Mental Health Awareness Training For Advice Workers. Hammersmith and Fulham Mind

Transcription

1 Mental Health Awareness Training For Advice Workers Hammersmith and Fulham Mind

2 Introductions Intros Expectations Ground rules Aims of session

3 Objectives Understand different mental health problems Spot the signs and symptoms of mental and emotional distress Support clients with mental health issues Manage difficult scenarios and conversations with clients Feel better equipped to signpost clients to appropriate services to manage their wellbeing

4 Today Mental health- what is it? Different types of mental health problems Stress Challenging behaviour and boundaries Suicidal clients Signposting Case studies

5 Who is affected? 1 in 4 people suffer from a mental health problem in any given year. Women are more likely to have been treated for a mental health problem than men and about ten percent of children have a mental health problem at any one time 1 in 6 employees are dealing with a mental health problem such as anxiety, depression or stress. Depression affects 1 in 5 people

6 What is good mental health?

7 Good Mental Health Good mental health is described as more than the absence of mental disorders or disabilities. It is a state of well-being in which: an individual realises his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully is able to make a contribution to his or her community. In this positive sense, mental health is the foundation for individual well-being and the effective functioning of a community. World Health Organisation

8 What is Mental Ill Health?

9 Mental Ill Health A more than temporary state of mind that adversely affects your ability to function on a day to day basis Good Mental Health Mental Ill Health We all have Mental Health, some of us have Mental Health Problems

10 Stigma What is stigma? How would it impact your role with clients?

11 Mental Health Problems Depression Anxiety Obsessive Compulsive Disorder Bi-Polar Schizophrenia Personality Disorder

12 Depression Signs/symptoms How might this present at your work?

13 Depression Low mood Lack of motivation Sleep problems Eating problems Low self-esteem Social withdrawal

14 Anxiety Signs/symptoms How might this present at your work?

15 Anxiety Disorder Physical Effects: Increased heart rate; sweating; tremors; palpitations; nausea; dizziness; stomach problems Psychological Effects: Fear; heightened alertness; being on edge; irritable; restless; indecisive; unable to relax; negative thought patterns. Panic Attacks, Phobias, OCD

16 OCD Signs/symptoms How might this present at your work?

17 Obsessive Compulsive Disorder Obsessions are unwelcome thoughts, idea or urges that repeatedly appear in your mind Compulsions are repetitive activities that you feel you have to do Common Obsessions: fearing contamination imagining doing harm intrusive sexual impulses excessive doubts forbidden thoughts a fear of failing to prevent harm Common Compulsions Repeating actions Ordering or arranging Washing Checking Touching Focusing on a number

18 Bipolar Disorder Signs/symptoms How might this present at work?

19 Bi-Polar Disorder Manic Episodes: feeling euphoric excessively high' ; restlessness; extreme irritability talking very fast; racing thoughts; lack of concentration; sleeping very little a feeling a sense of own importance; poor judgement; excessive and inappropriate spending; risky behaviour; misusing drugs/alcohol Depressive Episodes: a sense of hopelessness; feeling empty emotionally; feeling guilty; feeling worthless; chronic fatigue; difficulty sleeping or sleeping too much weight loss or gain/changes in appetite; loss of interest in daily life lack of concentration; being forgetful; suicidal feelings It is estimated that 20 per cent of people who have a first episode of manic depression do not get another

20 Schizophrenia Signs/symptoms How might this present at your work?

21 Schizophrenia Can be thought of as repeated/sustained experience of psychosis. Thought Disorder Delusions Hallucinations Emotional Flatness Inability to concentrate Social Avoidance

22 Personality Disorder Signs/symptoms How might this present at your work?

23 Personality functioning Healthy personality functioning Some problematic traits Many problematic traits Personality Disorder

24 Personality Disorder An enduring pattern of inner experience and behaviour that deviates markedly from the expectations of the individual s culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment. Often rooted in childhood abuse, deprivation neglect or trauma, which results in an inability to function effectively as an individual or in society

25 Personality Disorder Difficulty maintaining constructive relationships Self harm & suicidal thoughts Lack or low self awareness Extreme moods and behaviour Boundary breaking Manipulation Suspicious: Paranoid, Schizoid, Schizotypal, Antisocial Emotional and impulsive: Borderline, Histrionic, Narcissistic, Anxious: Avoidant, Dependent, Obsessive Compulsive

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27 Stress or Pressure? Stress - HSE definition: "The adverse reaction people have to excessive pressures or other types of demand placed on them at work."

