#WeMHNs - Monday 18th December 2017 8pm (GMT Standard Time) Training for A&E mental health liaison teams

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Training for A&E mental health liaison teams

On the 18th of December 8-9pm we are hosting a #WeMHNs chat to get feedback on what should be in a training programme for A&E liaison mental health teams

As with all our chats, everyone is welcome to join the conversation. Whether you are a mental health nurse, service user, carer, other health care professional, student, academic or citizen with an interest in the subject, we would like to hear your thoughts!

Background


Liaison Mental Health is a distinct specialism which sits at the interface between physical and mental health. The specialised workforce provides assessments and interventions to service users, whilst also supporting non-mental health colleagues within hospitals to understand mental health symptoms and distress within this environment. The programme aims to improve skills and knowledge of these frontline staff who have responsibility for assessing and treating people who may be experiencing mental health distress when in hospital.

North West Boroughs Healthcare NHS Foundation Trust has partnered with the University of Salford to deliver Liaison Mental Health training across the North West. The partnership is the first of its kind in the UK and will combine clinical knowledge and skills to develop a bespoke, practical programme for all staff across the North West who work in a front-facing Liaison Mental Health role. 

A broad outline of our provisional training programme includes modules on biopsychosocial assessmentand outcome measurement, dementia and delirium, self-harm and suicide, psychosis, common mental health presentations, substance misuse, Liaison Menta lHealth specific interventions, however over the next nine months we will develop the programme based on the feedback from face to face and Twitter listening events. The programme will then be delivered to 150 staff who work in Liaison Mental Health roles within hospital sites across Greater Manchester, Cheshire, Merseyside, Lancashire and South Cumbria.  Whilst this is a Health Education England North West initiative, we welcome a national view for learning and contribution to help shape the development of the programme. 

We have opened this discussion up to Twitter as we welcome the views of people who work within Liaison Mental Health services, the Acute healthcare setting, service users and their support network who have utilised and had contact with Liaison Mental Health services.  We want your voice to help us to shape our programme and to ensure that it has a positive impact on the development of the training, the clinical impact and service user experience. 

We welcome you to this chat and thank you in advance for your contributions.


Questions

What do you think the training for A&E liaison mental health teams should look like?

Which areas do you think the training should cover?

Who do you think the training should be for?

What impact do you think the training should have?

How would you want the training to impact on peoples’ experiences?

What should the training be called?

Is there anything else/ other ideas you have about training for A&E liaison mental health teams you would like to say?


Thank you to Gary @gazlamph and Claire for writing the prechat information.


Bios

The Liaison Mental Health Training programme is an initiative funded by Health Education EnglandNorth West, which is jointly led by Clinical Lead from the North West Boroughs Healthcare NHS Foundation Trust (NWBH); Dr Claire Bullen-Foster and Academic Lead; Gary Lamph from The University of Salford.

Claire is a Consultant Clinical Psychologist and Clinical and Strategic Lead for Liaison Mental Health with NWBH.  She has worked clinically within the specialism for five years and is passionate about the needs of the multidisciplinary workforce that work across this complex interface of physical and mental health. Claire is also Clinical Lead for Mental Health for the North West Coast Strategic Clinical Network, hosted by NHS England.

Gary is a registered Mental Health Nurse and British Association for Cognitive and Behavioural Psychotherapist Accredited Cognitive Behavioural Therapist.  Gary has worked in a variety of mental health services including forensic medium secure units,  mental health rehabilitation, Crisis Resolution and Home Treatment,  Early Intervention in Psychosis, Psychological therapy services both in secondary (with complex cases) and primary care IAPT services.  Gary's last position in the NHS was in Personality Disorder Services as an Advanced Practitioner and Strategic Lead of the Wigan Multi-agency Personality Disorder Strategy.  In 2011 Gary won the National Nursing Times Award in Mental Health for his work in developing this role.  Prior to joining the University of Salford in January 2017 Gary completed a National Institute of Health Research funded full time Clinical Doctoral Research Fellowship.





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 Chat Summary

 

On 18th December 2017, we held a chat in partnership with North West Boroughs Healthcare NHS Trust and the University of Salford to discuss the Liaison Mental Health training programme which they are developing across the North West region. Thank you to Dr Claire Bullen Foster and Dr Gary Lamph @gazlamph for collaborating with us on this chat.


This aim of this chat was to engage the wider mental health twitter community in a discussion about liaison mental health training and to seek views around what should be included in the content of this training programme, as well as capturing any thoughts and ideas around the design and approach for the delivery of the training


This chat had a high level of engagement, with 47 contributes participating and a potential reach of over 1.7 million. Of note, a high number of people contributed to this chat who were able to provide a lived experience perspective on attending a&e departments  in relation to their mental health.  

There was a strong theme within the discussion around the need for liaison mental health training to provide training around understanding self harm and how to help people who are feeling suicidal. A number of tweets relating to this theme were especially illuminating.

'Self harm is the symptom, not the problem'

EUPD is not a badge of shame- Attitudes to PD and that it can't be treated and that people are a nuisance is not true. Each presentation can be different.

'I have been viewed as ineffective for focusing on validating feelings and ensuring patients know how to minimise risk; when to seek medical attention and (about how to recognise ) signs of infection, instead of berating them about doing that to themselves.


There was also the sense that the training should be trauma informed, including learning around how to support people with complex PTSD. There was also discussion about the need to provide training on mental health across the life span, including delirium and dementia presentations.


Legal and ethical knowledge was also considered a priority within the training. This included knowledge of Safeguarding Adults and Children,Application of the Mental Health Act within an A&E context, as well as a broader understanding of how to keep people safe, including for people with alcohol or substance related issues and dual diagnosis. It was also suggested that a police perspective might be helpful. This included the role of the police around suicide prevention and working with high risk within the community. 


There was also discussion about the need for training to include learning about how to build more effective relationships with A&E and acute staff and to improve understanding amongst mental health staff of A&E pressures; waiting time targets and the impact that this can have on the delivery of mental health care in A&E departments. Parity of esteem and working holistically with people who might have co morbid physical and mental health issues was thought to be important, as was an increased understanding of how A&E departments and hospitals work.


There was a strong theme around the need for the training programme to be co created and delivered by people with lived experience of mental health and @BPDFFS gave an example of the work she is doing at Sheffield Health and Care Foundation NHS Trust.There was also a positive example shared about compassionate wound care within prison environments. Skills around validating people, containment and resilience were also thought to be key. Mindfulness training was suggested as a potentially useful approach, but it was also highlighted that applying mindfulness within an A&E context might be unrealistic. Stigma was also a recurring theme throughout the chat. 

It was suggested that the delivery should include a story telling element from a lived experience perspective and also that a coaching approach would be helpful.

Wider social determinants were also thought to be key elements for consideration within the training. In particular, these included knowledge around signposting and social prescribing 

@GazLamph tweeted that the training was likely to be 12 weeks in duration and that it would offer a blended approach to learning. He reiterated, however, that they were still open to suggestions about the format.

It was suggested that all staff working in the north west should be trained and that a Train the Trainer Approach might work, whereby the training is cascaded via Clinical Leaders.


Thank you to everyone who participated in this chat. We think that it had wider relevance to Liaison Mental Health Care across England and beyond. However, if you live in the North West and would like to contribute further, please contact @gazlamph via Twitter for further details. 






