The mental health workers’ audio guide – now available

It’s been a while coming but The mental health workers’ audio guide is now available for purchase from The Care Guy shop for less than the price of a lunchtime sandwich. The first 4 of 6 parts are already available and the final two will be out soon. Scroll down to view the contents of each instalment.

You can The Guide parts 1-6 accompanying tables and references containing the contents list for all 6 parts, various diagrams and charts as well as references here……

Contents

Part one – clinical basics

What’s a mental health worker worth?

Three models of mental health and disorder

The biological (medical) model

The social model

Merging the two (stress and vulnerability)

The importance of physiology

The meaning of psychiatric diagnoses

Anxiety

The psychology of anxiety

Depression

The psychology of depression

Psychosis (introduction)

Hallucinations

Delusions part 1

Delusions part 2

Thought disorders

Part 1

Part 2 – The dementias

The dementias

Types of dementia – Alzheimer’s

Types of dementia – Vascular

Types of dementia – Lewy Body

Types of dementia – Parkinson’s

Types of dementia – Korsakoff’s

Types of dementia – Fronto-temporal

Types of dementia – Mixed

Orientation and memory

Delirium

The CAM scale

Working with the limbic system

 

Part 3 – Personality and recovery

Personality disorder

High Expressed Emotion

Sympathy is not usually helpful

More on the Stress & Vulnerability model of mental health and disorder

The invalidating environment

The Self-fulfilling prophecy

The meaning of recovery in mental health

The three types of recovery

 

Part 4 – In practice

Duty of care: A slug in a bottle

‘Hanged if you do, hanged if you don’t’ – a duty of care myth

There is no ‘us and them’

People are just people

Coping skills develop slowly

Lapse is different from relapse

Don’t expect your service user to perform perfectly.

The word ‘support’ is meaningless in and of itself

“It’s just behavioural” (A workers’ excuse for lazy thinking)

Challenging behaviour means….

Behaviours that harm the individual

Behaviours that harm other people

Do we need help?

Consequence, learned behaviour and the need for boundaries

Maintaining the problem

The whole team approach

Firm Boundaries

No ‘Pedestals’ and Staff Safety

Effective, Consistent Care

‘Corporate’ Identity – “You’re All The Same.”

Expectations

 

Part 5 – risk issues

Self-harm

Self-harm as a response to trauma

Responding to a person who harms themselves

Individual v Organisational risk (Risk-free is impossible. Manageable risk is the way to go)

Don’t flap (more haste – less speed)

The saviour fantasy

You’re probably not an emergency service – don’t try to behave like one

 

Part 6 – Thinking styles

Unhelpful thinking

Ignoring the positive

Exaggerating the negative

Overgeneralisation

Catastrophisation

Arbitrary inference

Determinism

Selective abstraction

Global thinking

Dichotomous thinking

Magical thinking (the Wizard did it)

Personalisation

Socratic dialogue and ‘the razors’.

The sticks we use to beat ourselves

Who put us in charge?

Final words

I just love this stuff

Today I was in Halifax in beautiful W. Yorkshire. It was great.
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I arrived last night and met up with a former colleague for a catch up over a curry (& beer of course).

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Then today was spent with around 20 of Calderdale’s finest mental health & social care workers talking about psychosis and interventions for people who hear voices. It’s amazing what a really enthusiastic group can get through in a single day. We covered basic principles of psychosis, a little philosophy of mental health care, models of understanding and normalisation in the morning. This afternoon was devoted to meaningful activity and validation, socratic dialogue, delusions and perceptions and principles of risk. These people really got their money’s worth today!

The group was great fun to work with and they really seemed to enjoy the day. Hopefully they’ve got some useful new skills to take away too.
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Even better, I think a few of them will be contributing to Care To Share Magazine before too long as well.

All in all it’s been a really successful day. And now it really must be ‘beer O’Clock’!

What a cracking day!

Care to share magazine issue 7

Just a reminder. Care to share magazine issue 7 is out today as a series of blog posts or downloadable PDF.

Get your free copy here.

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Nursing is a family

Today I had a really brilliant experience. I’m currently working as a locum community psychiatric nurse as part of the NHS team close to my home. It’s a trust I worked for before. In fact I spent several years as a permanent staff member on the wards and in the community early in my career. That’s the background to this story.

Back in 1999 I was working as an E grade staff nurse (remember those?) on a psychiatric acute ward. At that time we had a fresh-faced 18 year old student who clearly had potential. In fact she was one of those students whom you just ‘know’ will go far. She had ‘talent’.

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But she had an issue to resolve. I won’t go into details except to say that I worried that (through no fault of her own) she may become disillusioned and abandon her training. I did what I could to help but I couldn’t be sure that it was enough – though I certainly did my best. You see nursing is a family and like all families we really should look after our young.

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Eventually she moved on from the ward as all students must. Nurse training involves many clinical placements. She went to another ward and I never saw here again. Until….

Today, 15 years later, I had occasion to request help from another nursing team. I needed a specialist. Guess who that specialist was….

The slightly hesitant 18 year old student is now a confident, competent and compassionate professional. Far from losing heart and leaving this wonderful profession she has blossomed into the fine mental health nurse we all knew she could become. I know this because I got to see her work first hand.

And best of all – she had a student of her own in tow.

The nursing family works best when we look after our young.

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