestyle allows. From an 'ad hoc' basis to several hours a week, every contribution will make a difference. We provide out of pocket expenses, training and support. You can volunteer with us in a variety of different ways (please click the links below to see sample role descriptions). You can Help on reception • Help at Carers' groups and events in the community • Help on our Information Line taking calls from Carers as the first point of contact • Phone a Carer on a regular basis with Talk and Support • Help with Fundraising • If you have a particular skill or area of expertise, please feel free to discuss different options with us and we will aim to help you find a suitable role. 19 If you do need to contact us you can call us on 0121 380 4949 Talk and Support Caring for someone can be isolating. A friendly chat with someone who understands what you are going through can provide a huge boost. That's why we pair some of our Carers with a volunteer telephone supporter who will call on a regular basis offering a listening ear, support and encouragement. Would you like to volunteer as a telephone supporter? As a telephone supporter you need to be a good listener, respect other people and empathise with their emotions. You also need to be warm, encouraging and reliable. We provide induction and ongoing training as well as group and one-to-one support. Apply by completing the Volunteer Application Pack and we will contact you with information and details of the application process. Alternatively, if you do need to contact us on 0121 380 4949.
  20. 20. Are you a young carer? A young carer is someone aged 18 or under who helps to look after a relative who has a disability, illness, mental health condition, or drug or alcohol problem. The majority of young carers look after one of their parents or care for a brother or sister. They do jobs in and around the home, such as cooking, cleaning, or helping someone to get dressed and move around. Young carers may need to help a relative deal with their feelings by talking to them, listening and trying to understand their problems. The difference between young carers and other young people who help in the home is that young carers are often responsible for someone else in their family in a way that most other young people aren't. Some children give a lot of physical help to a brother or sister who is disabled or ill. If you do, you are a sibling carer (sibling is a word for brother or sister). Along with physical help for your sibling, you may also be giving emotional support to both your sibling and your parents. A young carer might also care for a grandparent or someone else from their extended family. What difficulties can young carers experience? · Low mood. · Self harm or suicidal thoughts. · Feeling lonely. · Lack of confidence. · Low self esteem. · Lack of sleep. · Poor physical health. · Educational difficulties. · Bullying. · Social isolation. · Not knowing who to trust. · Lack of understanding. Youthspace aims to raise awareness, challenge discrimination & promote positive mental health for young people by offering advice, support & information to anyone interested in finding out more about mental health. We aim to: • • • • • • • encourage personal responsibility for mental health by understanding 'how it works' encourage people to support and motivate each other promote a wider awareness & understanding of mental health & illness offer up-to-date information about maintaining emotional wellbeing and self-confidence provide useful help and advice to anyone in distress provide general links and resources for people wanting more information reduce negativity, prejudice and stigma through increased understanding 20 Tel: 0800 953 0045 or 0121 678 4455
  21. 21. Self-harm Self-harm is when a person inflicts pain or injuries upon themselves to feel release from stress and pressure that they are experiencing. Self-harm is always a sign of emotional distress, and can be carried out for a variety of reasons. For some, self-harm provides a means to cope with overwhelming emotions such as feelings of helplessness and powerlessness. For others, selfharm is a way to exert control over themselves which can result in a sense of comfort. Self-harming can start at any age and can take many forms including: • • • • • • • • • • bone breaking burning parts of the body (both heat and cold burns) cutting/slashing parts of the body inflicting bruises overdose picking/scratching the skin poisoning pulling hair out restriction of blood flow using ligatures wound interference to prevent healing Common causes for self-harming could be: • • • • • abuse bereavement bullying exam stress financial worries While self-harm is ultimately damaging and may be dangerous, for some people it provides a method of coping with life. Taking away a person's means of self-harm can increase their emotional distress and ultimately make the situation worse. If you know someone with depression and want to help them, first and foremost take them and their concerns seriously and be patient with them. There are a number of self-help groups and voluntary sector self-harm projects that can help. 21 Personality disorder Personality disorder can cover a wide range of conditions. There are around ten types of personality disorder and they are listed below: • • • • • • • • • • Antisocial Personality Disorder Avoidant Personality Disorder Borderline Personality Disorder Dependant Personality Disorder Histrionic Personality Disorder Impulsive Personality Disorder Narcissistic Personality Disorder Obsessive Compulsive Personality Disorder Schizoid Personality Disorder Schizotypal Personality Disorder While the symptoms of the disorders above are difference, there are general characteristics of each condition such as: • • • • • • • • • • • agitation nervousness fear feeling suspicious anxiety depression lack of emotion aggression alcohol or substance abuse self harm eating disorders There is no clear diagnostic test for personality disorder. Diagnosis is usually based upon consultation with a psychiatrist who is satisfied that the person displays a number of symptoms associated with a personality disorder. They look for traits that are also evident in the person that are recognisable as being associated with personality disorder. The treatment for personality disorder is usually a combination of therapies and medication. Antipsychotics, antidepressants and mood stabilisers can be prescribed as well as therapies such as: cognitive analytical therapy, cognitive behavioural therapy and dynamic psychotherapy. If you know someone with a personality disorder and want to help them, first and foremost take them and their concerns seriously and be patient with them.