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 #WeMHNs transcript

 
@WeMHNurses
18 December 2017 20:00
HELLO! Welcome everyone to the next #WeMHNs chat 'wave' Thanks to @gazlamph and Claire for the prechat information you can access here- http://www.wecommunities.org/tweet-chats/chat-details/4115
@WeMHNurses
18 December 2017 20:00
Where is everyone tweeting from tonight?? Don't forget the all important hashtag #WeMHNs
@WeMHNurses
18 December 2017 20:00
#WeMHNs is the hashtag tonight. Make sure you also include #ebp if you have any resources, articles or documents to share :)
@WeMHNurses
18 December 2017 20:01
@gazlamph tell us a bit about mental health liaison teams, what is it and what do they do? Anyone tweeting work in a mental health liaison role in A&E? Anyone experienced care from one of these teams? #WeMHNs
@WeMHNurses
18 December 2017 20:01
@gazlamph can you let us know (in a tweet) a little bit about the project #WeMHNs
@MarkOneinFour
18 December 2017 20:01
RT @WeMHNurses: HELLO! Welcome everyone to the next #WeMHNs chat 'wave' Thanks to @gazlamph and Claire for the prechat information you can…
@CCLeicsPolice
18 December 2017 20:01
RT @WeMHNurses: Our next #wemhns chat is on the 18th of Dec 8-9pm with @gazlamph about training for A&E mental health liaison teams: What s…
@Jones23Emma
18 December 2017 20:01
RT @WeMHNurses: Where is everyone tweeting from tonight?? Don't forget the all important hashtag #WeMHNs
@Jones23Emma
18 December 2017 20:01
Chat on now #Wemhns https://twitter.com/wemhnurses/status/942846938189144064
@WeMHNurses
18 December 2017 20:02
Q1 What do you think the training for A&E liaison mental health teams should look like? #WeMHNs @gazlamph
@SharonHhealth
18 December 2017 20:02
@WeMHNurses #WeMHNs from #Cornwall
@WeMHNurses
18 December 2017 20:02
@NWBoroughsNHS @gazlamph Don’t forget the hashtag #Wemhns
@WeMHNurses
18 December 2017 20:02
@SharonHhealth Hiyaaa #wemhns
@BPDFFS
18 December 2017 20:03
@WeMHNurses @gazlamph Hi there I think they should include peer workers #WeMHNs
@WeMHNurses
18 December 2017 20:03
@MentalHealthCop Great you can join us ?? #wemhns
@WeMHNurses
18 December 2017 20:03
RT @BPDFFS: @WeMHNurses @gazlamph Hi there I think they should include peer workers #WeMHNs
@LLLChick
18 December 2017 20:03
RT @BPDFFS: @WeMHNurses @gazlamph Hi there I think they should include peer workers #WeMHNs
@WeMHNurses
18 December 2017 20:04
@BPDFFS @gazlamph Great point sue #Wemhns
@Rabbitpearls
18 December 2017 20:04
#WeMHNs critically important to include substance misuse issues
@NWBoroughsNHS
18 December 2017 20:04
RT @WeMHNurses: @NWBoroughsNHS @gazlamph Don’t forget the hashtag #Wemhns
@VanessaLGarrity
18 December 2017 20:04
Hi #WeMHNs I’m just back today from Lapland ? and tweeting from my home in York. Looking forward to tonight’s chat on liaison mental health with @Jones23Emma @gazlamph
@WeMHNurses
18 December 2017 20:04
RT @Rabbitpearls: #WeMHNs critically important to include substance misuse issues
@NWMHgrads
18 December 2017 20:04
@WeMHNurses Australia #WeMHNs
@NWBoroughsNHS
18 December 2017 20:05
Of course! #weMHNs https://twitter.com/wemhnurses/status/942847592152600576
@Jones23Emma
18 December 2017 20:05
I’m over on @WeMHNurses for A&E mental health liaison teams for #WeMHNs http://www.wecommunities.org/tweet-chats/chat-details/4115
@Keirwales
18 December 2017 20:05
@WeMHNurses @gazlamph When I hear people complaining about liaison it's very often about not feeling listened to. Something about how active listening might be more important than 'doing something' #WeMHNs
@gazlamph
18 December 2017 20:05
RT @WeMHNurses: HELLO! Welcome everyone to the next #WeMHNs chat 'wave' Thanks to @gazlamph and Claire for the prechat information you can…
@Rabbitpearls
18 December 2017 20:05
#WeMHNs tweeting from Nottingham with bad cold!
@WeMHNurses
18 December 2017 20:05
@MentalHealthCop Please interfere too ?? #wemhns
@WeMHNurses
18 December 2017 20:06
@NWMHgrads Woe thanks for joining us #wemhns
@WeMHNurses
18 December 2017 20:06
@VanessaLGarrity @Jones23Emma @gazlamph Hope lapland was great #wemhns
@NWMHgrads
18 December 2017 20:06
RT @WeMHNurses: @NWMHgrads Woe thanks for joining us #wemhns
@WeMHNurses
18 December 2017 20:07
@Rabbitpearls Sorry to hear, hope you get better soon #wemhns
@WeMHNurses
18 December 2017 20:07
@Keirwales @gazlamph Glad you could join us :) #wemhns
@BPDFFS
18 December 2017 20:07
@Keirwales @WeMHNurses @gazlamph Training on how to validate is key I train staff in our Trust how to do just that #WeMHNs
@Rabbitpearls
18 December 2017 20:07
#WeMHNs particularly its important to have some reflective space about stigma
@MentalHealthCop
18 December 2017 20:08
@WeMHNurses The police see a perspective on MH in EDs, that some NHS may not be aware of - esp where someone has left whilst still unassessed or at risk. High Risk missing people; suicide attempts, Coroner’s processes, etc.. #WeMHNs
@WeMHNurses
18 December 2017 20:08
@gazlamph @BPDFFS Don’t forget hashtag ?? #wemhns
@MentalHealthCop
18 December 2017 20:08
@WeMHNurses @gazlamph As well as all the clinical stuff, it has to contain decent legal awareness - this comment applies to all NHS staff working in EDs. Far too many myths abound about what can or can’t be done to keep people safe! #WeMHNs
@WeMHNurses
18 December 2017 20:09
@SharonHhealth @gazlamph Thanks great points #wemhns
@WeMHNurses
18 December 2017 20:09
RT @BPDFFS: @Keirwales @WeMHNurses @gazlamph Training on how to validate is key I train staff in our Trust how to do just that #WeMHNs
@VanessaLGarrity
18 December 2017 20:09
@WeMHNurses @Jones23Emma @gazlamph Thank you. It was amazing and I’m now recharged and ready for the chat tonight #WeMHNs
@WeMHNurses
18 December 2017 20:09
#wemhns https://twitter.com/beefy15966178/status/942848926541021184
@WeMHNurses
18 December 2017 20:09
@NWMHgrads Wow that’s warm #wemhns
@VanessaLGarrity
18 December 2017 20:09
RT @Rabbitpearls: #WeMHNs critically important to include substance misuse issues
@asifamhp
18 December 2017 20:09
@WeMHNurses @gazlamph Plz read these & bother ur bosses about S.140. Thank u v muchly ?? #wemhns https://t.co/SKhey1h4jP
@Beefy15966178
18 December 2017 20:10
@WeMHNurses @gazlamph #WeMHNs gota have a gud understanding of physical causes whih can present as MH
@Jones23Emma
18 December 2017 20:10
Training for A&E mental health liaison teams via #WeMHNs on now https://t.co/dRUnibo4zG
@UCLanMH
18 December 2017 20:10
Training for A&E mental health liaison teams via #WeMHNs on now https://t.co/7mY7v1AhFJ
@IsiSiewruk
18 December 2017 20:10
@WeMHNurses Chilly Bradford #WeMHNs
@NWMHgrads
18 December 2017 20:10
@Keirwales @WeMHNurses @gazlamph Training needs to focus on learning. Practicing skills in small groups #WeMHNs
@Keirwales
18 December 2017 20:10
@BPDFFS @WeMHNurses @gazlamph Nothing shows youre listening like validation. Nothing shows youre not like offering solutions before you know what the problem is. ? #WeMHNs
@VanessaLGarrity
18 December 2017 20:10
@MentalHealthCop @WeMHNurses @gazlamph I agree, legal and ethical knowledge should underpin the training #WeMHNs
@WeMHNurses
18 December 2017 20:10
Thanks #wemhns #ebp https://t.co/ZcN7iNv4Lk
@Beefy15966178
18 December 2017 20:10
@WeMHNurses @gazlamph #WeMHNs i think a really gud understand of paraty of esteem
@LeanneHPatrick
18 December 2017 20:11
RT @Rabbitpearls: #WeMHNs critically important to include substance misuse issues
@gazlamph
18 December 2017 20:11
@VanessaLGarrity @Jones23Emma Tweeting from home Runcorn, that sort of near liverpool looking forward to comments apologies if I a little slow with responses #Wemhns
@WeMHNurses
18 December 2017 20:11
