Author Archives: The Institute of Mental Health (University of Nottingham and Nottinghamshire Healthcare NHS Foundation Trust)

About The Institute of Mental Health (University of Nottingham and Nottinghamshire Healthcare NHS Foundation Trust)

The IMH Blog is a forum to encourage dialog about issues related to mental health. Our aim is to capture the variety of interest and expertise that is reflected in the Institute’s diverse membership body. We welcome posts on any mental health related topic of your choice, including responses to previous posts, news and events/publications that you would like to promote. For further information please email lqxjmcl@nottingham.ac.uk. This blog is affiliated with the Institute of Mental Health and is maintained by the IMH Blog Team. All posts and comments are moderated prior to being published on the blog. The opinions expressed are those of the author only, and do not necessarily reflect the views of the Institute of Mental Health, the Nottinghamshire Healthcare NHS Trust, or the University of Nottingham. IMH Blog Team Amanda Keeling, ESRC PhD Student (Law)

IMH research day 2018 is coming!

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Venue: A floor seminar rooms, Institute of Mental Health, Triumph Road, Nottingham NG7 2TU

Date: Tuesday 22 May 2018, 9.00am – 5.10pm

Plenary Speaker: Professor Anne Rogers

Title of talk: ‘Plus ça change plus c’est la même chose’ ?: reflections on past and future research in mental health

Dear All,

The IMH would like to invite you to attend the 6th Annual Research Day which is taking place on Tuesday 22 May 2018.

The event will highlight the work of the Institute’s doctoral candidates, Managed Innovation Networks (MINs), and all early-career researchers (including research assistants, research fellows, and research-active clinicians).

There will be 27 oral and 15 poster presentations throughout the day. Please visit the IMH website for full programme, further details and the flyer.

We are delighted to announce that the plenary speaker at this year’s research day will be Professor Anne Rogers, Professor of Health Systems Implementation, University of Southampton. Please see IMH website for Professor Anne Rogers’ biography.

If you would like to attend please email IMH.Events@nottshc.nhs.uk giving your name, job title and organisation details by no later than 15 May 2018

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“Roots” Art Exhibition – October 2017 – January 2018 – Reflections and outcomes by Angie Martin

downloadThe purpose of this exhibition was to share my art work and inspire others to try art as a means of helping them through difficult times by finding ways to express their emotions and be in the “here and now”.

People have expressly stated how inspired they have been by the art and staff at IMH have stopped and thanked me stating that the light and life the artwork has brought into the building has been inspiring. Many people have stated that they have felt emotional connections to the artworks.

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Contributions to others and the community

I provided a talk with a group of MA students of Trauma and used the displayed artwork as a talking point for growth and resilience through trauma.

I followed up with an individual student interview to assist with dissertation studies.

I held live discussion with BBC Radio Nottingham (Alan Clifford show).

Developed links with the Nottingham Peace Project and planned provision of and gained council funding to lead “expression through art” workshops for young people in Basford (2018).

Roots Exhibition Book – my story of Trauma, Resilience and Growth with accompanying paintings.

Charitable financial benefits

Sales of paintings have raised £500 to provide a Remembrance Bench for Joel Cooke and £400 for Young Minds Trust. A total of £900 in sales was realised between the 10th October 2017 and 5th of January 2018.

New friendships and new opportunities

I have had a number of people ask me to show them how I paint different styles and I am starting small workshops in January 2018.

I am contributing to Prof Stephen Regel’s Stories and Narratives Project (2018).

I am working with Su Ansell (De Montfort University) on producing a short film about resilience, change and growth (2018).

Personal Growth, empowerment, health and wellbeing

The exhibition has encouraged me to get out and about, meet new people, socialise and converse. Exposure to the environment, particularly travelling on buses was my goal for my trauma treatment. I now have no fear of travelling on buses or passing through Nottingham. My confidence and communication skills are much improved. When I began planning g the exhibition with Elvira I had to take my daughter with me as I struggled with conversation skills. That is no longer the case. I am sure Elvira has noted the differences since we first met. My family and friends often comment on the progress I have made in overcoming my fear of public places and people.