  22. 22. Depression is a common mental disorder that causes people to experience depressed mood, loss of interest or pleasure, feelings of guilt or low selfworth, disturbed sleep or appetite, low energy, and poor concentration. Depression is different from feeling down or sad. Unhappiness is something which everyone feels at one time or another, usually due to a particular cause. A person suffering from depression will experience intense emotions of anxiety, hopelessness, negativity and helplessness, and the feelings stay with them instead of going away. Depression can happen to anyone. Many successful and famous people who seem to have everything going for them battle with this problem. Depression also affects people of every age. Half of the people who have depression will only experience it once but for the other half it will happen again. The length of time that it takes to recover ranges from around six months to a year or more. Living with depression is difficult for those who suffer from it and for their family, friends, and colleagues. It can be difficult to know if you are depressed and what you can do about it. Signs and symptoms of depression Tiredness and loss of energy. Sadness that doesn’t go away. Loss of self-confidence and self-esteem. Difficulty concentrating. Not being able to enjoy things that are usually pleasurable or interesting. • Feeling anxious all the time. • Avoiding other people, sometimes even your close friends. • Feelings of helplessness and hopelessness. • Sleeping problems - difficulties in getting off to sleep or waking up much earlier than usual. • Very strong feelings of guilt or worthlessness. • Finding it hard to function at work/college/school. • Loss of appetite. • Loss of sex drive and/or sexual problems. • Physical aches and pains. • Thinking about suicide and death. • Self-harm • • • • • If you experience four or more of these symptoms for most of the day - every day - for more than two weeks, you should seek help from your GP. 22 Types of depression There are several types of depression, some of which are listed below. Mild depression Depression is described as mild when it has a limited negative effect on your daily life. For example, you may have difficulty concentrating at work or motivating yourself to do the things you normally enjoy. Major depression Major depression interferes with an individual’s daily life - with eating, sleeping and other everyday activities. Some people may experience only one episode but it is more common to experience several episodes in a lifetime. It can lead to hospital admission, if the person is so unwell they are at risk of harm to themselves. Bi-polar disorder The mood swings in bi-polar disorder can be extreme - from highs, where the individual feels extremely elated and indestructible, to lows, where they may experience complete despair, lethargy and suicidal feelings. Sometimes people have very severe symptoms where they cannot make sense of their world and do things that seem odd or illogical. Post-natal depression Many new mothers experience what are sometimes called 'baby blues' a few days after the birth. These feelings of anxiety and lack of confidence are very distressing but in most cases last only a couple of weeks. Post-natal depression is more intense and lasts longer. It can leave new mothers feeling completely overwhelmed, inadequate and unable to cope. They may have problems sleeping, panic attacks or an intense fear of dying. They may also experience negative feelings towards their child. It affects one in ten mothers and usually begins two to three weeks after the birth. Seasonal Affective Disorder (SAD) SAD is associated with the start of winter and can last until spring when longer days bring more daylight. When it is mild, it is sometimes called ‘winter blues’. SAD can make the sufferer feel anxious, stressed and depressed. It may interfere with their moods and with their sleeping and eating patterns.