Good point, importance of holistic care of the whole person #wemhns https://t.co/fMTS0luk6f
@WeMHNurses
18 December 2017 20:12
@IsiSiewruk Hiya thanks for joining us #wemhns
@NWMHgrads
18 December 2017 20:12
RT @BPDFFS: @WeMHNurses @gazlamph Hi there I think they should include peer workers #WeMHNs
@Baldy754
18 December 2017 20:12
RT @UCLanMH: Training for A&E mental health liaison teams via #WeMHNs on now http://www.wecommunities.org/tweet-chats/chat-details/4115
@WeMHNurses
18 December 2017 20:12
RT @VanessaLGarrity: @MentalHealthCop @WeMHNurses @gazlamph I agree, legal and ethical knowledge should underpin the training #WeMHNs
@VanessaLGarrity
18 December 2017 20:12
RT @WeMHNurses: HELLO! Welcome everyone to the next #WeMHNs chat 'wave' Thanks to @gazlamph and Claire for the prechat information you can…
@WeMHNurses
18 December 2017 20:12
RT @NWMHgrads: @Keirwales @WeMHNurses @gazlamph Training needs to focus on learning. Practicing skills in small groups #WeMHNs
@BPDFFS
18 December 2017 20:12
@Keirwales @WeMHNurses @gazlamph Have a cup of tea Kier if you're thirsty or not like tea or not #WeMHNs
@VanessaLGarrity
18 December 2017 20:13
RT @BPDFFS: @WeMHNurses @gazlamph Hi there I think they should include peer workers #WeMHNs
@WeMHNurses
18 December 2017 20:13
#wemhns https://twitter.com/gazlamph/status/942850266596106241
@DeeDavies12
18 December 2017 20:14
@WeMHNurses @gazlamph #WeMHNs The inclusion of resillence training is so important #wellbeingatwork
@WeMHNurses
18 December 2017 20:14
RT @DeeDavies12: @WeMHNurses @gazlamph #WeMHNs The inclusion of resillence training is so important #wellbeingatwork
@Beefy15966178
18 December 2017 20:14
@WeMHNurses #WeMHNs hax a discus with my RAID Team last week building relation with acute staff massiv formal and informal
@NWMHgrads
18 December 2017 20:14
RT @Rabbitpearls: #WeMHNs critically important to include substance misuse issues
@WeMHNurses
18 December 2017 20:14
RT @Beefy15966178: @WeMHNurses #WeMHNs hax a discus with my RAID Team last week building relation with acute staff massiv formal and inform…
@WeMHNurses
18 December 2017 20:15
Q2 Which areas do you think the training should cover? #WeMHNs @gazlamph
@Rabbitpearls
18 December 2017 20:15
I wonder how useful it might be to understand a&Ed pressures, wait time targets etc....not particularly patient centred but can be a distraction for a&Ed colleagues and a bit of empathy goes a long way #WeMHNs
@VanessaLGarrity
18 December 2017 20:15
@WeMHNurses @gazlamph I think the training needs to cover the full life span, whilst acknowledging and including more age specific issues relating to but not exclusive to specialisms. #WeMHNs
@jahkey2u
18 December 2017 20:15
RT @WeMHNurses: Q1 What do you think the training for A&E liaison mental health teams should look like? #WeMHNs @gazlamph
@gazlamph
18 December 2017 20:16
@WeMHNurses #Wemhns oops forgetting hash tag
@Keirwales
18 December 2017 20:16
#WeMHNs https://twitter.com/Keirwales/status/942850897150906368
@BPDFFS
18 December 2017 20:16
Training on understanding self harm and how to help people when suicidal #WeMHNs
@IsiSiewruk
18 December 2017 20:16
#WeMHNs https://twitter.com/isisiewruk/status/942851022648741888
@WeMHNurses
18 December 2017 20:16
#wemhns https://twitter.com/isisiewruk/status/942851022648741888
@gazlamph
18 December 2017 20:17
RT @Beefy15966178: @WeMHNurses @gazlamph #WeMHNs gota have a gud understanding of physical causes whih can present as MH
@gazlamph
18 December 2017 20:17
RT @NWMHgrads: @Keirwales @WeMHNurses @gazlamph Training needs to focus on learning. Practicing skills in small groups #WeMHNs
@NWMHgrads
18 December 2017 20:17
RT @WeMHNurses: #wemhns https://twitter.com/isisiewruk/status/942851022648741888
@VanessaLGarrity
18 December 2017 20:17
@WeMHNurses @gazlamph I also think there needs to be a values perspective. Learning opportunities need to be creative & interactive to achieve this. The lived exp perspective is crucial re A&E mental health experiences #WeMHNs
@Keirwales
18 December 2017 20:18
@gazlamph @NWMHgrads @WeMHNurses What skills though? #WeMHNs
@SharonHhealth
18 December 2017 20:18
@WeMHNurses @gazlamph #WeMHNs Physical and mental health #treat as one presentations of these overlap
@Scott1984_FP
18 December 2017 20:18
RT @BPDFFS: Training on understanding self harm and how to help people when suicidal #WeMHNs
@WeMHNurses
18 December 2017 20:18
RT @SharonHhealth: @WeMHNurses @gazlamph #WeMHNs Physical and mental health #treat as one presentations of these overlap
@VanessaLGarrity
18 December 2017 20:18
@Rabbitpearls I agree with you +++ #WeMHNs and with an emphasis on inclusion rather than exclusion
@BPDFFS
18 December 2017 20:19
@Keirwales @WeMHNurses @gazlamph Oops ?? #wemhns
@VanessaLGarrity
18 December 2017 20:19
RT @WeMHNurses: #wemhns https://twitter.com/isisiewruk/status/942851022648741888
@gazlamph
18 December 2017 20:19
RT @DeeDavies12: @WeMHNurses @gazlamph #WeMHNs The inclusion of resillence training is so important #wellbeingatwork
@VanessaLGarrity
18 December 2017 20:20
@IsiSiewruk @WeMHNurses @gazlamph Most definitely. #wemhns
@gazlamph
18 December 2017 20:20
@DeeDavies12 @WeMHNurses Often overlooked very good point #WeMHNs
@WeMHNurses
18 December 2017 20:20
Great points Sue, really important topics, what should it specifically include #wemhns https://twitter.com/BPDFFS/status/942851054261161986
@joelpetch
18 December 2017 20:20
@WeMHNurses @gazlamph #WeMHNs Evening all, Q1. Awareness of common co-morbidities, including MUS, awareness of factors influencing ED attendance [i.e. ‘frequent attenders’]. Also, input for Liaison practitioners regarding how acute hospitals function [its a v different experience if new].
@WeMHNurses
18 December 2017 20:20
#wemhns https://twitter.com/deedavies12/status/942851923660673024
@WeMHNurses
18 December 2017 20:21
Q3 Who do you think the training should be for? #WeMHNs @gazlamph
@gazlamph
18 December 2017 20:21
RT @WeMHNurses: Q2 Which areas do you think the training should cover? #WeMHNs @gazlamph
@WeMHNurses
18 December 2017 20:21
RT @joelpetch: @WeMHNurses @gazlamph #WeMHNs Evening all, Q1. Awareness of common co-morbidities, including MUS, awareness of factors influ…
@WeMHNurses
18 December 2017 20:21
#wemhns https://twitter.com/nwmhgrads/status/942852310035656704
@Beefy15966178
18 December 2017 20:21
@WeMHNurses @gazlamph #WeMHNs personality disorder is important, high rates DSH, and admission. High percentage present im my area at AED. A non judge positive attitude with best interest of s/u needed. Need get away from old attitudes and follow NICE
@VanessaLGarrity
18 December 2017 20:22
RT @Beefy15966178: @WeMHNurses @gazlamph #WeMHNs personality disorder is important, high rates DSH, and admission. High percentage present…
@WeMHNurses
18 December 2017 20:22
RT @Beefy15966178: @WeMHNurses @gazlamph #WeMHNs personality disorder is important, high rates DSH, and admission. High percentage present…
@VanessaLGarrity
18 December 2017 20:22
RT @WeMHNurses: #wemhns https://twitter.com/nwmhgrads/status/942852310035656704
@VanessaLGarrity
18 December 2017 20:22
RT @WeMHNurses: Q3 Who do you think the training should be for? #WeMHNs @gazlamph
@NWMHgrads
18 December 2017 20:22
@gazlamph @Keirwales @WeMHNurses #WeMHNs
@Keirwales
18 December 2017 20:23
@DeeDavies12 @WeMHNurses @gazlamph Sounds really important to build some containment into the job/organisation too though. This work can be intense and traumatic...#WeMHNs
@gazlamph
18 December 2017 20:23
@IsiSiewruk @WeMHNurses Thanx v.valuable it will be a short course at the end these key interpersonal enhancements might be crucial as need to be realistic #WeMHNs
@BPDFFS
18 December 2017 20:23
