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Responding sensitively to survivors of child sexual abuse: an evidence review
- Authors:
- SNEDDON Helga, WAGER Nadia, ALLNOCK Debbie
- Publisher:
- Victim Support
- Publication year:
- 2016
- Pagination:
- 67
- Place of publication:
- London
This report summarises what the evidence tells us about the characteristics of adults who were sexually abused as children and how to most effectively support them. In the first section, the outcomes that are most often associated with child sexual abuse (CSA) are outlined. Not all individuals show the same outcomes, so an overview is provided of factors which influence risk and resilience. In the second section, the evidence around what constitutes effective practice with adult survivors of CSA is described. This includes principles of sensitive delivery as well as the evidence base for different therapeutic interventions. In the final section a series of recommendations for developing service delivery approaches is outlined. These include: developing sensitive practice; supporting disclosure; common elements of effective interventions; and interventions shown to be effective for PTSD following childhood maltreatment and other traumas. Specifically, the evidence suggests that supporting the client to feel safe and in control of what happens to them is key to success. It can also be useful to provide accurate information to clients about the nature of trauma and its effects, and work with them to integrate what they have learnt into their overall perspective. Clients should be taught adaptive coping strategies such as self-care, distress tolerance strategies and arousal reduction strategies. Approaches which involve monitoring thoughts and responses and work to change emotions, thoughts and behaviours can be particularly effective (even if they are non-trauma focused). It can also be useful to teach clients interpersonal and assertiveness skills. Adapt the therapy to the client, rather than expecting the client to adapt to the therapy. The report recommends that practitioners should be trained in several different treatment approaches to allow tailoring to the needs and preferences of the client. (Edited publisher abstract)
Making it real for personalisation in mental health
- Author:
- THINK LOCAL ACT PERSONAL
- Publisher:
- Think Local Act Personal
- Publication year:
- 2019
- Pagination:
- 15
- Place of publication:
- London
The paper describes how three voluntary organisations weaving together recovery, coproduction and peer support to deliver personalised care and support for people with mental health conditions. It highlights the Recovery College run by Bridge Support, co-production with young people in Rethink's Step-Up Transitions project, and peer support at Self Help. The paper also makes recommendations (Edited publisher abstract)
Alcohol harm prevention, treatment and recovery for adults: joint strategic needs assessment (JSNA) support pack. Good practice prompts for planning comprehensive interventions in 2016-17
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2016
- Pagination:
- 18
- Place of publication:
- London
This document outlines key principles that local areas might consider when developing plans for an integrated system. Alcohol is the leading risk factor for deaths among men and women aged 15-49 years in the UK and the harm from alcohol impacts on a range of other public health outcomes. In England, over nine million people (22% of the population) drink at levels that increase the risk of harm to their health. Of these, 1.6 million adults show some signs of alcohol dependence. The paper sets out five principles, followed by a series of prompts to help put them into practice. The principles are: effective population-level actions are in place to reduce alcohol-related harms; there is large scale delivery of targeted brief advice; there are specialist alcohol care services for people in hospital; there is prompt access to effective alcohol treatment; and local authority public health commissioners work closely with all relevant partners to commission high-quality, evidence-led alcohol and drug interventions based on outcomes. (Edited publisher abstract)
Peer support: the what, why, who, how and now
- Authors:
- BEALES Anne, WILSON Johanna
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 10(5), 2015, pp.314-324.
- Publisher:
- Emerald
This paper presents a view from the voluntary sector, covering Together's experiences and learning over the past decade as one of the largest voluntary sector providers of mental health peer support. The paper outlines what peer support is, covering its history, variations and benefits, then goes on to discuss what the challenges have been to authenticity and what the future holds for peer support. The authors argue for the necessity of service user leadership in peer support based on both the Service User Involvement Directorate’s (SUID’s) experience and UK-wide learning. They report that peer support brings wellbeing and confidence benefits both to the supporter and the supported. However, the lack of understanding of what peer support is, the current climate of austerity and over-professionalisation can threaten the transformational power of genuine peer support. Peer support is always evolving, and there are areas like the criminal justice service and secure services where more work needs to be done. Commissioners/funders of mental health services should recognise the value of peer support and its potential for better wellbeing outcomes, while understanding the necessity of service user leadership to maximise its beneficial potential. (Edited publisher abstract)
Social networks in hostels: practice briefing for frontline staff
- Author:
- HOMELESS LINK
- Publisher:
- Homeless Link
- Publication year:
- 2015
- Pagination:
- 6
- Place of publication:
- London
This practice briefing summarises key findings of research into the role that relationships can play in supporting residents in homeless hostels to recover from drug or alcohol addiction. It also presents good practice suggestions to help hostel staff to promote positive social networks amongst their hostel clients. Interviews with 30 residents from hostels of varying size and type in three English cities to explore the different types of relationships hostel residents had and the difficulties and risks of building networks. Workshops with hostel support workers were also conducted to review the research and consider ways in which hostel staff could support residents to develop social networks. Suggestions of ways to work with residents to encourage positive relationship building are listed in the following areas: when to talk about social networks, places relationships can develop, staff skills and approach; support needed by staff; what your service can offer; and working with women, couples and parents; involving others; and tools that can help. (Edited publisher abstract)
Drug prevention, treatment and recovery for adults: joint strategic needs assessment (JSNA) support pack. Good practice prompts for planning comprehensive interventions in 2016-17
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2016
- Pagination:
- 25
- Place of publication:
- London
This document outlines key principles that local areas might consider when developing plans for an integrated alcohol and drugs prevention, treatment and recovery system. An estimated 300,000 people in England are dependent on heroin and/or crack. There are also reports of more people having problems with other drugs, including new psychoactive substances, image and performance-enhancing drugs, is recovery-orientated, effective, high-quality and protective; treatment supports people to sustain their recovery; and local authority public health commissioners work closely with all relevant partners to commission high-quality, evidence-led alcohol and drug services based on outcomes. (Edited publisher abstract)
CCG outcomes indicator set 2015/16: at-a-glance guide
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2016
- Pagination:
- 4
- Place of publication:
- Redditch
This at-a-glance guide sets out the 2015/16 CCG Outcomes Indicator Set, grouped under the five domains of the NHS Outcomes Framework. The framework domains include: preventing people from dying prematurely; enhancing quality of life for people with long-term conditions; helping people to recover from episodes of ill health or following injury; ensuring that people have a positive experience of care; and treating and caring for people in a safe environment and protecting them from avoidable harm. CCG Outcomes Indicator Set measures are developed from NHS Outcomes Framework indicators that can be measured at clinical commissioning group level together with additional indicators developed by NICE and the Health and Social Care Information Centre. These provide clear, comparative information for clinical commissioning groups, Health and Wellbeing Boards, local authorities and patients and the public about the quality of health services commissioned by clinical commissioning groups and the associated health outcomes. (Edited publisher abstract)