  23. 23. Mental Health Charities UK SANE SANE was established in 1986 and is one of the UK’s leading mental health charities. It aims to raise public awareness of mental health, improve treatment, campaign for change, combat stigma, and stimulate neuroscience and treatment-related research. SANE offers a helpline and email service, as well as an online support forum – with the help of a 130-strong team of rigorouslytrained volunteers. Mental Health Foundation MHF is the UK’s leading mental health research, policy and service-improvement charity. It carries out and publishes research, develops practical solutions to improving mental health services, campaigns to reduce stigma and promote better mental health across the country. MHF provides ground-breaking research and is at the forefront of the mental health sector. It is the ‘charity for everyone’s mental wellbeing’. Mind Mind is a leading mental health charity for England and Wales, working to promote understanding of mental health, improve services and provide support to those with mental health problems. Mind supports almost 250,000 people every year through a network of 160 local Minds. Mind offers an Info line, offering confidential help over the phone. It also runs a Legal Advice Service, providing individuals with information on law relating to mental health. Mind also campaigns on a range of national issues affecting those with mental health problems, such as employment and legal rights. Young Minds Young Minds is the leading mental health charity for children and young people, whose voices are central to the work they carry out – which includes lobbying, influencing, and providing training and development to professionals, parents and young people. It provides support to young people for a range of mental health problems. Young Minds is at the heart of national discourse on mental health issues, and plays a central part in the influence and pressure put on the Government to improve and sustain the mental health services in the UK. The Young Minds website also has a regularly-updated blog, including personal stories from young people with mental health problems. Together Formed in 1879, Together is one of the longest-standing mental health charities. It offers a range of practical and personal services to those suffering with mental health problems – including one-to-one support and supported accommodation. Together currently works with 4,000 adults every month and is involved with 80 projects throughout England. It provides community support Resource Centres across the country, homebased community support and much more. 24 23 Anxiety UK Since 1970, Anxiety UK has been the UK’s leading anxiety disorders charity. Based in Manchester, the charity offers relief and rehabilitation to sufferers of anxiety disorders, whilst also promoting the awareness of anxiety and improving the services for those with anxiety. Anxiety UK supports anyone suffering with a wide range of anxiety disorders, including Generalised Anxiety Disorder (GAD), Obsessive Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), Social Phobia and Agoraphobia. Rethink Rethink Mental Illness supports almost 60,000 people each year across the UK to get through mental health-related crises and to live independently. It is the largest national voluntary sector provider of mental health services, with over 150 support groups and around 250 services. Rethink works closely with government policies that affect those with mental health problems, including campaigning for policy change. Turn2me Turn2me’s website provides interactive support, where users can listen to podcasts, discuss problems in forums and join online group support. Its aim is to connect people and promote mental wellbeing through technology. Turn2me’s services are available every hour, every day and are completely anonymous. Depression Alliance Depression Alliance is the UK’s leading charity for people with depression. It provides information and support whilst advocating the importance of early intervention. It believes that stigma and lack of information need to improve, and aim to do this through publications, supporter services and its network of self-help groups. Depression Alliance works closely with the government and healthcare professionals to improve the services and treatment for those with depression. It also campaigns to raise awareness of depression amongst the general public, through organising events and initiatives (including Depression Awareness Week). BEAT Beat is the award-winning, leading UK charity of eating disorders, providing information and support to hose with a range of eating disorder. It aims to change the way we think and talk about eating disorders, improve services and treatment and help instil the belief that eating disorders can be beaten. Beat campaigns for better services for those with eating disorders and provides sufferers with information, support and encouragement to seek treatment. Bipolar UK Bipolar UK is the national charity supporting those with bipolar disorder and their families and carers. It offers a range of services, including a mentoring scheme and self-help groups. The charity works with research organisations and campaigns for the issues surrounding bipolar. The Bipolar UK website also offers an eCommunity, where people can join in discussions and receive support.