I intend to continue to raise funds for charity, raise awareness of how we can rebuild our resilience and growth through art expression. I will continue to inspire others by sharing my story and art.

Thank you for this wonderful opportunity. I hope the IMH has many successful exhibitions in the future.

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Angie is a qualified teacher with a degree in Psychology and a Masters in Inclusive Education. She worked in New Zealand as an Inclusion Adviser to the Ministry of Education for 7 yrs. She was studying for a second Masters when she developed serious health difficulties resulting from trauma.  Angie was no longer able to follow her academic career. She retired in 2016 and returned to England (her roots). She now has a different and better life as an artist with a love of mother nature.  “There is always hope and It is never too late to try and experience something new in your life”

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Crime in the Mind

On Friday 17th November 2017, Professor Birgit Völlm hosted a forensic psychiatry research seminar “Interventions for Sex Offenders post-SOTP” at the Institute of Mental Health. The seminar was organised by the charity Crime in Mind and chaired by Professor Pamela Taylor. Professor John Gunn introduced the aims and objectives of Crime in Mind outlining the need for investment in research in forensic psychiatry. Crime in Mind aims to fundraise and commission relevant studies and put the scientific study of mentally disordered offenders on to a much firmer financial and political base. For further information see http://www.crimeinmind.org.

Speakers included a range of experts talking about a range of interventions fo sex offenders. Professor Conor Duggan reflected on the evidence base for the treatment for sex offenders referring to a recent report on the prison based Core Sex Offender Treatment Programme (SOTP) which failed to provide evidence of therapeutic effect and showed that in some outcomes treated sex offenders fair worse than untreated controls. Professor Duggan called for further analysis to be done on identifying who is likely or not to benefit from treatment. Fiona Williams and Rosie Travers from evaluation team of the SOTP outlined the design factors of the replacement approaches, notably the Horizon (for medium risk offenders) and Kaizen (for high risk, high need, high priority offenders) programmes.

Professor Belinda Winder and Dr Kerensa Hocken from HMP Whatton outlined the UK Prevention Project. The project, similar to the German Dunkelfeld project, provides a signposting, support and treatment service for individuals who are distressed about unhealthy sexual thoughts and feelings, and are concerned that they will sexually offend but are outside of the Criminal Justice System.

Professor Birgit Völlm described the development of Circles of Support and Accountability. Here the sex offender, known as the core member, is supported by a group of volunteers from the local community and helped to reintegrate into society. Professor Völlm presented findings on the characteristics of core members in England and Wales and a review of the evidence base.

Dr Jackie Craissati described her work in London on the Challenge Project which supports sex offenders with personality disorder. She found that alcohol use was more problematic than drug use in people who failed (i.e. were charged, convicted or recalled) and that housing difficulties are often a trigger point.

Professor Don Grubin outlined the use of pharmacological approaches to sexual offending such as the use of anti-androgens and selective serotonin reuptake inhibitors (SSRIs). SSRIs have fewer side effects than anti-androgens which require close monitoring. Professor Grubin argued that medication is not a substitute for psychological treatment but can produce improvements which help an offender participate in other treatment programmes.

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You can find out more about crime in the mind here: http://www.crimeinmind.org/

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Clare Knighton – Relapse: The monster came back!

It is practically 12 months ago since I last wrote a blog entitled relapse. I spoke about how I was afraid that it would happen; “A lot of the time, the monster is small and I’m hardly aware it’s there. I can get on with my life, with no worries or dark thoughts, the monster stays quiet. At work, I can be extremely productive, full of ideas and positive energy and life is good.”

And then it happened. At first I felt ashamed and embarrassed, I worried what people would think – but then if peer support has taught me anything, it has taught me that by being brave and honest about my experiences, my honesty may give others the courage to do the same.

I don’t just want to blog about the fact I have relapsed, I want to share with you, deep dark parts that I can remember, the part of relapse that nobody sees, and very few bear witness to.

Being a peer support worker can make relapse feel terrible as to me, my role is about so many positive things, and when I don’t feel positive, I feel like I am losing part of my identity, part of who I am.

