Displaying items by tag: Mental health
Turning Point was created to help people find a new direction in life. Whether they are approached by anyone with drug or alcohol addiction, mental health issues, a learning disability, employment difficulties - or a combination of factors - they provide the individual support that is needed by tailoring their services to the individual in order to get their life back on track.
Turning Point also provides advice for friends and family about any concerns they have about their loved ones as well as working with commisioners, GPs and the wider community to deliver positive outcomes.
Homeless Link represents and supports organisations working with homeless people in the UK. Our vision is a country free of homelessness where everybody has a place to call home.
We are holding a one day conference on 9 December 2013 in London:
Improving Support for People with Multiple Needs
This conference will help you to develop a coordinated support package for your clients around homelessness, addiction, menal health and offending. You will find out how to work in partnership with local services to address multiple needs in an holistic way. You will examine models of coordinated services and systems that work well and actively build connections with peers across sectors. Please see our website for more information. This event is being delivered by Homeless Link in partnership with Clinks, DrugScope and Mind.
The About Turn project supports ex-servicemen and women who are experiencing homelessness or housing problems, who are incarcerated in prison or have involvement with the criminal justice system. Many ex-forces personnel have alcohol and drug dependency issues and have difficulty accessing the support they need in relation to mental health and/ or post-traumatic stress disorder.
Leading UK mental health charity, Together, help those who are dealing with mental suffering and distress to direct themselves in their journey towards improved mental health. The services offered by Together strongly believe in the role of personalisation, and aim to provide the tools, knowledge and support that people need to better help themselves towards a life that is independent, positive and rewarding. The crucial work undertaken at Together is underpinned by a vision aimed at breaking down the barriers that cause ignorance in society so that everyone can live lives free of prejudice; the charity pride themselves on their approach which is centred around working directly with service users, as the services are constantly being shaped by the people who actually use them. Formed in 1879, Together currently offer a range of services to almost 4,000 adults every month within 80 projects throughout England, which include community support centres, home-based community support, criminal justice mental health services, housing support and advocacy work. In offering holistic support and unique guidance tailored to the individual, Together allows individuals to lead their own recovery at their own pace and deal with each issue one step at a time.
Visit Together’s website http://www.together-uk.org/ to find out more about the organisation and their services.
Second Step work to provide different types of housing for people with mental health issues who require assistance in order to live independently. Importantly, they ensure that all help provided is unique and tailored to the specific needs of the individual. Working within the south west region, Second Step aim to deliver recovery and well-being opportunities for people with mental health issues, as well as a variety of other needs, to achieve their hopes and ambitions. In addition, Second Step also run a Rough Sleepers Initiative, a move-on scheme for people with mental health needs and a history of sleeping rough, and Intensive Tenancy Support, for those who are finding it difficult to cope with tenancy and are at risk of losing their home as a result. These sources of assistance, amongst a myriad of other holistic services provided by Second Step, provide the vital avenues of support needed by those who are particularly vulnerable and as a result, are more likely to be without a home.
Second Step are based in the areas of Bristol, North Somerset, South Gloucestershire, Bath and North East Somerset. You can find out more about the different kinds of work that is done at Second Step by visiting their website www.second-step.co.uk
Based at the Brighton Women's Centre, Inspire is a project working with women who have been caught up in the criminal justice system. Each woman supported by Inspire has her own senior case worker and together they address individual needs. A holistic approach is offered and women are able to access a range of services, addressing unemployment, improving literacy and numeracy, as well as working with issues such as domestic and sexual violence, substance misuse and mental health.
• Accessing accommodation.
• Gaining the necessary skills to support themselves and their families.
• Addressing their emotional and health needs and improving their mental health.
• Support in finding employment.
Reset also work to address recurring problems such as drug and alcohol addiction and debt and financial difficulties.
Last Thursday I met a young man who was recently released from prison. He only served a five month sentence (for a violent offence) but he felt his time in prison had a significant impact on both his life chances and mental health. I’ll call the young man Gavin. Gavin’s short sentence had been served between Brixton and another jail where he served the majority of his time.