  24. 24. Tips to help you survive the festive season and be mentally healthy. Plan ahead Leaving all your preparations for Christmas until the last minute can cause unnecessary stress, but planning ahead can save you time and money. Making lists for jobs to do, presents to buy and groceries you'll need helps to organise your thoughts, prevents you forgetting something (or someone) and makes it easier to stick to a budget. If you start shopping early you can spread the cost of Christmas, and shopping online can save you even more money, as well as avoiding the stress and crowds of the Christmas shopping season. You can even order all the food for Christmas dinner to be delivered as late as 23 December from a number of supermarkets (although these delivery spots need booking many weeks in advance). Give as You Live provides a price comparison search and donates money to charity when you shop at no extra cost to you, so you can save money on your Christmas shopping and support a good cause at the same time! If the expense of Christmas is causing you anxiety, you may find this advice from Money Saving Expert useful. Drink sensibly The celebratory spirit of Christmas and New Year often involves social drinking and although the consumption of alcohol might make you feel more relaxed, it is important to remember that alcohol is a depressant and drinking excessive amounts can cause low mood, irritability or potentially aggressive behaviour. By not exceeding the recommended number of safe units, you will be better able to sustain good mental and physical wellbeing. Eat well The festive period has become synonymous with over-indulgence, which in turn prompts a pressing desire for many of us to lose weight in the New Year. Where possible, maintain a good balance of fruit, vegetables, carbohydrates, protein and omega 3 sufficient energy. Maintaining a healthy diet and weight can improve your mood and can work towards preventing symptoms of lethargy and irritability that many of us feel during the busy festive season and dark winter months. 24 sources throughout the year in order to be in good physical condition and have sufficient energy. Maintaining a healthy diet and weight can improve your mood and can work towards preventing symptoms of lethargy and irritability that many of us feel during the busy festive season and dark winter months. Be active Physical activity releases the feel-good chemicals, endorphins, which help you to relax, feel happy and boost your mood. By undertaking simple tasks such as cycling to work, walking in the park, or joining in with Christmas games, you can benefit from experiencing reduced anxiety, decreased depression and improved selfesteem. In addition, recent research has indicated that regular exercise can help to boost our immune systems, enabling us to better fight off colds and flu viruses that are prolific in winter months. Get involved The festive period provides us with an ideal opportunity to talk to, visit or engage with the people around us. Faceto-face communication has been shown to improve our mental and physical wellbeing as this interaction produces the hormone, oxytocin, which can benefit our immune system, heart health and cognitive function. With our Lonely Society report having indicated that a third of us have a close friend or family member we think is lonely, a Christmas or new year’s resolution to see our friends and family more often can help to boost both our own mental wellbeing, and that of others. You could arrange a shared experience as a gift for a friend or loved one such as a cookery lesson or cinema outing. Look at for some more unusual ideas! If you're travelling to visit family or friends for Christmas booking travel in advance can often be much cheaper. Try Expedia for flights and The Trainline for rail tickets. If you are apart from your family then volunteering for a charity or local community organisation can provide that same human contact, as well as help provide essential support and encouragement for others in need. These interactions can easily be sustained throughout the coming year and need not just be for Christmas. Relax Christmas can be a very busy and stressful time as we prepare to entertain family and friends, worry about cooking a delicious Christmas dinner, and fit in some last minute present shopping. These feelings of being under pressure can produce symptoms of anxiety, anger and difficulty sleeping which, if prolonged, could have a long-term detrimental impact on your mental health and wellbeing. By exercising more regularly or practicing mindfulness – a combination of meditation, yoga and breathing techniques – you can help to both alleviate the symptoms of your stress and gain more control when coping with difficult situations. Christmas presents aside, implementing a new exercise regime or signing up for a course in mindfulness, such as our online course in mindfulness-based stress reduction, could be your best investment for a more relaxed Christmas and New Year. Despite many of us having time off work during Christmas and the New Year, our sleep patterns can be disturbed between catching up with friends and family and partying late in to the night. There is mounting evidence on the link between sleep and mental wellbeing, meaning improvements in the quality of your sleep could result in improvements to your overall mental health. There are several steps you can take towards achieving a better night’s sleep: attempting to get back in to your regular sleep routine as soon as possible after the party period, consuming less alcohol during the festivities, implementing regular exercise into your weekly routine, and taking measures to alleviate your stress.
