What is your positive way of coping?

Transcription

1 What is your positive way of coping? Get involved in the campaign: To help raise awareness we want you to write on your wrists something you do to positively cope with adversity, e.g. stress, feeling anxious, a bereavement or pressure. It may be talking to friends, or getting active, or socialising. Post your self-help selfie on Twitter or Facebook including #selfhelpnotselfharm and nominate three or more friends to do the same

2 Emotional Safety Please be aware that this is an emotive subject. Maintain confidentiality within this setting, listen when others speak and give constructive feedback. Take 5 if you need it!

3 Nicky Ratcliff CPN/ Acting team Leader for Wyre Forest Contact number Follow us on Like us on Facebook Worcestershire Child and Adolescent Mental Health Service Visit the website

4 Aim of the presentation Increase awareness and understanding of selfharm Discuss the rise and the contributing factors Think about what we can do to support children and young people who self-harm and how we can prevent more self-harm.

5 Self-harm describes a range of things people deliberately do to themselves that appear to be harmful but usually do not kill them. Selfharm is not usually a failed attempt at suicide

6 Self injury is: an act done to oneself with the intention of helping oneself rather than killing oneself. Paradoxically damage is done to the body in an attempt to preserve the integrity of mind NICE 2004

7 Scratch Cut Bite Burn What is self-harm Others Pull their hair Punch wall

8 Bullying Coping behaviour Feel release of tension/ emotions Not always clear Difficulties at school It s convenient and easy Physically controlling something Feel out of control In response to a normal life event Relationship Difficulties Why? Attention needs Don t know what else to do Obtain affection and support from others Underlying mental health problems Abuse Not usually an attempt at suicide Neurodevelopmental disorder

9 Why? Low support Self harm Stress

10 Statistics 1 in 5 school aged children (15 year olds) in say they self harm Nationally there has been a rise of around 70% among year olds in the last 3 years. In Worcestershire the rise is approx. 40% for the same age group, over the same period. WHO survey The Health Behaviour

11 Talking self-harm Talking self-harm report 2012 by Young Minds and CELLO Over the last ten years inpatient admissions for young people who self-harm have increased by 68%. One in twelve children and young people are said to selfharm. In the last year alone these hospital admissions for under 25s increased by 10%. Among females under 25, there has been a 77% increase in the last ten years.

12 Increase in parental stress Increased stress at school Decrease in other options Social media Why is self harm increasing? Expectations are too high Reduced stigma around mental health Easy and convenient

13 So what do I do now? A child or young person? A parent A sibling A teacher A social worker A youth worker A friend A boyfriend/girlfriend Anyone affected by self harm

14 There is no magic wand

15 Self-help Take responsibility for what you can do to change your actions!

16 5 steps to mental wellbeing Connect Be active Keep learning Give to others Take notice

17 Every child matters (2003) Being healthy: enjoying good physical and mental health and living a healthy lifestyle Staying safe: being protected from harm and neglect Enjoying and achieving: getting the most out of life and developing the skills for adulthood Making a positive contribution: being involved with the community and society and not engaging in antisocial or offending behaviour Economic well-being: not being prevented by economic disadvantage from achieving their full potential in life

18 Factors associated with having good resilience Female Sociable Independent Reflective rather than impulsive Able to express emotion Sense of humour Willingness and capacity to plan Good communications skills Empathy with others A sense of competence Ref: McDougalleral 2010

19 Definition of resilience 1. The ability of a substance or object to spring back to shape 2. The capacity to recover quickly from difficulties

20 Factors affecting Environment Physical health resilience Hobbies and interests Me Mental health School Family Friends

21 What CAMHS can do Behaviours Thoughts Feelings Help you by identifying and linking your thoughts, feelings and behaviours to support you in being able to make changes, in order to help yourself to get better.

22 Distraction techniques (Things you can do instead of self-harm) Hugs Exercise Chocolate Peaceful walk Knitting Tai Chi Painting Singing Sleep Archery Reading Shopping Cleaning Drawing Bake Dance Pray Meditate

23 Definition of mindfulness A mind-body approach to wellbeing that can help you change the way you think about experiences and reduce stress and anxiety.

24 Headspace Expectation animation

25 First Aid for Self-Harm D R A B C Danger Does the young person need medical treatment? Are there any issues around safeguarding? Are there any other risks? Respond Whilst remaining calm and non-judgemental listen to the child or young person. Think about if you need to inform anyone. What can you do within your role to support the young person? Ask Is it their first time? Are there any changes to their usual self-harm? What triggered them? Does the young person want to die? Behaviour Has their behaviour changed recently? This could be at school, their concentration, appetite, sleep, social life or their mood. Coping Strategies Ask the young person; what else helps you to cope? What do you enjoy doing? Is there anyone you can talk to? Support the young person in identifying any protective factors.

26 Useful contacts: CAMHS The Child and Adolescent Mental Health Service provides support to children and families where the young person is experiencing mental health difficulties. For information and advice visit or call CAMHS SPA (single point of access) on Worcestershire Early Help Hub Dedicated to helping you find the right advice and support for your family. For information and advice visit or call Young Minds Young Minds is the UK s leading charity committed to improving the emotional wellbeing and mental health of children and young people. Please visit for more information. NSPCC NSPCC are the leading children s charity fighting to end child abuse in the UK and Channel Islands. Call or visit for more information.

27 GP Support and advice services School nurses Childline is Samaritans is Young minds parent helpline NHS Choices

28 For more information The Resilient Classroom Developed in Partnership with Young Minds Helping Children and Young People Who Self Harm. By Tim McDougall et al. Think Good Feel Good by Paul Stallard National Self Harm Network Royal college of psychiatry ealthadvice/problemsdisord ers/self-harm.aspx Trust self help guides under the A-Z Visit for more information.

29 Recent articles/reports in news Tallulah Wilson death: Action urged over selfharm sites: Schools struggling to cope with self-harming: Article Radio 4 programme featured 12/12/14 by Sims Kotecha. Talks about Self-Harm admissions among children at a 5year high

30 What is your positive way of coping? Get involved in the campaign: To help raise awareness we want you to write on your wrists something you do to positively cope with adversity, e.g. stress, feeling anxious, a bereavement or pressure. It may be talking to friends, or getting active, or socialising. Post your self-help selfie on Twitter or Facebook including #selfhelpnotselfharm and nominate three or more friends to do the same