Protective Behaviours Personal Safety and Self Harm Melanie Pearson Cazz Broxton Protective Behaviours Training Partnership
Protective Behaviours and Self Harm
How PBs has helped to improve mental health and well-being for young people accessing CAMHS and prevented escalation to higher thresholds of intervention
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Self Harm and Suicide in Adolescents Suicide is second most common cause of death in young people worldwide.
Self Harm refers to intentional self poisoning or self injury irrespective of motive or extent of suicidal intent.
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Self Harm and Suicide in Adolescents World Health Organization report that one fith of 15 year olds reported in a recent study that they have self harmed. World Health Organisation report that there has been a 3 fold increase in 10 years Rates are higher in lower socio economic groups Protective Behaviours Training Partnership
Risk factors for self-harm and suicide in adolescents
Sex (female for self-harm and male for suicide)—most countries Lesbian, gay, bisexual, or transgender sexual orientation
Low socioeconomic status Socio-demographic and educational factors Restricted educational achievement Protective Behaviours Training Partnership
Risk factors for self-harm and suicide in adolescents
Marital or family discord Bullying Interpersonal difficulties
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Individual negative life events and family adversity
Parental death Adverse childhood experiences History of physical or sexual abuse Parental separation or divorce Parental mental disorder Family history of suicidal behaviour
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Risk factors for self-harm and suicide in adolescents
Poor social problem-solving Low self-esteem Perfectionism Hopelessness
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Risk factors for self-harm and suicide in adolescents
Psychiatric and psychological factors Mental disorder, especially depression, anxiety, attention deficit hyperactivity disorder Drug and alcohol misuse Impulsivity Protective Behaviours Training Partnership
Whole system Integrated Care Pathway
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Children’s Services across the spectrum of Need
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ď ‰Maslow hierarchy of needs
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Protective Behaviours Workshop
Run over 2 days 09.30 – 15.30 Young People aged 14 – 18 Group Size 8 All young people have; Choice and Control about attending and can leave if desired Protective Behaviours Training Partnership
E x a Feelings are m simply feelings p Nol right ones e
No wrong ones Just W there to tell usowhat we need r k s
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E x a Behaviour m p choice l e W o r k s
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is a
E x a Withma consequence/e p ffectl e W o r k s
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E x a m Theme p l e We all
One
Have the right W safe To feel All ofothe time
r k s h
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Safe Place Exercise
Relaxation Technique Progressive muscular Autogenic
Visualisation Safe Place Script
A place you know One you make up in your imagination‌ Protective Behaviours Training Partnership
E x Warning Early a Signs m p These are specific, physical l sensations that can be noticed by each of e us internally. These are body sensations that serve as indicators that we are at risk or that risk W is increasing.
o r k s
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Example Workshop Sheet
Fun to feel scared Do I have a choice Am I in control Do I know how or when it will end
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Example Workshop Sheet Theme Two There is nothing so awful That we cant talk about it to someone ‘We trust’
We can talk to someone about anything even if it feels awful or small Protective Behaviours Training Partnership
Example Workshop Sheet
ď ‰Creating a network When you have talked to someone, how did it feel If you could choose the qualities, what would they be How would you know What groups of people have some of these skills
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Example Workshop Sheet
ď ‰My Personal Network
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Example Workshop Sheet
My Personal Network Some people do not like the hand as it can Prompt an unpleasent memory
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Example Workshop Sheet The PBs Strategies Theme Reinforcement One Step Removed Network Review Persistence Protective Interruption Risking On Purpose The Importance of Language Protective Behaviours Training Partnership
Example Workshop Sheet
Further Topics Covered Language of Safety Values and attitudes Communication and Relationships Self Esteem
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Example Workshop Sheet
ď ‰What makes for poor communication
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Example Workshop Sheet
ď ‰What can impact on communication
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Example Workshop Sheet
Definition of Relationship
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Example Workshop Sheet
ď ‰The Importance of Relationships
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Example Workshop Sheet
What sorts of relationships do we have
How do they differ
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Example Workshop Sheet
ď ‰What makes for a negative relation ship
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Example Workshop Sheet
Throughout the whole of this process, we are building up knowledge and information. Exploring what we take for granted To gain and promote life skills Protective Behaviours Training Partnership
Example Workshop Sheet
Self Esteem By de-constructing it gives young people the knowledge and skills to: Recognise and value their own and others Understand how to look after their own and that of others Protective Behaviours Training Partnership
Example Workshop Sheet
ď ‰Ways to improve self esteem
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Example Workshop Sheet Final Activity activity is to create a certificate of attendance What you have achieved that you are proud of What you have appreciated about others What are you taking away with you One thing you are going to do from today Protective Behaviours Training Partnership
Protectve Behaviours Workshop
Figures for 3 month period Referred to workshop 48 48 invited 22 attended At follow up Less than a quarter required further intervention in specialist Services
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