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Factors to deliver in the delivery of a suicide prevention and self harm service for men in north Glasgow

Factors to deliver in the delivery of a suicide prevention and self harm service for men in north Glasgow

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Factors to consider in the delivery of a 2nd copy Presentation Transcript

  • 1. Factors to consider in the delivery of a crisis intervention service for young men at risk of suicide or self harm STEPHEN MALLOY 08/11/07
  • 2. Areas of consideration
    • Cultural and gender context, social inequalities
    • Stigma
    • Presenting issues, immediate Individual needs and longer term needs of service users
    • Current infrastructure and local/national service provision, existing partnerships and networks.
    • The worker/s involved
  • 3. Cultural & Gender considerations Stigma
    • Men less likely to seek help, engage with services or discuss problems/emotions…. ‘boys/men don’t cry’ ‘manly behaviour’ ‘toughen up’ etc
    • cultural attitude to drug or alcohol use, diet & exercise etc.
    • Highest rates of poor mental/physical health in areas of multiple deprivations (Glasgow centre for population health 2007)
    • Public (particularly male) perception of suicide, self harm or mental health problems poorly understood.
  • 4. Factors to consider- Service User
    • Possible reasons for the self harming behaviours
    • Precipitating feeling may include
    • emotional pain and distress (sadness, grief, hopelessness, desperation), self hatred (shame, guilt), anger (frustration, feeling powerless), anxiety (fear, tension, panic), depression, isolation/feeling alone, need to communicate, numbness, confusion... etc
    • Functions served may include
    • relief/release of feelings (expressing, externalising, distracting, numbing, calming) , self punishment, control (over own life/self, own anger,) communication (to self or others about feelings or problems), ... etc .
  • 5. Factors to consider- service user cont.
    • Life situations a service user may present with may include;
    • Housing/homelessness issues, financial problems, legal/criminality, drug/alcohol use/addiction, relationship difficulties, residential status (asylum, refugee etc), sexuality, unemployment, social isolation/exclusion, previous or current mental health problems, peer pressure/involvement in subculture … etc
    • Life events service user may present with (both past and current) may include;
    • Physical/emotional/sexual abuse, neglect, loss of or separation from family/friends, rejection, bullying, other trauma, resettlement/moving on from care, prison, armed forces, sudden unemployment,…etc
  • 6. Service user-some immediate needs
    • To be heard, understood and given time to talk
    • Risk of suicide/further self harm assessed
    • Be offered immediate mental/emotional/therapeutic support
    • Given reassurance and relevant information
    • Encouraged and supported to access/be referred to relevant and appropriate services
    • Encouraged/supported to use self help or harm reduction strategies, set immediate short term goals
    • Given follow up appointments/made aware of ongoing support available/aftercare
  • 7. Service user-longer term needs
    • Depends on the services users own choices, based on the options available to them and the needs that THEY themselves identify, but may include;
    • further assessment (biopsychosocial?) to identify needs and set longer term goals (ideally by same worker),
    • support to access GP or other health professionals, mental health services (PCMHT) and organisations, community addiction teams, wider social services
    • ongoing one to one support and goal reviews, outreach and home visits, peer support groups, web based supports and resources
    • Welfare rights and benefits support
    • Support to increase social activity/networks, physical activity, nutrition
    • access to other diversionary activities,
    • longer term counselling and access to therapies,
    • training or education, employability services
    • Support to access any required service
  • 8. Factors to consider-refer/signpost to who, for what, and when?
    • North CHCP services- health and social work/ care, PCMHT, partner organisations, etc
    • Local and citywide voluntary and community sector services, sourced from North Glasgow community portal 2 , ‘infobase’ 3 and others
    • Charities, inc Gamh and Samh
    • Local and citywide Support groups for specific issues
    • Helplines etc inc Breathing space, samaritans etc.
    • When? The service user will decide
  • 9. Factors to consider- Worker
    • Skill set to be used
    • limitations
    • Self monitoring, coping mechanisms, stress relievers
    • Feedback, briefing and debriefing
    • Support and supervision
  • 10. References
    • Glasgow centre for population health- ‘Comparisons of health related behaviours and health measures between Glasgow and the rest of Scotland’ Dr Linsey Gray July 07
    • www.accessnorthglasgow.co.uk
    • www.infobaseglasgow.co.uk
    • Other resources used include;
    • Scottish executive www.scotland.gov.uk
    • National Institute for Clinical Excellence, NICE, guidelines and recommendations.
    • ‘ A qualitative exploration of the links between self harm and attempted suicide in young people’- Griesbach and Associates 2007
    • ‘ Crisis intervention strategies’ (5 th ed) 2005 R K James & B E Gililland
    • ‘ Trauma and recovery’, Judith Herman MD, 1997
  • 11. Thanks For your attention
    • Stephen Malloy
    • Email: mr.s.c.malloy@gmail.com