@WeMHNurses Why people might self harm the function .. helping people who want to self harm in a safer way or stoping self harm if safe to do so it’s so individual #wemhns
@WeMHNurses
18 December 2017 20:24
#wemhns https://twitter.com/sharonhhealth/status/942852695437860864
@IsiSiewruk
18 December 2017 20:24
Forgot the hashtag again #WeMHNs https://twitter.com/isisiewruk/status/942852834101485568
@gazlamph
18 December 2017 20:24
@IsiSiewruk @WeMHNurses Course likely to be 10 days duration in pilot phase lots to do in that time frame #WeMHNs
@WeMHNurses
18 December 2017 20:24
#wemhns https://twitter.com/isisiewruk/status/942852834101485568
@WeMHNurses
18 December 2017 20:24
@BPDFFS Thanks sue #wemhns
@WeMHNurses
18 December 2017 20:24
RT @gazlamph: @IsiSiewruk @WeMHNurses Course likely to be 10 days duration in pilot phase lots to do in that time frame #WeMHNs
@Keirwales
18 December 2017 20:24
@NWMHgrads @gazlamph @WeMHNurses Being able to see suicide in non binary terms (suicidal or not) is vitally important #WeMHNs
@WeMHNurses
18 December 2017 20:25
Make sure you include the hashtag so we can see all of your really important responses #WeMHNs
@Keirwales
18 December 2017 20:25
@SharonHhealth @gazlamph @NWMHgrads @WeMHNurses Can't teach empathy....controversial #WeMHNs
@WeMHNurses
18 December 2017 20:25
@gazlamph @IsiSiewruk What do people think about time scales? Do you think 10 days is enough/ too much? #wemhns
@WeMHNurses
18 December 2017 20:25
RT @Keirwales: @NWMHgrads @gazlamph @WeMHNurses Being able to see suicide in non binary terms (suicidal or not) is vitally important #WeMHNs
@BPDFFS
18 December 2017 20:25
@WeMHNurses Anymore tips and I’ll start charging ??#wemhns
@WeMHNurses
18 December 2017 20:25
RT @Keirwales: @SharonHhealth @gazlamph @NWMHgrads @WeMHNurses Can't teach empathy....controversial #WeMHNs
@VanessaLGarrity
18 December 2017 20:26
@BPDFFS @WeMHNurses In terms of integrated physical health and mental health, @TyssenSarah has given me much food for thought recently re compassionate wound care for self harm #WeMHNs
@joelpetch
18 December 2017 20:26
Training both with, and for, acute hospital staff. Inclusion of local GP’s, and further MH services. Developing the interface key as well. #WeMHNs
@BPDFFS
18 December 2017 20:26
@VanessaLGarrity @WeMHNurses @TyssenSarah That sounds really interesting #wemhns
@LeanneHPatrick
18 December 2017 20:26
@WeMHNurses @gazlamph Trauma informed care essential. ACEs awareness. We have to know harm to do no harm, before we can address safety and stabilisation of vulnerable people. #WeMHNs
@displaydezign
18 December 2017 20:27
RT @BPDFFS: Training on understanding self harm and how to help people when suicidal #WeMHNs
@NWMHgrads
18 December 2017 20:27
@Keirwales @gazlamph @WeMHNurses The skill of #mindfulness during interview. Sit, actively listen, be present with person. Clinicians can b in hurry & miss vital info #WeMHNs
@VanessaLGarrity
18 December 2017 20:27
@BPDFFS @WeMHNurses @TyssenSarah Yes you two should speak :) #wemhns
@Keirwales
18 December 2017 20:27
@WeMHNurses @gazlamph @IsiSiewruk Depends on the content....#WeMHNs
@NWMHgrads
18 December 2017 20:27
RT @Keirwales: @SharonHhealth @gazlamph @NWMHgrads @WeMHNurses Can't teach empathy....controversial #WeMHNs
@WeMHNurses
18 December 2017 20:28
Q4 What impact do you think the training should have? #WeMHNs @gazlamph
@WeMHNurses
18 December 2017 20:28
@Mental_Elf @MarkOneinFour @AlysColeKing @WeLDnurses @WeNurses @WeCops @WeCYPnurses @WeDocs @WeParamedics #wemhns all welcome https://twitter.com/wemhnurses/status/942852216880271360
@kilgore_cliff
18 December 2017 20:28
RT @VanessaLGarrity: Join us at 8pm tonight via #WeMHNs https://twitter.com/caritasmind/status/942816989814427649
@WeMHNurses
18 December 2017 20:28
Really important thanks Leanne @gazlamph #wemhns https://twitter.com/leannehpatrick/status/942853722937446401
@WeMHNurses
18 December 2017 20:28
@Keirwales @gazlamph @IsiSiewruk How so? #wemhns
@LeanneHPatrick
18 December 2017 20:28
RT @WeMHNurses: Really important thanks Leanne @gazlamph #wemhns https://twitter.com/leannehpatrick/status/942853722937446401
@WeMHNurses
18 December 2017 20:29
great points don’t forget the hashtag #wemhns https://twitter.com/nursewhitebeard/status/942854004987650057
@VanessaLGarrity
18 December 2017 20:29
#wemhns A&E can be an awful and scary place for people to go who are confused, either relating to dementia or re delirium. This needs consideration within the training #WeMHNs
@WeMHNurses
18 December 2017 20:29
@SharonHhealth @Keirwales @gazlamph @NWMHgrads Don’t forget the hashtag so we can see your important comments ?? #wemhns
@gazlamph
18 December 2017 20:29
@Keirwales @SharonHhealth @NWMHgrads @WeMHNurses @SharonHhealth raises some really important interpersonal skills, can empathy be reflected upon, can resilience impact on empathy #WeMHNs
@gazlamph
18 December 2017 20:30
RT @SharonHhealth: @WeMHNurses @gazlamph #WeMHNs Physical and mental health #treat as one presentations of these overlap
@Beefy15966178
18 December 2017 20:30
@WeMHNurses #WeMHNs it wud be gud to look at asking difficult questions wen S/U says suicidal. Often a difference between thought and intent. Positive manage of risk to avoid admission maintain autonomy in community
@LeanneHPatrick
18 December 2017 20:30
RT @VanessaLGarrity: #wemhns A&E can be an awful and scary place for people to go who are confused, either relating to dementia or re deli…
@WeMHNurses
18 December 2017 20:30
RT @Beefy15966178: @WeMHNurses #WeMHNs it wud be gud to look at asking difficult questions wen S/U says suicidal. Often a difference betwee…
@UCLanMH
18 December 2017 20:31
chat on now #wemhns
@Keirwales
18 December 2017 20:31
@SharonHhealth @gazlamph @NWMHgrads @WeMHNurses It's interesting... I think often staff teams forget trauma histories as a way of coping. I do think people can be reminded and start to see things from su perspective. That might be another #WeMHNs chat though ?
@gazlamph
18 December 2017 20:31
RT @joelpetch: @WeMHNurses @gazlamph #WeMHNs Evening all, Q1. Awareness of common co-morbidities, including MUS, awareness of factors influ…
@Jones23Emma
18 December 2017 20:31
Come join the #wemhns chat on now
@WeMHNurses
18 December 2017 20:32
#wemhns https://twitter.com/nursewhitebeard/status/942854781432942594
@gazlamph
18 December 2017 20:32
@joelpetch @WeMHNurses Acute hospital function something MH nurses we have been speaking to say is v challenging when they first move into Liaison MHteams #wemhns
@gazlamph
18 December 2017 20:32
RT @WeMHNurses: Q3 Who do you think the training should be for? #WeMHNs @gazlamph
@Beefy15966178
18 December 2017 20:32
@WeMHNurses @gazlamph #WeMHNs depends on team but if u have face to face clinical contact. Theme of training cud be cascaded by clinical leaders to acute hosp staff
@Keirwales
18 December 2017 20:33
@WeMHNurses @gazlamph @IsiSiewruk 100 topics into 10 days isn't long enough, 1 topic for 10 days is too much. I'm sure Gary is on this but far better for the training to be as long as it needs to be to cover what's vital. #WeMHNs
@gazlamph
18 December 2017 20:33
RT @Beefy15966178: @WeMHNurses @gazlamph #WeMHNs personality disorder is important, high rates DSH, and admission. High percentage present…
@WeMHNurses
18 December 2017 20:33
Like a train the trainer type approach? #wemhns https://twitter.com/beefy15966178/status/942855223479078913
@BPDFFS
18 December 2017 20:33
Here’s the six levels of validation #DBT #Wemhns https://www.dbtselfhelp.com/html/validation.html
@SharonHhealth
18 December 2017 20:33
@Keirwales @gazlamph @NWMHgrads @WeMHNurses It is a big debate and could well be subject for another chat #WeMHNs Interpersonal skills are vital though for patients and staff