  25. 25. Football can have a major impact on mental health. It is thought to affect emotions, relationships, identity and self-esteem. In a recent study, one in four fans said football was one of the most important things in their lives. Escape When time is at a premium for most people, leisure activity and entertainment fulfils the psychological need to escape from the stresses and strains of life and go into another world for a period of time. The time set aside for football is often sacrosanct and provides an opportunity to play. Anticipation It has been suggested that the attraction of sports events over other forms of entertainment is the combination of comfort in ritual with unpredictable outcome. People can look forward to the comfort of the familiar with the thrill of the unknown. Basking in reflected glory When your team does well, it prompts feelings of happiness, well-being and collective euphoria. Fans ‘bask in reflected glory’ (BIRG). It has been suggested that ‘BIRGing’ improves mood both in individuals and in communities. If a team loses a match, however, it does not necessarily have a negative impact on mental health. Catharsis It is thought that watching football may be cathartic. It has been suggested that the atmosphere of a live football match is socially inclusive. Fans step into their team identity by wearing clothes and using language they would not usually use in their everyday lives. They can behave in ways that encourage ‘a cathartic release of tension’ through shouting, screaming, gesturing and chanting. Pent up internalised feelings and intense emotion such as frustration annoyance or sadness can be vented in a socially acceptable way. Men can express and release internalised emotion that they don’t feel able to express in other ways. Young men For young men in particular, the opportunity to externalise tension and emotion is important to maintaining health. Young men are at the highest risk of suicide – it is the most common cause of death for young men under the age of 35. This age group is one of the most dominant in football crowds across the country. World Cup The World Cup in particular may have a positive effect on mental health. One study found there was a reduction in numbers of emergency psychiatric admissions during and after World Cup finals. Identity According to ‘social identity theory’, fans separate groups and teams into social categories and identify with the group/team to which they see themselves belonging. Supporting a football club, watching a live game or gathering to watch a match on television are all ways of participating in group activity with people who share the same values and interests. This provides a sense of belonging, identification and inclusion within a larger group. It creates a tangible social identity. Identification with the players as people and the club also promote a sense of belonging. Because this belonging is a key part of their identity, people will continue to support their team even if the team lets them down. analysis. 25 (Football provides an opportunity for every fan to be the ‘expert’ pundit. have found losing fans can become anxious and irritable, and experience sleep problems and headaches. Some fans can become withdrawn and anti-social after a loss. Hormones Watching sports such as football have an impact on testosterone levels. Studies have found that fans experience the same hormonal surges and physiological ebbs and flows during a game as they might if they were on the field. However, the stronger the identification with the team, the stronger the emotional reaction to wins and losses and the more extreme the highs and lows. identifiers’ – people whose identity is intertwined with a team and who will have extreme emotions in the face of defeat. Because identification with the team is a central component of the self-identify of high-identified fans, the team’s performances have strong implications for their self-worth – they are ‘part’ of the team. High identifiers on the losing side can experience significant psychological problems. Studies High identifiers For most fans, football is a part of their lives. However, for some it can become the main focus. In the US, these people are referred to as ‘high identifiers’ – people whose identity is intertwined with a team and who will have extreme emotions in the face of defeat. Because identification with the team is a central component of the self-identify of high-identified fans, the team’s performances have strong implications for their self-worth – they are ‘part’ of the team. High identifiers on the losing side can experience significant psychological problems. Studies have found losing fans can become anxious and irritable, and experience sleep problems and headaches. Some fans can become withdrawn and anti-social after a loss. Hormones Watching sports such as football have an impact on testosterone levels. Studies have found that fans experience the same hormonal surges and physiological ebbs and flows during a game as they might if they were on the field. Relationships Having strong relationships is known to be a key factor in the maintenance of positive mental health. Football plays an important role in the formation and maintenance of social and familial relationships. Over 90% of people who attend matches go with friends, family or colleagues. Football provides a platform to communicate with others, gossip (known to protect mental wellbeing), exchange views, and bond through celebration and commiseration. It helps people maintain relationships by providing a reason to meet up regularly. Football strengthens bonds between family members, most notably between fathers and sons. Many parents see football as an important part of their relationship with their children. Time set aside to watch football is done so deliberately and becomes an expected routine. It generates conversation and provides an opportunity for parent and child to catch up. It creates and protects ‘quality time’. This quality time often continues long after children have grown up and so maintains parent/child relationships throughout life. Keep it in perspective Football only has a positive effect when it is kept in perspective. An over-reliance on or obsession with football can limit the development of other interests and have a negative impact on male/female relationships and may divert attention away from other family responsibilities. Football might have an even more beneficial impact on mental health if more fans took to the field, as exercise is known to have a positive effect on our mental well-being.
