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Understanding Mental Health Services
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Aims of this Session What are the mental health services?
How do they work? Who works there? What other services are available? How to get the best from them?
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The Day Hospital
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Accessing the Psychiatric Day Hospital
Referral by GP Initial appointment (assessment) Development of initial care plan Either: -Further specialist intervention and care planning, Or: -No further specialist intervention required
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Accessing the Psychiatric Day Hospital
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Staff in the Day Hospital
Psychiatrist Community Mental Health Nurse Occupational Therapist Social Worker Clinical Psychologist Addiction Counsellor Medical Secretary
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Staff in the Day Hospital: Psychiatrist
Medical Doctor Specialist in treating mental health difficulties Clinical Lead of the team Work in collaboration with the Multi-disciplinary team Supported by two other doctors All are qualified to prescribe specialist medication
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Staff in the Day Hospital: Community Mental Health Nurse
Supporting people experience acute and/or enduring distress Assessing people and discussing best ways of meeting their needs Providing education and support around medication Working with the person and their family Arranging referral to other team members
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Staff in the Day Hospital: Occupational Therapist
Assist the person to reach optimum level of independence & to have a productive and satisfying lifestyle Evaluating and adapting the home environment Assist in developing leisure interests Training in activities of daily living Guidance and advice on employment
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Staff in the Day Hospital: Social Worker
Offering individual and group support programmes Providing family support Education and support to the wider community Liaising and making referrals to other agencies Providing information and advice on welfare and housing issues Advocating for people with other agencies
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Staff in the Day Hospital: Clinical Psychologist
Specialist qualification in mental health Use psychological knowledge and techniques Address a range of emotional and psychological problems Psychological assessment Use techniques e.g. CBT Work in partnership with client Usually over a number of sessions
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Staff in the Day Hospital: Addiction Counsellor
Strengthen self-worth Find positive ways to manage stressful events and emotions Learn how to react to common substance and behavioural triggers Develop practical skills for dealing with cravings Assist the individual with rebuilding trusting relationships with others Become responsible and compliant with other treatment plans
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Staff in the Day Hospital: Medical Secretary
Answers all telephone enquiries Liaises with members of the team Responds to general enquiries about the service Provides clerical support to the team Arranges all medical appointments Reception duties
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Voluntary Services Please see handout for contact details
AWARE Reach Out Please Talk Pieta House Aras Follain Samaritans GROW Shine Le Cheile You can use any or all of the voluntary services while attending the HSE services.
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Getting the best from Services: Challenges
For Family & Carers For Staff members For Service users
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Challenges for Family & Carers
Patience Understanding Learning about the illness Giving support Communication between professionals and family Difficult jargon Empathy
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Challenges for Staff Members
Time constraints Volume of workload Conflict in teams Carer fatigue Resource issues Burnout Challenging behaviour Vicarious trauma
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Challenges for Service Users
Access issues Resource issues Identifying most appropriate supports Following up aftercare plan Communication on both sides Lack of knowledge Fear Stigma Money Knowing where to go Knowing your rights
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Getting the Best from Services: How to:
Keeping appointments Prepare for appointments Getting to know the person Connecting Online resources Open & honest about symptoms Do your research Putting in the time Accepting the diagnosis Use other services while waiting Give all the information to the service provider Filling time between appointments Communication Persistence Knowing about MDT Private Care- quicker access GP Family support Asking for extra help
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Thank you!
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References http://www.addictioncounsellors.ie/about-counselling
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