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Health and Safety for Adolescents with mental health problems.
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Posted By jervis
I'm after some info from any one who works with adolescents with mental health problems on a ward. What would be key issues on health and safety apart from the obvious any thing extra!
Hope that makes sense.
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Posted By Kieran J Duignan
A sensitive challenge, Jervis
Assuming that you are referring to self-harm and violence to others as 'obvious' problems, your risk assessment should have regard for the sources of the individual's mental problems and prognosis for movement to independent working and living.
Issues that may not be obvious may include harm to staff working alone with (some) adolescents with mental health problems; slips, trips and falls to teenagers arising from mood disorders or substance misuse; and, for introverted individuals 'addicted' to using computers, musculo-skeletal problems whose symptoms they can easily overlook until they become acutely painful
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Posted By jervis
Thanks Kieran some helpful points there.
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Posted By AMelrose
Jervis
If you're up in Scotland there's a 2 day course "Scotland's Mental Health First Aid" which covers depression, self harm, anxiety and psychosis - looking at the symptoms and how it affects individuals (and how to react etc). Found it useful as gave me a better understanding of the issues faced by individuals.
From H&S angle; violence and aggression, first aid, manual handling (which may or may not include lifting individuals?), risk assessments, possible lone working, fire safety, stress, slips, trips and falls etc
Can also recommend Maybo training on Violence in the workplace [I'm not affliated with the organisation]. They have a number of courses they can run which can include breakaway techniques etc.
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Posted By Kieran J Duignan
Jervis
One of the sources of risk factors to consider may be some of the development services offered to (some) adolescents with mental health problems.
In my area, for example, there's an excellent initiative based in a gym managed by a former world chamption (at 3 weights) to provide fitness coaching for people with mental health problems.
Any such initiative with people for whose safety you have responsbility would benefit from risk assessment; I've no doubt that you would approach such initiatives constructively and make it clear to the fitness coaching staff (who normally have at least CYA Level 2 certificate in exercise and fitness or comparable qualfications in e.g. swimming) that you are available to enhance their good work.
As development services for people with mental health problems is increasingly conducted in community settings, it may be appropriate for you to extend your professional services in these areas to the benefit of all concerned (and to enrich your own work and skills, perhaps.)
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Posted By Eddie
Jervis,
If I could just add to the response from AMMelrose.
If you are not already aware, the situation on managing V&A when children are involved is different to that of an ordinary workplace with adults, particularly in the areas of restraint and who has authority to restrain children.
BILD are an organisation that provide very good advice and guidance in this area, as would a Local Authority that has responsibility for schools that look after children with challenging behaviours.
Regards
E
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Posted By water67.
Hi, as has been said risk assessment is the starting point and then introduce the appropriate control measures. If you are in a "ward" (hospital), then you should have support from, others: psychiatrists, H&S professionals etc.
As an aside re restraint of children mentioned. we train staff using a system called Therapeutic Crises Intervention (TCI) which includes, as a last resort, restraining young people for their own and others safety. There are no adverse legal issues for staff using this system.
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Posted By jervis
Thanks to all some good advice there thanks again.
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Posted By AMelrose
Should have mentioned, along with the Safer Work course, Maybo also offers SaferCare which is aimed at those within healthcare, social care and for ambulance staff. They also have a Safer Children course for staff in contact with children and young adults.
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