  26. 26. Carers UK Adviceline Thinking about your pension is not normally at the top of anyone’s agenda until they come close to retirement, and this is no different for carers. However, if your working life is interrupted because you leave a paid job to care for someone, it can have a devastating impact on your pension longer term. Many people are shocked to find out that not everybody automatically qualifies for a full basic State Pension on reaching retirement age. In order to qualify you must have made a certain amount of National Insurance (NI) contributions towards it throughout your working life. If you miss paying these because you have taken time out of paid work, then you may lose out. The good news is that if you fall out of paid work because you are caring for someone who is disabled, ill or frail then the state will credit your contributions for you. However, this isn't automatic and only happens if you claim the right benefits and take the right action. This makes it critical for carers to get good advice on their pensions . Carers UK provides high quality advice and information to carers and the professionals who support carers. This is available through our website, booklets, factsheets and Carers UK’s Adviceline. Staffed by experts, we have years of experience of dealing with the problems carers face. We also have a team of volunteers who are trained to support your call in other ways. We provide information and advice on: • • • • • benefits and tax credits carers employment rights carers’ assessments the services available for carers how to complain effectively and challenge decisions. When should you call? The Adviceline is open on a Wednesday and Thursday, 10am - 12noon and 2pm - 4pm with specialist Advisors available to answer your queries. If the lines are busy or closed, you will go through to an answer machine where you can leave your name and address to receive a Carers Rights Guide. Unfortunately we're unable to return messages left on this answer machine. Organisation Details • • • • • • • 26 Address1: 20 Great Dover Street Address2: London Area: UK Postcode: SE1 4LX Phone: 0808 808 7777 Email: This email address is being protected from spambots. You need JavaScript enabled to view it. Website:
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  28. 28. Carers are individuals who provide unpaid care to friends and family members. This care can be day-to-day, personal or even some forms of health care, but the one thing that all carers have in common is their unpaid status. There are over six million carers in the UK, but this does not mean that every person who becomes ill, injured, frail or is disabled will need, want or accept the help of a carer. Nor does it mean that everyone is suited to caring for family or friends. To assist you in determining your viability as a carer we have put together the questionnaire below. Answer "yes" or "no" to each question. Total your answers. Match them to the explanations at the end to find out if you are suited to being a carer Questionnaire 1. Do you have time to provide care to someone on a consistent basis? 2. Can you afford to provide consistent care to someone without payment? 3. Do you live close enough to someone to be able to care for them regularly? 4. Are you able to carry out personal care tasks for others? 5. Can you remember even the 28 smallest details of another's health? 6. Are you skilled at recordkeeping? 7. Can you provide emotional support to others? 8. Do you have a way of transporting someone else to and from appointments and activities? 9. Are you able to motivate others when they need it? 10. Do you have your own hobbies and methods of stress relief? Are you suited to being a carer? If you answered "yes" to between one and three questions then you are most likely not suited to being a carer. Caring, even when it looks like it might only be a few hours at a time, can easily become like a full time job. Caring encompasses all aspects of a person's life, from getting out of bed in the morning to getting to sleep at night. Carers, even when they are not physically with their loved ones, are often working on behalf of those people. There is no shame in not being suited to caring, but it may mean that should a friend or relative need help that you will need to work to find alternate solutions for their health and well-being. If you answered "yes" to between four and six questions then you may be suited to being a carer. You likely have the temperament and skill set that would make you a good carer, though there may be some practical issues that could keep you from being able to make the most of your talents. If you are concerned about your ability to care for others, consider helping someone casually until you understand what will truly be asked of you. Whether or not you can care for someone else is a very personal decision, but one that you may find organisations such as Stonham, Carers UK or The Princess Royal Trust for Carers can support you as you make. If you answered "yes" to seven or more questions then you are most likely suited to being a carer. You likely have the time and talents required of a good carer and you probably understand the myriad tasks which may be required of a carer at any given time. If you have reservations about caring for someone, consider getting in touch with other carers, your local council, health authority or social services, a carer's organisation such as Carers UK or The Princess Royal Trust for Carers or even a forum or website for carers on the Internet. Finding others who have already made the decision you are facing may help you sort through your own thoughts and emotions about whether or not to become a carer.