28 Client Journey Describe the client journey At what points might Mental Health problems/issues arise? What are the signs? Impacts?

29 Stress How do you currently manage stressed clients? How does this affect your stress levels?

30 Boundaries What are some potential consequences of having loose or poor boundaries? What are some of the signs that boundary issues may be present between you and the caller? What techniques could be used to create and maintain healthy boundaries?

31 Consequences Caller may not be given helpful or appropriate services, which could affect his/her willingness to accept other services Caller may feel betrayed, abandoned and poorly served Could lead to unmet expectations Worker may become emotionally attached The reputation of the service provider may be compromised

32 Difficult conversations I have been trying to solve this problem for over six months and no- one in your organisation has done anything to help me. What are you going to do about it? How do you intervene? What are your tools and techniques?

33 Difficult conversations I am really glad I ve spoken to you, you are much more helpful that anyone else. Can you tell me when you are working next so that I can come in person and speak to you? How do you intervene? What are your tools and techniques?

34 Difficult conversations How long have you been doing this job? You don t sound like you know what you re talking about. How do you intervene? What are your tools and techniques?

35 What are the different kinds of questions and when would you use them? Questioning Skills

36 Questioning Skills What are the different kinds of questions and when would you use them? Open: What outcome are you looking for? What support can I provide you with? How does that condition affect you? How will this affect our work together? What steps can we take to make this work? Closed: So if we changed that, would it meet your needs? Have you got a support network?

37 Difficult Conversations Check your ego state Where are you where is the other person? What s the dynamic? Time to diffuse listening skills Feedback & Summarise - facts Feedback your thoughts and feelings if necessary explain consequences Reflective, open questions - to bring back to adult 1. So you ve said that Is that correct? 3. Ok, what we need to do is How does that sound?

38 Difficult Conversations- s Get Personal Use your client s name and second-person pronouns such as you, your, and yours to let them know you re thinking of them specifically. Re-read Your how do you sound? You may already do this, looking for spelling and grammar errors. Make sure you also clarify sentences that might be misunderstood, and consider what emotion you might seem to be writing with. Do you come across as being short, angry or arrogant? Set Out Your Replies Like a Conversation Show you have listened When replying to a long , or an that addresses various points, set out your reply like a conversation. Quote each of the writer s points one by one, with your own response after each point. This makes your reply easier to follow, and your answers to different issues won t be confused. Don t quote irrelevant parts of the original , just the issues you are responding to. Use Short Paragraphs Avoid Shortcuts, Jargon and Abbreviations

39 Talking it through 3 steps A chance to support and a chance to challenge What does that mean? can you describe your health condition to me. How does this impact our work together? How would I know if your health is deteriorating? triggers? What can we do to support you?

40 Suicidal Clients How does its affect you and your work? Policies and process?

41 Suicide - Myths

42 Suicide - Signs

43 Suicide Communication Skills LISTEN You don t have to be an expert Express interest Be yourself Be non-judgemental and accepting Offer hope and resources Ask direct questions if you are concerned

44 Suicide Don t- Argue Act Shocked Judge Promise confidentiality Offer fixes Give advice Make them justify Blame yourself Communication Skills Check they know where to get help- WHERE?

45 Signposting What are the relevant services? Is there a consistent knowledge base around these? How can this be achieved?

46 Your Well-being What can you do as a team and an individual to protect your own well-being?

47 Regular breaks Supervision Work life balance Stress levels External support pathways Internal Support

48 Case studies Case one: A has disclosed that he suffering with depression, and tends to spend long periods during the case where he does not contact you, then he gets in touch with a range of questions and new issues, however these are not entirely relevant to the case. A is quite open about his mental health but the case doesn t seem to be progressing, and you are concerned about the length of time between the contacts. What are your next steps? Case two: The conversation is going well but at some point B says: well you re obviously in it with them aren t you I know I m being tracked, I know I m being monitored, I know I m being followed You re actually trying to ask her if she has received any update on her benefit situation. How do you progress with the case?

49 Case studies Case Three: Ben has called you and requested some help with his housing issue. His advocate has very limited time and you are having problems with progressing the case and gathering the information that you need due to the fact that Ben finds it very difficult to separate his difficult early personal life from the current housing issue. His last conversation with you involved you spending 40 minutes of the call discussing how lonely he is, and the stress of the housing situation reminds him of his childhood. What are your next steps?

50 How confident do you feel about supporting clients with mental health issues after the training? Any Questions?