Engeging young people in the services

Question 1

SLaM’s Five Commitments

Answer 1

1. To be caring, kind and polite
2. To be prompt and value your time
3. To take time and listen to you
4. To be honest and direct with you
5. To do what I say I’m going to do

Question 2

What are some barriers for engagement? (4)

Answer 2

1. Stigma
2. Mistrust of some service providers by members of BAME community
3. Lack of knowledge about the condition or ways to get help
4. Lack of resources to create enough community-oriented interventions

Question 3

Service level ideas to overcome barriers for engagement

Answer 3

1. Community outreach and service promotion: visiting agencies and organisations likely to come into contact with young people experiencing distress.
2. Raising awareness in the community (different communities) of early warning signs and how to seek help and support.
3. Being prompt, flexible and effective in response: shaping the service around the existing life of a clients

Question 4

Individual levels ideas to overcome barriers for engagement

Answer 4

1. Seeing the person where they’re most comfortable: maybe at home or in a café to begin with
2. Persistence and flexibility with appointments, and tolerating missed ones.
3. Involving family and support network early if possible
4. Finding out what the person’s priorities are and setting shared, meaningful goals from the outset [SMART goals]

Question 5

What is an integrated therapy style

Answer 5

Clients are both ppl with many strengths and dreams and at the same time have had the really challenging experience and they went through this

Often ppl feel like they have to choose which identity to pick, the person they want to be or the one who is mentally ill and for some reason (e.g. stigma) having both identities is incomparable

Can be due to culture

Question 6

Attachment in therapy

Answer 6

The service as a secure base and unit of attachment

We need to be aware of how our interactions, responses and attitudes inform, maintain and change this attachment relationship

Making use of every contact, from every staff member

Creating a physical and emotional environment conducive to helpful attachment with the service

Question 7

What are 3 primary functions of attachment?

Answer 7

1. Caregiver as secure base, and basis for exploration
2. Safe-haven for regulation of emotions and distress
3. Development of internal working model for interpersonal functioning, emotion regulation and future attachment

Question 8

Attachement thoery (Bowlby & Ainsworth, 1977)

Answer 8

Early parental relationships a foundation for future social development, helping individuals to predict and understand their environment, engage in relationships and establish a psychological sense of security