Mental Health First Aid

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Mental Health First Aid 13/06/2017 Mental Health First Aid Dr Tiff Earle, Consultant Psychiatrist – AWP (Medical Lead for North Somerset & Chair MH Approvals Panel, South of England) – and – Stephen Budd, North Somerset Involvement Co-ordinator - AWP

How the session will go Presentation – whistle-stop tour - 30 minutes 13/06/2017 How the session will go Presentation – whistle-stop tour - 30 minutes Case scenarios & group work discussions– 30 minutes

What Is Mental Health First Aid? 13/06/2017 What Is Mental Health First Aid? Help offered to a person developing a mental health problem or experiencing a mental health crisis Given until appropriate treatment and support are received or until the crisis resolves Not a substitute for counseling, medical care, peer support or treatment

Why Mental Health First Aid? 13/06/2017 Mental health problems are common Stigma is associated with mental health problems Professional help is not always on hand Individuals with mental health problems often do not seek help Many people…are not well informed about mental health problems They do not know how to respond

Applying Mental Health First Aid for Crises 13/06/2017 Applying Mental Health First Aid for Crises Suicidal thought and behaviors Non-suicidal self-injury Panic attacks Adult affected by traumatic events Acute psychosis Medical emergency from alcohol abuse Aggressive behavior

13/06/2017 How to Help - Panic Let the person know you are concerned and willing to help. Ask the person whether he or she knows what has happened. If you don’t know it is a panic attack or other medical problem - Check for a medical alert bracelet and follow the instructions an Seek medical assistance If the person believes it is a panic attack Reassure the person that it is a panic attack Ask the person if you can help

Warning Signs of Suicide 13/06/2017 Threatening to hurt or kill oneself Seeking access to means Talking or writing about death, dying, or suicide Feeling hopeless Feeling worthless or a lack of purpose Acting recklessly or engaging in risky activities Feeling trapped Increasing alcohol or drug use Withdrawing from family, friends, or society Demonstrating rage and anger or seeking revenge Appearing agitated Having a dramatic change in mood

13/06/2017 Questions to Ask Ask the person directly whether he or she is suicidal: “Are you having thoughts of suicide?” “Are you thinking about killing yourself?” Ask the person whether he or she has a plan: “Have you decided how you are going to kill yourself?” “Have you decided when you would do it?” “Have you collected the things you need to carry out your plan?”

How to Talk with a Person Who Is Suicidal 13/06/2017 How to Talk with a Person Who Is Suicidal Discuss your observations with the person Ask the question without dread Do not express a negative judgment Appear confident, as this can be reassuring Check For Two Other Risks Has the person been using alcohol or other drugs? Has he or she made a suicide attempt in the past?

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From: Suicide in England and Wales 1861–2007: a time-trends analysis Figure 1 Age standardized suicide rates for ages ≥15 years in England and Wales (3-year moving averages) 1861–2007 From: Suicide in England and Wales 1861–2007: a time-trends analysis Int J Epidemiol. 2010;39(6):1464-1475. doi:10.1093/ije/dyq094 Int J Epidemiol | Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2010; all rights reserved. 11

Mental Health First Aid ACTION PLAN – “ALGEE” 13/06/2017 Mental Health First Aid ACTION PLAN – “ALGEE” Mental Health First Aid teaches a five-step action plan, ALGEE, for individuals to provide help to someone who may be in crisis. A – Assess for risk of suicide or harm L - Listen non-judgmentally G - Give reassurance and information E – Encourage appropriate professional help E - Encourage self-help & other support strategies

13/06/2017 Golden gate bridge https://www.ted.com/talks/kevin_briggs_the_bridge_between_suicide_and_life (NB: hover over above & right click on mouse then open hyperlink to go to video)

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Mental Health First Aid in England (MHFA) 13/06/2017 Mental Health First Aid in England (MHFA) See the above leaflets and other resources at Mental Health First Aid England: https://mhfaengland.org/take-10-together-toolkit/