Skills Training On Risk Management Ian Carr – North Essex Mental Health Partnership Trust Caroline Falgate – Eastern Area Psychological Service Role of Assessors • What? Who?……Training? 2 What is STORM? • Assessment and intervention skills designed to support the ACCT initiative • Skills based training in the assessment and management of suicide risk • 2 Day workshop utilises practical learning - video excerpts, role rehearsal, video feedback, discussion and feedback • Seeks to dispel myths and promote a positive attitude to the management of suicide prevention 3 Development of STORM • Origins at Manchester University 1997 • Three stage evaluation – delivered to a wide range of professional groups • Delivered in different settings and to different degrees to establish flexibility and effectiveness in delivery • Results – Improvement in confidence, attitude and skills – the greatest improvement occurred in non-professional groups 4 Development of STORM (2) • HMP Service commissioned STORM variant to support the ACCT initiative and provide a skill set for assessors • Not all areas are adopting STORM • STORM utilises same risk categorisation • Familiar terminology and process • Provides aide memoirs to support thorough assessment and evaluation of potential risk • Local delivery by Facilitators 5 Modules STORM is delivered in four flexible modules • Assessment of Suicidal Risk • Development of rapport and communication techniques • Exploring specific risk and intention • Planning and precautions • Risk elevating and risk reducing factors • Mental health issues • Coping and self support systems • Formulating a risk level 6 Modules (2) • Crisis Management • Ensuring safety appropriate to risk • Identifying and building networks of support • Diffuse emotional distress • Provision of immediate support • Identification of the individuals own resources • Engaging the individual in their own plan 7 Modules (3) • Problem Solving • Utilising and teaching simple problem solving strategies • Crisis Prevention • Identifying triggers and early warning signs • Identifying support networks in advance • Self support strategies 8 STORM & ACCT • Satisfies the “Trained Assessor” requirement • STORM skills are of value to all in contact with prisoners at risk in identifying and defusing risk immediately • Information gained helps inform the risk assessment of the Case Review Team • Problem Solving and Crisis Prevention skills can become part of the post closure process 9 STORM & ACCT (2) • Questioning formats are in line with ACCT documentation – specific, direct and current • Crisis Management module relates directly to the Care Plan • Utilises same Low / Raised / High Risk levels 10 Training Roll Out • 5 Consultant trainers from HMP Service and Mental Health Trusts working in partnership to provide training to local Facilitators • Ongoing support and supervision • Facilitators cascade training to local staff teams • HMP Chelmsford, HMP Bedford, HMP Norwich in first phase 11 Thank you for listening Any questions……?
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