Factors to consider in the delivery of a 2nd copy


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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

  1. 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. 2. Areas of consideration <ul><li>Cultural and gender context, social inequalities </li></ul><ul><li>Stigma </li></ul><ul><li>Presenting issues, immediate Individual needs and longer term needs of service users </li></ul><ul><li>Current infrastructure and local/national service provision, existing partnerships and networks. </li></ul><ul><li>The worker/s involved </li></ul>
  3. 3. Cultural & Gender considerations Stigma <ul><li>Men less likely to seek help, engage with services or discuss problems/emotions…. ‘boys/men don’t cry’ ‘manly behaviour’ ‘toughen up’ etc </li></ul><ul><li>cultural attitude to drug or alcohol use, diet & exercise etc. </li></ul><ul><li>Highest rates of poor mental/physical health in areas of multiple deprivations (Glasgow centre for population health 2007) </li></ul><ul><li>Public (particularly male) perception of suicide, self harm or mental health problems poorly understood. </li></ul>
  4. 4. Factors to consider- Service User <ul><li>Possible reasons for the self harming behaviours </li></ul><ul><li>Precipitating feeling may include </li></ul><ul><li>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 </li></ul><ul><li>Functions served may include </li></ul><ul><li>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 . </li></ul>
  5. 5. Factors to consider- service user cont. <ul><li>Life situations a service user may present with may include; </li></ul><ul><li>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 </li></ul><ul><li>Life events service user may present with (both past and current) may include; </li></ul><ul><li>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 </li></ul>
  6. 6. Service user-some immediate needs <ul><li>To be heard, understood and given time to talk </li></ul><ul><li>Risk of suicide/further self harm assessed </li></ul><ul><li>Be offered immediate mental/emotional/therapeutic support </li></ul><ul><li>Given reassurance and relevant information </li></ul><ul><li>Encouraged and supported to access/be referred to relevant and appropriate services </li></ul><ul><li>Encouraged/supported to use self help or harm reduction strategies, set immediate short term goals </li></ul><ul><li>Given follow up appointments/made aware of ongoing support available/aftercare </li></ul>
  7. 7. Service user-longer term needs <ul><li>Depends on the services users own choices, based on the options available to them and the needs that THEY themselves identify, but may include; </li></ul><ul><li>further assessment (biopsychosocial?) to identify needs and set longer term goals (ideally by same worker), </li></ul><ul><li>support to access GP or other health professionals, mental health services (PCMHT) and organisations, community addiction teams, wider social services </li></ul><ul><li>ongoing one to one support and goal reviews, outreach and home visits, peer support groups, web based supports and resources </li></ul><ul><li>Welfare rights and benefits support </li></ul><ul><li>Support to increase social activity/networks, physical activity, nutrition </li></ul><ul><li>access to other diversionary activities, </li></ul><ul><li>longer term counselling and access to therapies, </li></ul><ul><li>training or education, employability services </li></ul><ul><li>Support to access any required service </li></ul>
  8. 8. Factors to consider-refer/signpost to who, for what, and when? <ul><li>North CHCP services- health and social work/ care, PCMHT, partner organisations, etc </li></ul><ul><li>Local and citywide voluntary and community sector services, sourced from North Glasgow community portal 2 , ‘infobase’ 3 and others </li></ul><ul><li>Charities, inc Gamh and Samh </li></ul><ul><li>Local and citywide Support groups for specific issues </li></ul><ul><li>Helplines etc inc Breathing space, samaritans etc. </li></ul><ul><li>When? The service user will decide </li></ul>
  9. 9. Factors to consider- Worker <ul><li>Skill set to be used </li></ul><ul><li>limitations </li></ul><ul><li>Self monitoring, coping mechanisms, stress relievers </li></ul><ul><li>Feedback, briefing and debriefing </li></ul><ul><li>Support and supervision </li></ul>
  10. 10. References <ul><li>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 </li></ul><ul><li>www.accessnorthglasgow.co.uk </li></ul><ul><li>www.infobaseglasgow.co.uk </li></ul><ul><li>Other resources used include; </li></ul><ul><li>Scottish executive www.scotland.gov.uk </li></ul><ul><li>National Institute for Clinical Excellence, NICE, guidelines and recommendations. </li></ul><ul><li>‘ A qualitative exploration of the links between self harm and attempted suicide in young people’- Griesbach and Associates 2007 </li></ul><ul><li>‘ Crisis intervention strategies’ (5 th ed) 2005 R K James & B E Gililland </li></ul><ul><li>‘ Trauma and recovery’, Judith Herman MD, 1997 </li></ul>
  11. 11. Thanks For your attention <ul><li>Stephen Malloy </li></ul><ul><li>Email: mr.s.c.malloy@gmail.com </li></ul>