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  30. 30. Department of Health: National Institute for Clinical Excellence: NHS Direct: Directgov: HealthAndWellBeing/index.htm World Health Organisation: Benefits entitlements: Childline: Disability Rights Commission: Anti Bullying Advice: Mad Not Bad: National Autism Helpline: Relate: Samaritans: Sane: Youngminds: 30 Youth Helpline: National Electronic Library for Mental Health: Children and Mental Health: Prevention of Young suicide: Cruse Bereavement: Depression: Campaign Against Living Miserably/ Men 15-35: Bipolar organisation: Mencap: Obsessive Compulsive Disorder: Obsessive Compulsive Disorder: Panic Attack Helpline: Anxiety Disorders: Mental Health Matters:
  31. 31. 10 things to do at The Christmas Market 1. Eat a German Bratwurst & Brezel German Bratwurst (white or red sausage) and Brezel are traditional German foods and are famous throughout the world. How the Bratwurst is served varies by region, but it is commonly served with a Brötchen (roll). The Brezel is type of bread and is particularly famous in South Germany and Austria. German speakers also call it "Laugenbrezel" (lyle pretzel). 2. Have a hot Glühwein (mulled wine) Glühwein is a traditional and loved hot acoholic Christmas drink which is usually made of white and red wine and various spices such as cinnamon , cloves, lemon slices and aniseed. It is the perfect drink for a cold winter night.. 3. Indulge yourself with chocolaty Crêpes Although Crêpes are a traditional French dessert, they are one of the various food highlights of the German Christmas market. Topped with hot chocolate sauce or filled with banana, they are a must-do. 4. Sing along with the singing moose For the last ten years Birmingham's singing Christmas moose (Chris Moose) has become a Christmas attraction in its own right.. 5. Get traditional Christmas decorations The traditional Christmas Craft Fair offers Christmas decorations and handcrafts. A wide range of candles, jewellery, Christmas tree decorations, 6. Listen to traditional Carols & Christmas songs Carols in the City as well as daily bands on the Christmas market stage will create a romantic Christmas atmosphere. Enjoy a hot mug of Glühwein while listening to traditional Christmas song or great Jazz music. 7. Drink a crisp German beer Enjoy a crisp German Beer with your Bratwurst, but please drink responsibly! 8. Take a ride on the Carousel Take a one horse ride through the German Market on the fantastic ornate carousel. 9. Get a lovely wooly hat with bobbles "If the weather outside is frightful" get your mits on a delightful wooly hat from the market stalls. 10. Buy a nice souvenir at the Visitor Centre stall The friendly, informative and multilingual staff have the know-how to offer the kind of insight and inspired advice that no guidebook can touch. From souvenirs, brochures to maps - you will find it at the Visitor Centre Christmas stall. 31
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  34. 34. Group Frequency Venue Address Type of Group Stechford Carers Group Monthly Contact before for more information The Stechford Club 7 Victoria Road, Stechford Mixed Group Library Carers Group Every 4th Monday Springhill Library, Springhill, Hockley, Birmingham, B18 7BH New Carers Group Every Tuesday Maryam House Bridge Road Saltley B8 3SF Carers Drop In Group 2nd Tuesday of the Our Place month Community Hub Farthing Lane, Sutton Coldfield When Contact 7 - 9pm Joanne Davies 07711 378476 Mixed Carers Reading and Social Group 9th Dec 2 – 4pm Safia Sawal 07713 387325 Mixed Carers Group 3rd, 10th, 17th, Dec 1- 3pm Safia Sawal 07713 387325 Mixed Group cancelled 2 – 3.30 Joanne Davies 07711 378476 Ward End Every 4th Tuesday Library Group of month Ward End Library Mixed Group Westwood Heath Rd B8 2HF 24th Dec 11—1pm Joanne Davies 07711 378476 Personality Every 2nd Tuesday Disorder Carers Group Callum Lodge 242 Lodge Rd, Winson Green, B18 5SJ Carers Group Postponed until January 5.45—7.30 Safia Sawal 07713 387325 Phoenix Centre Carers group Weekly Every Wednesday Phoenix Centre, Harrison Road, (off Erdington High Street) Erdington Carers Group 4th, 11th, 18th Dec 11 - 1pm Joanne Davies 07711 378476 Carers group 1st Wednesday of every month Small Heath Health Centre 42 Chapman Rd Small heath B10 0PG Carers group 4th Dec 2 – 4pm Safia Sawal 07713 387325 8 Heathfield Rd, Kings Heath, B14 7DB 0121 464 6717 Womens Art Group 4th Dec Janet Summers 7pm—9pm 07713 385888 Women Carer 1st Wednesday of Creativity every month Group 34
