Impact News

Responding to Violence, Suicide, Psychosis and Trauma

Bullied children more likely to self-harm

Unsurprising, but with 25% of UK children reporting that they have been bullied, it does suggest that unless more is done to reduced bullying, the self-harm epidemic will continue to grow.

This is based on research by  Fisher HL, Moffitt TE, Houts RM et al. Bullying victimisation and risk of self harm in early adolescence: longitudinal cohort study. BMJ 2012; 344, and reported by the NHS.

Filed under: Uncategorized

Difficult, Disturbing & Dangerous Behaviour

This dramatic course delivered by Dr Iain Bourne is being made available by Sitra:

20th September 2012 in London

26th September in Leeds

 

Filed under: Impact Training, Other Mental Health, Violence, , , , , , , ,

Different Worlds; working with hallucinations, delusions and paranoia

This dramatic course delivered by Dr Iain Bourne is being made available by Sitra

24th October 2012 in Southampton

Filed under: Impact Training, Other Mental Health, psychosis, , , , , ,

Beyond Abuse: working with high risk service users

This dramatic course delivered by Dr Iain Bourne is open for applications by Sitra:

12th September 2012 in Southampton

25th October 2012 in London

Filed under: Impact Training, Other Mental Health, Violence, , , , , , ,

Increase in Violence in Young Offenders Institutions

With the biggest rise being at a private YOI, Ashfield, a suggestion is made that profit is being placed before safety. See the Children & Young People article …

http://www.cypnow.co.uk/cyp/news/1074084/figures-reveal-rising-levels-violence-offender-institutions?utm_content=&utm_campaign=260712_YouthJusticeNews&utm_source=Children%20%26%20Young%20People%20Now&utm_medium=adestra_email&utm_term=http%3A%2F%2Fwww.cypnow.co.uk%2Fcyp%2Fnews%2F1074084%2Ffigures-reveal-rising-levels-violence-offender-institutions

Filed under: Impact Training, Violence, , , , ,

Exposure to Violence Among UK Social Care Staff

In a recent article in the British Journal of Social Work (2012) 42, 851-869, Harris & Leather report a fascinating study on the levels of exposure to violence in UK social care staff. Their conclussion is that more attention needs to be taken to the role of fear. Indeed I have alsways argued that violence is primarily a psychological issue and not rally about the physical act at all. None-the-less the figures are staggering:

  • 9 out of 10 UK social workers have been abused, assaulted or threatened at work (McGregor, 2010)
  • 20% of all British workers signed off following work-related assaults work in Social Care (Lombard, 2010)
  • 25-33% of social care staff are assaulted oveby clieents over a 3-4 year period (Denny, 2010)

Client violence is also reported as the principal source of stress among social care staff Huxley et al, 2005) Residential workers are at greatest risk with Home Care staff least.None-the-less, most employers, both voluntary and statutory give little more than lip-service to the physical safety of their staff, and pay virtually no attention to their psychological safety.

Filed under: Impact Training, Violence, , ,

NHS Trust Guilty Following Fatal Stabbing of Care Worker

Care staff are having to work with increasingly challenging service users, often inappropriately placed, without adequate training or supervision. Another tragic death …
Central Bedfordshire Council

20 July: Sentencing of former Dunstable care home owner and county NHS Trust
A county NHS Trust and the owner of a former Dunstable care home have been sentenced after being found guilty of safety failings following the fatal stabbing of a care worker at a private residential care home in Dunstable.

Kathleen Bainbridge, 58, from Luton was killed at Abacus House, on Princes Street, on 24 August 2007 by resident Stephen Flatt, then aged 55, who attacked her with a knife from a kitchen. Fellow care worker Barbara Hill, from Dunstable, was also attacked when she went to help her colleague.

A joint investigation by the Health and Safety Executive (HSE) and Central Bedfordshire Council found that Abacus House was not the correct care facility for Mr Flatt, who had been placed there by the Hertfordshire Partnership NHS Foundation Trust.

A trial at Luton Crown Court heard he had been diagnosed with bipolar disorder and that Abacus House staff had no expertise or training for dealing with people with this disorder, or for managing violent or aggressive behaviour.

Hertfordshire Partnership NHS Foundation Trust was yesterday (19 July) fined £150,000 and ordered to pay costs of £326,346 for breaching Section 3(1) of the Health and Safety at Work etc. Act 1974 for its failings in relation to the fatal incident after being prosecuted by HSE.

The council brought proceedings at the same time against the owner of Abacus House, Chelvanayagam Menna, who was fined £75,000 and ordered to pay costs of £338,996 after being found guilty of breaching Sections 2(1) and 3(1) of the same Act.

After the sentencing HSE Inspector Karl Howes said: “This was a tragic incident that left a family without a wife, mother and grandmother. No-one expects to go to work and never return home.

“Care homes have a duty not only to protect the safety of their residents but their staff as well. The NHS Trust failed to adequately assess the risks that were posed to staff and other residents from placing Mr Flatt in Abacus House.

“I hope this will make all NHS Trusts and care facilities carefully consider the procedures that they have in place during patient placement.”

Councillor Budge Wells, Deputy Executive Member for Sustainable Communities, Services at Central Bedfordshire Council said: “The legal process has been long and difficult, particularly for Mrs Bainbridge’s family but also for her former colleagues – especially Mrs Hill.

“Of course the trial of Stephen Flatt had to take initial priority and once this was concluded the police instigated a further investigation of the Trust and care home owner. However the Council and HSE cooperated closely on their investigation from the outset and were in a position to progress with proceedings as soon as the police cleared the way.

“All concerned in the case hope that the right lessons are learned from this tragedy and that nothing of a similar nature occurs in future.”

Filed under: Impact Training, Other Mental Health, psychosis, trauma, Violence, , , , , , ,

Fat Faced Men and Aggression

I am often amazed by the things that researchers get up to. The research below is, to me at least, both bizarre and intriguing.

What lies beneath the face of aggression?
Soc Cogn Affect Neurosci first published online December 23, 2011
Carré JM, Murphy KR, Hariri AR
Recent evidence indicates that a sexually dimorphic feature of humans, the facial width-to-height ratio (FWHR), is positively correlated with reactive aggression, particularly in men. Also, predictions about the aggressive tendencies of others faithfully map onto FWHR in the absence of explicit awareness of this metric. Here, we provide the first evidence that amygdala reactivity to social signals of interpersonal challenge may underlie the link between aggression and the FWHR. Specifically, amygdala reactivity to angry faces was positively correlated with aggression, but only among men with relatively large FWHRs. The patterns of association were specific to angry facial expressions and unique to men. These links may reflect the common influence of pubertal testosterone on craniofacial growth and development of neural circuitry underlying aggression. Amygdala reactivity may also represent a plausible pathway through which FWHR may have evolved to represent an honest indicator of conspecific threat, namely by reflecting the responsiveness of neural circuitry mediating aggressive behavior.
Affiliation: Department of Psychology, Wayne State University, Detroit, MI, USA, 48202. justin@carrelab.com.

Filed under: Impact Training, Other Mental Health, Violence