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Carer s support and information

2. Aims. Catch up and contact detailsService evaluationEarly warning signsSiblingsPeer supportAOB. Apr-12. Apr-12. 3. Staying Well. Rationale: the more relapses = harder and slower recovery. = functioning and quality of life can be incrementally reduced= more likelihood of treatment resista

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Carer s support and information

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    1. Carer’s support and information Staying well, early warning signs and siblings

    2. 2 Aims Catch up and contact details Service evaluation Early warning signs Siblings Peer support AOB Apr-12

    3. Apr-12 3 Staying Well Rationale: the more relapses = harder and slower recovery. = functioning and quality of life can be incrementally reduced = more likelihood of treatment resistance = more distress for the person and their carer = more cost to NHS...

    4. Staying Well Tools / Approaches include: Medication (consistent),concordance/compliance , targetted Family interventions Cognitive Behavioural Therapy (CBT) Tackling co-morbid substance misuse Psycho-social interventions (e.g.meaningful occupation, social networks, sleep, routines) Early (warning) Signs Monitoring and Interventions Apr-12 4

    5. Relapse prevention work in FEP Interventions should be appropriate to stage of illness/recovery. N.B. it is difficult to establish early warning signs prior to first relapse, although some useful information can be gained from difficulties prior to first episode of illness (‘prodrome’). Apr-12 5

    6. Early signs monitoring Following slides based on presentations by Jo Smith Early Warnings Signs (EWS) Jo Smith Wellness Recovery Action Plan (WRAP) Keith Coupland Works on the basis of a ‘relapse signature’ - an individuals unique pattern of signs most likely to indicate an impending relapse Collaborative, person and family Can be upsetting, support useful Apr-12 6

    7. Early warning signs Self management pack for individuals with psychosis (Jo Smith) recognition of things which are likely to trigger a relapse and management of these will help avoid a relapse if the person does start to become unwell, recognition of this ‘relapse signature’ early on will be valuable in getting help early, which can help reduce development, severity or length of relapse.(? Home treatment, not hospital) - can increase sense of control, and reduce fear Apr-12 7

    8. Early warning signs pack Identifying early signs (card sort, and time line) Early signs monitoring (knowing what’s normal for you) Understanding stress triggers Identifying coping strategies Involving others Making an action plan Using the plan and letting others know Apr-12 8

    9. Early Warning Signs Demonstration of the pack Feedback and Questions. Apr-12 9

    10. WRAP Similar to Early Warning Signs Two main parts Description of the mental health problem when well when unwell Treatment preferences- can used to form an advanced directive Things that have been helpful in the past Things that haven’t been helpful

    11. Apr-12 11 Siblings Are effected by having a brother or sister with mental health problems Feel a range of emotions- sadness, worry, grief, resentment, all of which is normal. Few resources for siblings. But Rethink (national mental health charity) has just started a website for siblings www.rethink.org./siblings

    12. Apr-12 12 Rethink Siblings

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