So let’s look at my relapse together. Despite the fact I run groups about recognising early warning signs, noticing the exact moment it begins is often hard, and it’s only when you look back on the experience, you can pinpoint where it began.

It began by me coming to work, keeping as busy as I could, avoiding taking breaks, not eating, and then going straight to bed when I got home. I was determined to keep the’ monster under the bed,’ and felt this was the only way. Trouble with monsters is, if you ignore them, they just get bigger and more demanding.

They get to a point where everything else comes second as all you can hear and see is the monster. So I took some time off work, with a little ‘encouragement’ from my work colleagues. All the time, I was saying to myself, this isn’t peer support, this isn’t hope, this isn’t recovery. Then I began to hear whispers, first very quiet, and this escalated to a point where I could hear nothing else. The voice I could hear was dark and repetitive and I stopped all my medication,  I had to shut out all sounds, no tv, and just sit in absolute silence. I couldn’t eat, as everything tasted bitter and poisonous, even coffee that I love tasted unbearable. Meanwhile, outside of my house, the world was going as normal, except that I was no longer a participant.

expectations-vs-reality

I’m not sure how long this went on for, but shortly, the home treatment team began to come and see me daily. There’s much I can’t recall about the early weeks they were with me, just that they came, gave me medication, and talked to me and listened to me. I remember feeling so frightened – convinced that something bad would happen if I took any medication, so it really took some convincing and the home treatment team had great patience with me, every day.

As things progressed, I then began to feel that I would lose everything, that the dark monsters that were swirling around would never go – I would lose the job of peer support worker that I loved, that I would lose my house, and end up homeless with nothing; which the voices told me would happen.

So early one morning, I made a bad choice and started to drink alcohol. My old friend addiction had come knocking, and I had answered, willing to go astray to oblivion, to failure, what |I deserved. I drank all day, and remember waking up the next morning, the first thing I did was go to the fridge for another drink. Something stopped me,I could see the disappointment on so many people’s faces, so I closed the fridge and walked away from that fake friend, alcohol.

Time passed by, days rolled into each other, and the home treatment team kept coming, no matter what I said or how hopeless I felt, they came and slowly supported me to a point where I could push the monster back under the bed! They held onto hope when it seemed I had none. I chastised myself for letting go of hope, the cornerstone of peer support.

Peer support colleagues that I had trained with text me regularly, offering support, coffees and validation of just how rotten I was feeling. So with home treatment, peer support colleagues and friends, I began to feel better. The hope that I felt I had lost, came back to me and I could return to the peer support job that I love. Once back at work, my work colleagues welcomed me back to the team and as usual offered their unconditional support, coffee and good humour.

The terrible thing for me, about relapse is that I feel that it will take everything away – leave me with nothing, no purpose, no hope, no life. So now, back at work, I can smile and say – I made it. I’m back and functioning well. All thanks to those around me who had such patience, expertise and belief in me in my darkest hour.

So to finish this blog on a positive, what have I learnt from this relapse? I have learnt that I am strong, and feel sure that knowing my job was sitting there waiting for me was a key factor in pushing my monsters back under the bed. I have learnt to trust people more, allowing them in to understand the nature of my distress, and of course I have added to the breadth of my lived experience which can only help me in my peer support role, and ultimately improve patient experience.

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Clare is an accredited peer support worker based in Worcestershire, a passionate coach, mentor, cat owner and lover of kindness..NHS champion..survivor….expert by experience. You can follow her on Twitter @knightonstar for daily tweets about peer support.

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Happy holidays

Dear readers, contributors and casual blog browsers,

As we come to the end of another fantastic year for the blog I would like to thank you for all your support. The blog has received some fantastic content throughout 2017 and as always it’s been great to have so many people sharing their experiences, research, views and opinions. Have a brilliant festive season and I look forward to sharing some great new content with you in January.

 

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Happy holidays!

Katherine Dyke

(IMH blog editor)

 

PS- if you fancy writing a piece for the IMH blog it would be great to hear from you! Find out more here

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The RECOLLECT project – A lived experience perspective 2017

In February 2017, a group of academics, researchers and “Lived experience” volunteers came together to explore the character, dynamic and outcomes of recovery colleges. The volunteers came from Leicester, London and Brighton, and were made up of people who had experienced mental health illness and attended a college, a carer of a person using the college and someone of mental ill health who had chosen to currently not attend a college. The group endeavoured through literature review, energetic discussion and challenge, to understand what a recovery college was, what and how it delivered learning experiences for those people experiencing mental ill health, and the longer term outcomes for all those involved in the recovery college community.