@WeMHNurses
18 December 2017 20:33
@Keirwales @gazlamph @IsiSiewruk Well said Keir #wemhns
@VanessaLGarrity
18 December 2017 20:33
RT @BPDFFS: Training on understanding self harm and how to help people when suicidal #WeMHNs
@WeMHNurses
18 December 2017 20:34
@Keirwales @SharonHhealth @gazlamph @NWMHgrads Yes absolutely ?? #wemhns
@gazlamph
18 December 2017 20:34
@Beefy15966178 @WeMHNurses Absolutely very close to my heart this work so nice to hear this keep being raised and knowing it's not my bias ##wemhns
@WeMHNurses
18 December 2017 20:34
@joelpetch @gazlamph Thanks Joel #wemhns
@WeMHNurses
18 December 2017 20:34
RT @SharonHhealth: @Keirwales @gazlamph @NWMHgrads @WeMHNurses It is a big debate and could well be subject for another chat #WeMHNs Interp…
@VanessaLGarrity
18 December 2017 20:34
@BPDFFS The training should also include child and adult safeguarding relating to mental health across the life span #WeMHNs
@WeMHNurses
18 December 2017 20:35
Q5 How would you want the training to impact on peoples’ experiences? #WeMHNs @gazlamph
@WeMHNurses
18 December 2017 20:35
Fab thanks Sue! #wemhns #ebp https://twitter.com/BPDFFS/status/942855373802885120
@Keirwales
18 December 2017 20:35
@SharonHhealth @gazlamph @NWMHgrads @WeMHNurses Interpersonal skills is the job. If we can't form relationships it's pointless us being there. ? #WeMHNs
@gazlamph
18 December 2017 20:35
@Keirwales @DeeDavies12 @WeMHNurses Very good point @Keirwales #wemhns
@Beefy15966178
18 December 2017 20:35
@IsiSiewruk @WeMHNurses @gazlamph @CommLinksTrain #WeMHNs i agree though i see that as tbd role of liaison team to provide both formal and i formal training/supervision to acute staff
@WeMHNurses
18 December 2017 20:36
#wemhns https://twitter.com/nursewhitebeard/status/942856075933634560
@IsiSiewruk
18 December 2017 20:36
@WeMHNurses @gazlamph @CommLinksTrain Improving awareness of parity of esteem and avoiding ‘disgnostic overshadowing’ could also be useful. #WeMHNs
@VanessaLGarrity
18 December 2017 20:36
@TyssenSarah @BPDFFS @WeMHNurses It’s really important how you approach your work. Far too often people who self harm are treated without compassion or dignity. I think many could learn from your caring approach #wemhns
@LukiKnowsBest
18 December 2017 20:37
RT @BPDFFS: Here’s the six levels of validation #DBT #Wemhns https://www.dbtselfhelp.com/html/validation.html
@WeMHNurses
18 December 2017 20:37
question from Gary #wemhns https://twitter.com/gazlamph/status/942856299636776960
@Keirwales
18 December 2017 20:38
@BPDFFS Can't believe this isn't your go to validation reference sue #WeMHNs https://thediagnosisofexclusion.wordpress.com/2017/07/01/validation-working-with-people-who-think-the-wrong-things/
@BackofBeyondS35
18 December 2017 20:38
RT @Keirwales: @BPDFFS Can't believe this isn't your go to validation reference sue #WeMHNs https://thediagnosisofexclusion.wordpress.com/2017/07/01/validation-working-with-people-who-think-the-wrong-things/
@ahider
18 December 2017 20:38
RT @BPDFFS: Here’s the six levels of validation #DBT #Wemhns https://www.dbtselfhelp.com/html/validation.html
@BackofBeyondS35
18 December 2017 20:38
RT @BPDFFS: Here’s the six levels of validation #DBT #Wemhns https://www.dbtselfhelp.com/html/validation.html
@Keirwales
18 December 2017 20:39
@WeMHNurses @gazlamph They get worse? No, better. People's experiences should be better. #WeMHNs
@LeanneHPatrick
18 December 2017 20:39
@WeMHNurses @gazlamph Safe staffing. Skills and competency as integral to safe staffing as numbers. #WeMHNs
@Scottish_Banana
18 December 2017 20:39
@WeMHNurses Awareness/recognition of delirium, particularly in the elderly #WeMHNs
@WeMHNurses
18 December 2017 20:39
RT @Scottish_Banana: @WeMHNurses Awareness/recognition of delirium, particularly in the elderly #WeMHNs
@WeMHNurses
18 December 2017 20:39
RT @LeanneHPatrick: @WeMHNurses @gazlamph Safe staffing. Skills and competency as integral to safe staffing as numbers. #WeMHNs
@gazlamph
18 December 2017 20:39
@NWMHgrads @Keirwales @WeMHNurses Does mindfulness hold utility for Liaison staff? Could brief techniques skills building be useful as an intervention? #wemhns
@BPDFFS
18 December 2017 20:39
@Keirwales Ha and here’s my blog https://www.google.co.uk/amp/s/bpdffs.wordpress.com/2016/05/29/the-rhubarb-crumble-a-lesson-in-validation/amp/ #wemhns
@Jones23Emma
18 December 2017 20:40
Come over to @WeMHNurses #wemhns for our chat on A&E mental health staff training
@WeMHNurses
18 December 2017 20:40
We agree this is not okay needs to be challenged #wemhns https://twitter.com/joelpetch/status/942856735525670913
@VanessaLGarrity
18 December 2017 20:40
#WeMHNs Should the training also take into account social factors relating to health? Seems especially pertinent. Thinking knowledge as well as practical re signposting and supporting people
@Keirwales
18 December 2017 20:40
RT @BPDFFS: @Keirwales Ha and here’s my blog https://www.google.co.uk/amp/s/bpdffs.wordpress.com/2016/05/29/the-rhubarb-crumble-a-lesson-in-validation/amp/ #wemhns
@WeMHNurses
18 December 2017 20:40
@gazlamph @NWMHgrads @Keirwales Good question #wemhns
@IsiSiewruk
18 December 2017 20:40
@gazlamph @WeMHNurses @CommLinksTrain Some of the upskilling of our health colleagues can be done during day to day work, but lets not forget that people may have to wait for some time in ED before they see Liaison, so all staff need to have awareness. #WeMHNs
@VanessaLGarrity
18 December 2017 20:40
RT @Jones23Emma: Come over to @WeMHNurses #wemhns for our chat on A&E mental health staff training
@VanessaLGarrity
18 December 2017 20:40
RT @BPDFFS: @Keirwales Ha and here’s my blog https://www.google.co.uk/amp/s/bpdffs.wordpress.com/2016/05/29/the-rhubarb-crumble-a-lesson-in-validation/amp/ #wemhns
@VanessaLGarrity
18 December 2017 20:40
RT @Scottish_Banana: @WeMHNurses Awareness/recognition of delirium, particularly in the elderly #WeMHNs
@gazlamph
18 December 2017 20:40
RT @WeMHNurses: Q4 What impact do you think the training should have? #WeMHNs @gazlamph
@Beefy15966178
18 December 2017 20:41
@nursewhitebeard @WeMHNurses @gazlamph #WeMHNs i think this is key parety of esteem achived by liaison informing/train acute staff as a two way street. Health is health regardless physical of mental should be the same. Major role for liaison teams. ?coaching session so we can educate acute staff
@WeMHNurses
18 December 2017 20:41
RT @Beefy15966178: @nursewhitebeard @WeMHNurses @gazlamph #WeMHNs i think this is key parety of esteem achived by liaison informing/train a…
@gazlamph
18 December 2017 20:41
@WeMHNurses This will help us when planning our evaluation for this training pilot #Wemhns what impact is the start of point pls respond
@WeMHNurses
18 December 2017 20:41
@Scottish_Banana Important point Anna, we've not talked about older adults yet #wemhns
@WeMHNurses
18 December 2017 20:42
Q6 What should the training be called? #WeMHNs @gazlamph
@gazlamph
18 December 2017 20:42
RT @WeMHNurses: Really important thanks Leanne @gazlamph #wemhns https://twitter.com/leannehpatrick/status/942853722937446401
@VanessaLGarrity
18 December 2017 20:42
RT @WeMHNurses: Q4 What impact do you think the training should have? #WeMHNs @gazlamph
@WeMHNurses
18 December 2017 20:42
Great questions from Vanessa #wemhns https://twitter.com/VanessaLGarrity/status/942857102250397698
@Keirwales
18 December 2017 20:43
@WeMHNurses @gazlamph @NWMHgrads Mindfulness on a Saturday night in A&E sounds dubious but I like the idea of seeing suicide & self harm as the solution to something rather than the problem itself. Gives you and the SU a clue about what to work on. #WeMHNs
@VanessaLGarrity