One characteristic Gavin describes as common in both establishments is the absolute structure of the regime. He described being in prison as ‘calm’ with few incidents of violence but little evidence of machismo or bullying. Gavin said he avoided any eye contact at all for the most part, but he noticed few people starting fights or ‘looking for trouble’. He felt safe, even in Brixton on remand. This may be a contrast to what many people on remand experience. Gavin, however, felt a sense of reprieve.
Since his release, shortly before our chance meeting (not in a professional context), Gavin had struggled to cope. He described being in a McDonalds in Tottenham as a really frightening experience where the volatility and non-verbal aggression between young men was palpable.
For Gavin, this was proving really difficult to manage. His own anger and resulting violent assault played on his mind. During our meeting, Gavin was conscious of feeling he had been unjustly treated, unheard and was completely unable to access relevant and necessary support. For him, issues of family and his own paternity were significant and he felt no one was able or willing to help him. He might even be right.
Few professionals have the time, patience, scope or remit to be able to work effectively and intensively enough with Gavin. His drug intervention programme (DIP) worker had lost his trust (‘she writes everything down and I know she’s going to use it against me one day. In court probably. What is she writing it all down for?’) and his probation worker no longer needed to see him. So Gavin presents a perfect example of the people most likely to slip through the cracks that may well emerge from the implementation of the Probation Review. Multi-agency public protection arrangements (MAPPA) are applied to the highest risk, serious, sexual or violent offenders with sentences over 12 months.
These people who have been sanctioned by the criminal justice system are the least likely to reoffend and least likely to escalate their offences. Having already committed some of the most serious offences they tend to comply with probation orders, licence or the regime of a long sentence.
MAPPA will make up the core of what remains within the probation remit after the review. So, highly skilled and trained professionals with many years experience will be able to concentrate on a small group of fairly low-risk (in terms of reoffending) adults.
The review will mean that other, traditional probation services will be commissioned out. So, people like Gavin may be dealt with by private providers or voluntary sector organisations who win contracts to pick up what was probation work. This may prove to be an excellent improvement or at least may ensure maintenance of quality of service. It will require particular skills and expertise however. Gavin represents a group of (particularly) young men who are at the beginning of a criminal career which has great potential to escalate in both frequency and gravity of offence. He has already committed a violent assault and by his own admission, can see himself doing something similar again. He is angry, hurt, isolated and afraid. He is one of the least likely people to engage effectively with statutory services or ‘orders’ precisely because he is suspicious of people watching him, recording him and waiting to ‘get’ him. Gavin needs a lot of time and consistent, professionally boundaried attention. He has multiple and complex needs and he will be selective as to whom he chooses to work with. Gavin is highly intelligent and creative; with a great capacity for manipulation.
For Gavin, being in prison was like being underwater- the calm, heavy silence of the regime dulled his senses and repressed his violent attitudes; he was scared. Being out of prison is like popping up to the surface with the noise and smells and sights of daily life in full techno-colour.
Gavin is scared. And I can imagine some people finding him a bit scary too sometimes.
Jabbok Support Services provides help and advice for women who have been or are involved in the criminal justice system and those with mental health problems.
These are drop-in sessions every fortnight, for all women who have had an experience with the criminal justice system, or experienced abuse, or the family of someone serving a custodial sentence.
The National Institute for Clinical Excellence (NICE) has announced that it will be developing guidance aimed at improving the mental health of people in prison.
The 2007 review of the women’s prison estate by Baroness Jean Corston highlighted the scale of mental health problems affecting women in prison. This was followed two years later by the Bradley Review. It recommended much greater use of diversion schemes to prevent vulnerable individuals ending up in custody.
NICE will be developing guidelines for those working in health, youth and criminal justice, education and social care sectors on the effectiveness and cost effectiveness of interventions for the prevention and early treatment of mental health problems of offenders.