We agreed to meet 4 times in the year, and in the true spirit of co-leadership, thrashed out a meaningful and descriptive concept of recovery colleges that could reflect both academically relevant information and valuable real life experience. Our group fostered active listening, respectful argument and an openness and honesty that gave an authentic voice to our subsequent papers. The uniqueness of all the participants – academic and not, made a truly kaleidoscopic experience which we all hope will encourage you to learn more and get involved in recovery colleges yourself.

Written by Emma Munday – Bipolar, slightly old, human.

 

We jelled from the start

The group together

Our experience we pooled

Lived experience

Lived experience

Our knowledge coalesced

Thoughts and feelings

Merged

Used for research

Lived experience

Lived

Lived

Empowered

Confident

Confident

Giving inner strength

Sense of self worth

Worth

Common goals

Coalescing thought

Together with

Lived experience

Lived

Lived.

Poem written by Jane, who said, ‘I have been a mental health service user for most of my life and have suffered with bipolar disorder. I have found that being involved in the RECOLLECT project has been informative, useful and empowering to me.  I have enjoyed meeting with people with a common goal and talking and working together has been a lovely experience.

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The RECOLLECT study has been based at the Institute of Mental Health, funded by a Programme Development Grant from the National Institute for Health Research and led by Professor Mike Slade. Emma and Jane wrote their respective contributions to this blog after participating in all four meetings of the Lived Experience Advisory Group to support the delivery of RECOLLECT. You can find out more by contacting Peter Bates, PPI lead at the Institute of Mental Health or emailing peter.bates@nottshc.nhs.uk.

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Ellen Townsend: Small talk saves lives

It sounds much too simple doesn’t it?  Making small talk could save a life.  But the truth is, it really could.  Today SHRG is supporting the campaign launched by the Samaritans. They are asking us all to be courageous and strike up a conversation with someone if we are worried about them at a railway station. MAKE SMALL TALK AND YOU COULD SAVE A LIFE is a new campaign that encourages public to intervene to help prevent railway suicides.  The Samaritans note that for each life lost on the railways, 6 are saved by life saving interventions.  You can find out more about the campaign here: https://www.samaritans.org/media-centre/our-campaigns/small-talk-saves-lives and here http://www.bbc.co.uk/news/uk-41992967

You can hear me speak to Andy and Sarah on BBC Radio Nottingham about the campaign here http://www.bbc.co.uk/programmes/p05lnxxs (The piece starts at 2:08:00 with my bit at 2:10:17)

The myth that work like this will help to dispel is that suicide is not preventable – it is and right up until the last moment.  Johnny Benjamin was brought back from the brink of a suicide attempt by a caring stranger (Neil Laybourn) who he managed to track down through the incredible ‘Find Mike’ campaign so he could thank him for saving his life http://www.telegraph.co.uk/news/health/10604805/I-finally-got-to-thank-the-man-who-saved-my-life.html

Kevin Hines, who survived a serious suicide attempt, maintains that he felt he could have been diverted from his attempt if just one person had asked him ‘Hey kid, are you OK?’ http://www.kevinhinesstory.com/

Dr Christabel Owens from the University of Exeter has produced a great leaflet to help get people talking about suicide if you are worried about someone, which you can access here: https://www.exeter.ac.uk/media/universityofexeter/ref2014/documents/UoA2_leaflet.pdf

So let’s all be courageous.  You won’t make things worse.  Start a conversation and save a life.

This post first appeared on the Self Harm Research Page .

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Ellen Townsend is a Professor of Psychology at the University of Nottingham, a fellow of the Institute of Mental Health and a visiting fellow of the University of Melbourne. Ellen is the director leading the Self-Harm Research Group.  

You can follow updates about Professor Ellen Townsends work on Twitter:  @SelfHarmNotts 

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