18 December 2017 20:43
@WeMHNurses @gazlamph Can you say a bit more about how you are defining impact? #wemhns
@WeMHNurses
18 December 2017 20:43
RT @gazlamph: @WeMHNurses This will help us when planning our evaluation for this training pilot #Wemhns what impact is the start of point…
@organiclemon
18 December 2017 20:43
@VanessaLGarrity @WeMHNurses @gazlamph Don’t forget that specialist complex ptsd/ pd services run very good supervision & Balint groups for staff - often daily - #WeMHNs attending is mandatory
@gazlamph
18 December 2017 20:44
@IsiSiewruk @Keirwales @WeMHNurses early idea spread over 12 weeks with short break, blended learning approach but we still listening thnx for the valuable points #Wemhns
@WeMHNurses
18 December 2017 20:44
@organiclemon @VanessaLGarrity @gazlamph Glad you could join us ?? #wemhns
@nursewhitebeard
18 December 2017 20:44
RT @WeMHNurses: Really important thanks Leanne @gazlamph #wemhns https://twitter.com/leannehpatrick/status/942853722937446401
@gazlamph
18 December 2017 20:44
@WeMHNurses @SharonHhealth @Keirwales @NWMHgrads Keep forgetting lol ?? love this sone great contributions thank keep them coming #wemhns
@WeMHNurses
18 December 2017 20:45
@VanessaLGarrity @gazlamph Impact of staff practice/ on outcomes for service users? @gazlamph #wemhns
@VanessaLGarrity
18 December 2017 20:45
@WeMHNurses @Scottish_Banana I mentioned this earlier as I recently supported someone who was delirious in A&E and was a really frightening experience for her #WeMHNs
@gazlamph
18 December 2017 20:45
RT @WeMHNurses: @SharonHhealth @Keirwales @gazlamph @NWMHgrads Don’t forget the hashtag so we can see your important comments ?? #wemhns
@SharonHhealth
18 December 2017 20:45
@WeMHNurses @Mental_Elf @MarkOneinFour @AlysColeKing @WeLDnurses @WeNurses @WeCops @WeCYPnurses @WeDocs @WeParamedics Depends on what training is being delivered .Non clinical staff would also benefit from mental health awareness sessions #WeMHNs
@VanessaLGarrity
18 December 2017 20:45
RT @WeMHNurses: @VanessaLGarrity @gazlamph Impact of staff practice/ on outcomes for service users? @gazlamph #wemhns
@WeMHNurses
18 December 2017 20:46
@VanessaLGarrity @Scottish_Banana Sorry I missed that V #wemhns
@gazlamph
18 December 2017 20:46
RT @Beefy15966178: @WeMHNurses @gazlamph #WeMHNs depends on team but if u have face to face clinical contact. Theme of training cud be casc…
@VanessaLGarrity
18 December 2017 20:46
@WeMHNurses @gazlamph I think particularly important to capture patient experience for this #WeMHNs
@CoProNorfolk
18 December 2017 20:46
RT @Beefy15966178: @WeMHNurses #WeMHNs it wud be gud to look at asking difficult questions wen S/U says suicidal. Often a difference betwee…
@organiclemon
18 December 2017 20:46
@gazlamph @joelpetch @WeMHNurses The difficulty is that often mental health nurses unlike psychiatrists don’t really ‘ get ‘medical problems unless RGN or other training and RGNs vice versa #Wemhns
@WeMHNurses
18 December 2017 20:46
#wemhns https://twitter.com/beefy15966178/status/942858591417126914
@WeMHNurses
18 December 2017 20:46
RT @VanessaLGarrity: @WeMHNurses @gazlamph I think particularly important to capture patient experience for this #WeMHNs
@VanessaLGarrity
18 December 2017 20:46
@WeMHNurses @Scottish_Banana No it’s ok. Just agreeing it’s really important #WeMHNs
@VanessaLGarrity
18 December 2017 20:47
@WeMHNurses @Scottish_Banana It turned out that it was her cardiac drugs causing the delirium. Assumption was it was onset of dementia #WeMHNs
@NWMHgrads
18 December 2017 20:47
@Keirwales @WeMHNurses @gazlamph That’s the point. Saturday night =busy. Make every engagement/ person matter. B present in the moment. #WeMHNs
@WeMHNurses
18 December 2017 20:47
Last 10 mins of #wemhns chat
@IsiSiewruk
18 December 2017 20:48
@gazlamph @WeMHNurses @CommLinksTrain Also to manage expectations that Liaison can make people “stop” self harming. I’ve seen so much stigma and dismissive behaviour in ED to people effectively using a tool to manage underlying distress. Self harm is the symptom, not the problem. #WeMHNs
@BPDFFS
18 December 2017 20:48
@gazlamph @WeMHNurses @SharonHhealth @Keirwales @NWMHgrads Are you coproducing the training ? #wemhns
@Jones23Emma
18 December 2017 20:48
Last 10 mins of #wemhns chat come join in everyone welcome
@gazlamph
18 December 2017 20:48
@joelpetch @WeMHNurses Always a challenge needs more MH awareness training in core curriculums but maybe this 1 of challenges of being a Liaison worker #wemhns
@CoProNorfolk
18 December 2017 20:48
RT @WeMHNurses: @Mental_Elf @MarkOneinFour @AlysColeKing @WeLDnurses @WeNurses @WeCops @WeCYPnurses @WeDocs @WeParamedics #wemhns all welco…
@VanessaLGarrity
18 December 2017 20:48
@WeMHNurses @gazlamph For me, it’s about capturing attitudinal change as much as skill base #WeMHNs Difficult to measure but so important
@organiclemon
18 December 2017 20:48
@AlisonF101 ran this a/e training for many years. Not sure model she used but she trained me in other stuff #WeMHNs https://twitter.com/gazlamph/status/942858056878223361
@WeMHNurses
18 December 2017 20:48
RT @VanessaLGarrity: @WeMHNurses @gazlamph For me, it’s about capturing attitudinal change as much as skill base #WeMHNs Difficult to measu…
@WeMHNurses
18 December 2017 20:49
Q7 Is there anything else/ other ideas you have about training for A&E liaison mental health teams you would like to say? #WeMHNs @gazlamph
@gazlamph
18 December 2017 20:49
@joelpetch @WeMHNurses Can this be addressed or supported via a Liaison MH training programme? #wemhns
@AlysColeKing
18 December 2017 20:49
@WeMHNurses @gazlamph All ED staff ( receptionist > snr nurses & Drs) would benefit but need to tailor the training to different staff groups ie may have different prior knowledge, clinical experience & confidence so need training which reflects this. Definitely not a ‘one size fits all’! #WeMHNs
@Keirwales
18 December 2017 20:49
@NWMHgrads @WeMHNurses @gazlamph Which would be validation step 1 ? Apparently there's a few blogs going around with more information @BPDFFS #WeMHNs
@WeMHNurses
18 December 2017 20:49
@AlysColeKing @gazlamph Hiyaaa ???? #wemhns
@NSFTjobs
18 December 2017 20:49
RT @Jones23Emma: Come over to @WeMHNurses #wemhns for our chat on A&E mental health staff training
@WeMHNurses
18 December 2017 20:49
@Keirwales @NWMHgrads @gazlamph @BPDFFS Haha yes there is ?? #wemhns
@WeMHNurses
18 December 2017 20:50
#wemhns https://twitter.com/beefy15966178/status/942859482517987328
@Sectioned_
18 December 2017 20:50
RT @WeMHNurses: HELLO! Welcome everyone to the next #WeMHNs chat 'wave' Thanks to @gazlamph and Claire for the prechat information you can…
@gazlamph
18 December 2017 20:50
RT @Beefy15966178: @nursewhitebeard @WeMHNurses @gazlamph #WeMHNs i think this is key parety of esteem achived by liaison informing/train a…
@LukiKnowsBest
18 December 2017 20:51
Same. Heard a staff nurse say to a colleague “can you DOOO something about that” like she could wave a magic wand to sooth a distressed person. #WeMHNs https://twitter.com/IsiSiewruk/status/942859043294580737
@Keirwales
18 December 2017 20:51
@gazlamph @joelpetch @WeMHNurses Depends if training is the giving of facts or encouraging to adopt a more reflective viewpoint (I have a view on which it should be). #WeMHNs
@SharonHhealth
18 December 2017 20:51
@BPDFFS @gazlamph @WeMHNurses @Keirwales @NWMHgrads No I am not involved in this project but really pleased that it is being piloted it will help enhance patient care #WeMHNs
@gazlamph
18 December 2017 20:51
@Beefy15966178 @nursewhitebeard @WeMHNurses ??Coaching skills really gaining momentum, are you suggesting coaching skills form part of the training? #wemhns