  35. 35. Group Frequency Venue Address Type of Group When Contact Chinese carer 2nd Wednesday of group every month Chinese Community Centre 99 Bradford road Digbeth B12 0NS Chinese carers 11th Dec Safia Sawal only 10.30-12.30 07713 387325 Northfield Alternate Carers Group Wednesdays Creative Support, 88 Bristol Road South, Northfield, B31 2NS Mixed 11th, Dec Janet Summers 2—3.30pm 07713 385888 Longbridge Alternate Carers Group Wednesdays Longbridge Health and Community Centre, 10 Park Way, Rednal, B45 Mixed 4th & 18th, Janet Summers Dec 07713 385888 11 -1pm Carer for 3rd Wednesday of Carers Group every month Zinnia Centre 100 Showell Green Lane Sparkhill B11 4HL Mixed carers group 11th Dec 1 – 3pm xmas meal Safia Sawal 07713 387325 Carers with Patients in Hospital 25th Dec 2 – 4pm & 6 –8pm Mick Brown 07713 385893 Mixed carers group 25th Dec Safia Sawal 10.30-12.30 07713 387325 Newbridge House In-patient Last Wednesday of 130 Hob Moor Road, Month Small Heath, Daytime & Evening Last Wednesday of Residents Common Maypole Room, Bradshaw Cl. Carers Group month Housing Complex, Maypole B14 5NW Art Group Weekly Every Thursday Morning Kings Heath 1st Thursday of Carers Group every month 35 New Heights St Johns Mixed Group Centre Warren Farm Road, Kingstanding B44 0QN 5th, 12th, 19th Dec 10 - 12pm Joanne Davies 07711 378476 Looking for new Mixed venue, and we’ll meet up in the new year Janet Summers 12.30 -2.30 07713 385888
  36. 36. Group Frequency Venue Address Type of Group Walking Group Second Thursday of Meet at the new month Library Birmingham City Centre German 12th Dec Meet 10.30 market meet at the ICC Cafe to walk 10.45 Parent Link Group (carers of children) 3rd Thursday of Every Month When Contact Safia Sawal 07713 387325 At The ARC, Moseley Mixed School, Springfield Rd Group Entrance, Moseley B13 9NN 19th Dec 10—12pm Helen Dale 07713 387323 Stirchley 3rd Thursday of Carers Group Every Month Hazelwell Street Stirchley Birmingham, B30 2JX Mixed Group 19th Dec 11—1pm Janet Summers 07713 385888 Sutton Carers Group Last Thursday of Every Month Sutton Community Hub Farthing Lane, Sutton Coldfield Mixed Group 19th Dec 6–8pm Mick Brown 07713 385893 Carers group Last Friday of every Creative Support month 64 Water Street Digbeth B3 1HN Take a break 27th Dec 1 – 3pm Safia Sawal 07713 387325 Mixed Group 6th Dec 10 – 12pm Janet Summers 07713 385888 Carers Group 1st Friday of Every Month Kinmos Centre 1 High Street Kings Heath B14 7AR Computer Classes 11—1pm Joanne Davies 07711 378476 On the Move Groups 36 Our Place Community Mixed Carers Every Friday for 6 weeks starting 26th Hub, Group July 1& 2 South Cottages, Farthing Lane, Sutton Coldfield, B72 1RN Various See posters Safia Sawal 07713 387325 Various Mixed Carer’s Group
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  38. 38. To Report it Dial: 999, 101, 0800 555 111, or To Report a Hate Crime West Midlands Police are please to certify that Stonham Birmingham Mental Health Carers Support Service is an Official Third Party Reporting Centre for Hate Crime Have you or someone you know been a victim of a hate crime or hate incident? Hate crimes and incidents come in many different forms. It can be because of hatred on the grounds of your race, religion, sexual orientation, transgender identity or disability. Hate crime in any form is wrong. That is why it is important that if hate crime happens to you or someone you know, that you report it. True Vision is here to give you information about hate crime or incidents and how to report it. On this website, you can: Find out what hate crimes or hate incidents are. Find out about the ways you can report them. Report using the online form. Find information about people that can help and support you if you have been a victim. Follow us on Twitter - @true_vision_hc 'Like' Our Facebook page – 38 Reporting makes a difference – to you, your friends, and your community. By reporting hate crime when it happens, you can help stop it happening to someone else. You will also help the police to better understand the level of hate crime in your local area, and improve the way they respond to it.
  39. 39. Please use for your comments, feedback or complaints & return to… 39 Stonham Carer Support Services Unit 3, Holt Court North Heneage Street West Birmingham Science Park, Aston, B7 4AX