@organiclemon
18 December 2017 20:51
V I thought there was some qualitative data on this from various research projects. #WeMHNs https://twitter.com/vanessalgarrity/status/942859184797900800
@organiclemon
18 December 2017 20:51
RT @Jones23Emma: Last 10 mins of #wemhns chat come join in everyone welcome
@organiclemon
18 December 2017 20:52
RT @BPDFFS: @gazlamph @WeMHNurses @SharonHhealth @Keirwales @NWMHgrads Are you coproducing the training ? #wemhns
@NWMHgrads
18 December 2017 20:52
@BPDFFS @gazlamph @WeMHNurses @SharonHhealth @Keirwales Yes. All training has been coproduced & cofacilitated #WeMHNs
@VanessaLGarrity
18 December 2017 20:52
#WeMHNs https://twitter.com/scottish_banana/status/942859814002192385
@VanessaLGarrity
18 December 2017 20:52
RT @organiclemon: V I thought there was some qualitative data on this from various research projects. #WeMHNs https://twitter.com/vanessalgarrity/status/942859184797900800
@WeMHNurses
18 December 2017 20:53
@LukiKnowsBest Glad you could join us, very sorry to hear this! #wemhns
@WeMHNurses
18 December 2017 20:53
RT @NWMHgrads: @BPDFFS @gazlamph @WeMHNurses @SharonHhealth @Keirwales Yes. All training has been coproduced & cofacilitated #WeMHNs
@NWMHgrads
18 December 2017 20:53
RT @LeanneHPatrick: @WeMHNurses @gazlamph Safe staffing. Skills and competency as integral to safe staffing as numbers. #WeMHNs
@WeMHNurses
18 December 2017 20:53
@NWMHgrads @BPDFFS @gazlamph @SharonHhealth @Keirwales Great to hear! So important #wemhns
@gazlamph
18 December 2017 20:53
RT @WeMHNurses: Q6 What should the training be called? #WeMHNs @gazlamph
@IsiSiewruk
18 December 2017 20:54
@LukiKnowsBest I have been viewed as ineffective for focusing on validating feelings and ensuring patient knows how to minimise risk, when to seek medical attention and signs of infection, instead of berating them for “doing that to themselves”. #WeMHNs
@WeMHNurses
18 December 2017 20:54
RT @WeMHNurses: Q6 What should the training be called? #WeMHNs @gazlamph
@Beefy15966178
18 December 2017 20:54
@WeMHNurses @gazlamph #WeMHNs inform nice guidance, try to address old attitudes of PD cant be treated and r a nusance. Its not true. Each presentation can be different help gain non judge attitued and be positive about EUPD diagnosis. Not a badge of shame simply a mental health diagnosis to treat
@organiclemon
18 December 2017 20:54
Me too - I had quicker shower lol #Wemhns https://twitter.com/wemhnurses/status/942858059281522688
@WeMHNurses
18 December 2017 20:54
RT @Beefy15966178: @WeMHNurses @gazlamph #WeMHNs inform nice guidance, try to address old attitudes of PD cant be treated and r a nusance.…
@WeMHNurses
18 December 2017 20:55
For those working within Mental Health Liaison in the NW, there will be a new training course starting in 2018 delivered by North West Boroughs Healthcare NHS Trust & @SalfordUni For more information or to register your interest please contact LMHtraining@NWBH.nhs.uk #WeMHNs
@AllThingsMH_
18 December 2017 20:55
RT @Beefy15966178: @WeMHNurses @gazlamph #WeMHNs personality disorder is important, high rates DSH, and admission. High percentage present…
@gazlamph
18 December 2017 20:55
@WeMHNurses something that says what it does on the tin but Liaison mental health training is not inspiring a good clean acronym would be good #wemhns
@AlysColeKing
18 December 2017 20:56
@WeMHNurses @gazlamph Have just printed off a slide I made recently to illustrate need for different but complimentary competences in #SuicideAwareness #SuicidePrevention ALL valued but different training required to achieve each competency level #WeMHNs https://t.co/EkyoMyPrb2
@WeMHNurses
18 December 2017 20:56
@IsiSiewruk @LukiKnowsBest This is awful to hear, keep doing a good job! #wemhns
@Keirwales
18 December 2017 20:56
@IsiSiewruk @LukiKnowsBest Sadly I do know a few people who have had a good telling off. Hasn't done much for their self harm but has confirmed their worst fears about people and stopped them using A&E #WeMHNs
@AllThingsMH_
18 December 2017 20:56
RT @Rabbitpearls: #WeMHNs critically important to include substance misuse issues
@emerging56
18 December 2017 20:57
#WeMHNs NO COMMENT
@gazlamph
18 December 2017 20:57
@Keirwales @WeMHNurses @NWMHgrads What about for those with milder anxiety / low mood? Liaison deals with the lot I think that's what makes this needed #Wemhns
@WeMHNurses
18 December 2017 20:57
@gazlamph Do we not overuse acronyms in health care, they’re all so confusing or is that just me lol #wemhns
@Scottish_Banana
18 December 2017 20:57
@joelpetch @VanessaLGarrity @WeMHNurses absolutely. Often we don't know cause or it has various factors #WeMHNs
@WeMHNurses
18 December 2017 20:57
#wemhns https://twitter.com/joelpetch/status/942860864465580032
@gazlamph
18 December 2017 20:57
RT @WeMHNurses: @VanessaLGarrity @gazlamph Impact of staff practice/ on outcomes for service users? @gazlamph #wemhns
@WeMHNurses
18 December 2017 20:57
Fab thanks! #ebp #wemhns https://twitter.com/alyscoleking/status/942861029108781061
@gazlamph
18 December 2017 20:57
RT @VanessaLGarrity: @WeMHNurses @gazlamph I think particularly important to capture patient experience for this #WeMHNs
@gazlamph
18 December 2017 20:57
RT @VanessaLGarrity: @WeMHNurses @gazlamph For me, it’s about capturing attitudinal change as much as skill base #WeMHNs Difficult to measu…
@gazlamph
18 December 2017 20:58
@WeMHNurses @VanessaLGarrity I also think staff confidence and experience of the training is req from other discussions I have had #wemhns
@Scottish_Banana
18 December 2017 20:58
@joelpetch @VanessaLGarrity @WeMHNurses Also important to be aware that delirium often lasts way longer than original cause #WeMHNs
@WeMHNurses
18 December 2017 20:58
Last 2 mins, anything else? #wemhns
@WeMHNurses
18 December 2017 20:59
THANK YOU everyone for being involved in tonights chat!! #WeMHNs Huge thanks to @gazlamph and Claire for the chat and good luck with the training, it's really important!
@IsiSiewruk
18 December 2017 20:59
@AlysColeKing @WeMHNurses @gazlamph Perhaps general ED staff need the bottom 4-5 tiers (whilst patient waiting) with Liaison having the uppermost tiers in addition. #WeMHNs
@Keirwales
18 December 2017 20:59
#WeMHNs https://twitter.com/Keirwales/status/942861827465273344
@WeMHNurses
18 December 2017 20:59
#wemhns https://twitter.com/keirwales/status/942861827465273344
@organiclemon
18 December 2017 20:59
@Keirwales @IsiSiewruk @LukiKnowsBest A few years ago a lady who j met in an old BPD support forum was a severe cutter . She ran out of places to cut so reinfected old wounds , I suggested she asked for TVN advice . Sadly a/e made her wait in w/r and she texted me to say goodbye. I rang 999 it was too late #WeMHNs
@Beefy15966178
18 December 2017 21:00
@gazlamph @nursewhitebeard @WeMHNurses #WeMHNs Yes, i think awareness at tne very least. I have recently completed this training and v usefull in s/u and staff situations
@hoffiOT
18 December 2017 21:00
@WeMHNurses @gazlamph Multi disciplinary. Something that emphasises how everyone has a piece of the jigsaw and the importance of working together. #Wemhns
@Jones23Emma
18 December 2017 21:00
Great chat #wemhns thanks @gazlamph
@Keirwales
18 December 2017 21:00
@WeMHNurses I already did that! #WeMHNs
@WeMHNurses
18 December 2017 21:00
RT @Beefy15966178: @gazlamph @nursewhitebeard @WeMHNurses #WeMHNs Yes, i think awareness at tne very least. I have recently completed thi…
@thebusiness2012
18 December 2017 21:01
@WeMHNurses @gazlamph #Wemhns Sorry I’m late. Two words that have the potential to solve a lot of Liaison Mental Health Problems: #IntegratedCare
@Beefy15966178
18 December 2017 21:01
@gazlamph @NWMHgrads @Keirwales @WeMHNurses #WeMHNs yes
@WeMHNurses
18 December 2017 21:01
RT @thebusiness2012: @WeMHNurses @gazlamph #Wemhns Sorry I’m late. Two words that have the potential to solve a lot of Liaison Mental Healt…
@gazlamph
18 December 2017 21:02
@Beefy15966178 @joelpetch @WeMHNurses Very good points it's not just about Liaison it's about understanding the system it feeds into, have I understood correct? #wemhns
@AlysColeKing
18 December 2017 21:02
RT @WeMHNurses: Fab thanks! #ebp #wemhns https://twitter.com/alyscoleking/status/942861029108781061
@ThatPaulTyler
18 December 2017 21:02
RT @WeMHNurses: Fab thanks! #ebp #wemhns https://twitter.com/alyscoleking/status/942861029108781061
@WeMHNurses
18 December 2017 21:02
Thanks everyone, such an important topic, thanks @gazlamph We've finished but feel free to keep chatting #wemhns
@SharonHhealth
18 December 2017 21:03
@thebusiness2012 @WeMHNurses @gazlamph #Treat as one #WeMHNs
@organiclemon
18 December 2017 21:03
@Keirwales @IsiSiewruk @LukiKnowsBest Thank you Keir . Its a tough one as it teaches so many lessons #WeMHNs
@joelpetch
18 December 2017 21:04
@WeMHNurses @gazlamph Thank you, good discussion. Best wishes all... ???? #WeMHNs
@VanessaLGarrity
18 December 2017 21:04
@organiclemon @Keirwales @IsiSiewruk @LukiKnowsBest That’s so very sad. I think real stories about people’s experiences are especially important re increasing empathy and changing attitudes #wemhns
@hoffiOT
18 December 2017 21:04
@Keirwales @gazlamph @WeMHNurses @NWMHgrads I agree with @Keirwales I work as an OT in liaison. Our nurses refer to me and I arrange intervention sessions where I can build on what has been explained in the assessment at first presentation. #WeMHNs
@PaulGreenamyer
18 December 2017 21:04
RT @WeMHNurses: Fab thanks! #ebp #wemhns https://twitter.com/alyscoleking/status/942861029108781061
@NWMHgrads
18 December 2017 21:04
RT @WeMHNurses: THANK YOU everyone for being involved in tonights chat!! #WeMHNs Huge thanks to @gazlamph and Claire for the chat and good…
@gazlamph
18 December 2017 21:04
@Keirwales @joelpetch @WeMHNurses Tell us more always value your views #Wemhns
@4_MentalHealth_
18 December 2017 21:04
RT @WeMHNurses: Fab thanks! #ebp #wemhns https://twitter.com/alyscoleking/status/942861029108781061
@TruthSeeker1991
18 December 2017 21:05
#????? ?????? ??????? ???? ???? ??????? http://bayan-quran.com #Venció_Montoro #?_???? #WeMHNs #Jonghyun https://t.co/aG1xGeuwel
@hoffiOT
18 December 2017 21:05
@WeMHNurses @gazlamph Sorry for being late. Looks like some helpful topics covered #WeMHNs
@organiclemon
18 December 2017 21:05
@IsiSiewruk @Keirwales @LukiKnowsBest I think we have and we have better safeguards as a result of @ProfLAppleby Critical work in this area #WeMHNs
@WeMHNurses
18 December 2017 21:05
All the stats from the chat are here #wemhns http://www.wecommunities.org/tweet-chats/chat-details/4115
@gazlamph
18 December 2017 21:06
@SharonHhealth @BPDFFS @WeMHNurses @Keirwales @NWMHgrads Fingers crossed and hopefully improve staff confidence and skill especially with the big drive to increase Liaison across the U.K. #wemhns
@Beefy15966178
18 December 2017 21:06
@WeMHNurses @gazlamph #WeMHNs I think improve patient journey/experiance better mdt working, through put in hosp. Improve use of finance (beds ect) Help S/U feel valued by all health care providers and gai optimum recovery
@VanessaLGarrity
18 December 2017 21:06
@WeMHNurses @SalfordUni Would be great if we could have an update on progress at some point. Im sure our community would be interested in this @gazlamph #wemhns @Jones23Emma
@Beefy15966178
18 December 2017 21:08
@gazlamph @joelpetch @WeMHNurses #WeMHNs i think v important
@Keirwales
18 December 2017 21:08
@gazlamph @joelpetch @WeMHNurses Wasn't meant to be cryptic. Needs to encourage reflective practice. All the usual KUF stuff about seeing issues through the eyes of the SU - stops us blaming them. #WeMHNs
@WeMHNurses
18 December 2017 21:09
RT @Beefy15966178: @WeMHNurses @gazlamph #WeMHNs I think improve patient journey/experiance better mdt working, through put in hosp. Impr…
@VanessaLGarrity
18 December 2017 21:09
#wemhns Thanks very much to @gazlamph @Jones23Emma for tonight’s @WeMHNurses chat https://t.co/xf8R8pjG1R
@gazlamph
18 December 2017 21:09
@BPDFFS @WeMHNurses @SharonHhealth @Keirwales @NWMHgrads At this point we are listening not fully started devel, should we include? these events to include early pt views such as this #wemhns
@Jones23Emma
18 December 2017 21:10
RT @VanessaLGarrity: #wemhns Thanks very much to @gazlamph @Jones23Emma for tonight’s @WeMHNurses chat https://t.co/xf8R8pjG1R
@WeMHNurses
18 December 2017 21:11
RT @VanessaLGarrity: #wemhns Thanks very much to @gazlamph @Jones23Emma for tonight’s @WeMHNurses chat https://t.co/xf8R8pjG1R
@gazlamph
18 December 2017 21:11
@NWMHgrads @BPDFFS @WeMHNurses @SharonHhealth @Keirwales Would love to know more maybe we could pm emails #wemhns
@csmony
18 December 2017 21:12
RT @WeMHNurses: Fab thanks! #ebp #wemhns https://twitter.com/alyscoleking/status/942861029108781061
@gazlamph
18 December 2017 21:15
@VanessaLGarrity @WeMHNurses @SalfordUni @Jones23Emma Absolutely contributions been brilliant, once we pull together all info in new year would be happy to share and keep u all updated #wemhns
@gazlamph
18 December 2017 21:15
RT @thebusiness2012: @WeMHNurses @gazlamph #Wemhns Sorry I’m late. Two words that have the potential to solve a lot of Liaison Mental Healt…
@gazlamph
18 December 2017 21:17
@joelpetch @Beefy15966178 @WeMHNurses Agree hoping we can create a ripple effect starting with those in Liaison teams #wemhns
@gazlamph
18 December 2017 21:17
RT @WeMHNurses: THANK YOU everyone for being involved in tonights chat!! #WeMHNs Huge thanks to @gazlamph and Claire for the chat and good…
@gazlamph
18 December 2017 21:17
RT @joelpetch: @WeMHNurses @gazlamph Thank you, good discussion. Best wishes all... ???? #WeMHNs
@gazlamph
18 December 2017 21:18
RT @hoffiOT: @WeMHNurses @gazlamph Sorry for being late. Looks like some helpful topics covered #WeMHNs
@gazlamph
18 December 2017 21:19
RT @Beefy15966178: @gazlamph @joelpetch @WeMHNurses #WeMHNs i think v important
@Scottish_Banana
18 December 2017 21:20
@joelpetch @WeMHNurses @gazlamph I took a call from another ward asking if we had "3 trained nurses on duty or is one an RMN?" #WeMHNs
@gazlamph
18 December 2017 21:21
RT @VanessaLGarrity: #wemhns Thanks very much to @gazlamph @Jones23Emma for tonight’s @WeMHNurses chat https://t.co/xf8R8pjG1R
@gazlamph
18 December 2017 21:22
RT @Jones23Emma: Great chat #wemhns thanks @gazlamph
@CDUCKCHOC
18 December 2017 21:23
RT @WeMHNurses: Q1 What do you think the training for A&E liaison mental health teams should look like? #WeMHNs @gazlamph
@CDUCKCHOC
18 December 2017 21:24
RT @WeMHNurses: Fab thanks! #ebp #wemhns https://twitter.com/alyscoleking/status/942861029108781061
@thebusiness2012
18 December 2017 21:26
@joelpetch @gazlamph @WeMHNurses May I humbly suggest conducting an observational study in the acute care setting, as a form of induction to Liaison Mental Health. #Wemhns
@Scottish_Banana
18 December 2017 21:27
@gazlamph @joelpetch @WeMHNurses Yip, tried to backtrack when I said I *was* the RMN, *and* trained into the bargain... hmmm #WeMHNs
@gazlamph
18 December 2017 21:28
@BPDFFS @WeMHNurses @SharonHhealth @Keirwales @NWMHgrads Absolutely important chat has to be shaped by people using and working in service alongside of course lit and frameworks set out #wemhns
@S_arahJayne
18 December 2017 21:29
RT @BPDFFS: Here’s the six levels of validation #DBT #Wemhns https://www.dbtselfhelp.com/html/validation.html




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