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Martin Cadwell

Helping with or without permission or assistance

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Edited by Martin Cadwell, Thursday, 10 Oct 2024, 06:11

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Return to work:

When people return to work from any kind of illness, there is a general conception that because the individual is back then they must be cured, or at least functional. However, someone in the organisation should make it their responsibility to welcome back the recently deteriorated person who has been restored to an acceptable level of capacity and capability to operate sufficiently in the work/learning environment. The newly rendered person needs to be updated with information that pertains to their responsibilities, changes in the work environment, its structure and policies, and any other details that may be considered to be initially confusing to the stripped-back individual. Customising of the individual needs to replace any details that were erroneously deleted during the recovery process while they were absent from the primary work operations they are to be assigned to. This may be a re-assignment in keeping with the level of deterioration and restoration of the individual that was previously required.


Like an old and restored car, if someone cannot pass an emissions test, it is best to make sure they are not in a room that does not allow the other workers to freely escape from. Vocal expressions from an individual, may not be quite finalised in their adjustment to a work environment that has been influenced by its conspicuous employees. An organisation should be aware that any new or absent employee will not be up to speed on conversation within a group and they should support the returning individual for a few days with conversation. Although not advisable for the self-respecting person, hiding in a toilet cubicle could assist an assigned supervisor or mentor in discovering whether the returning individual is soliloquising safely or quietly crying. Otherwise, monitoring could include conversations and an open-door policy for help. For the social media hungry people, asking to take selfies with them might make them feel either included or less weird than the mentor/supervisor making the requests. Social acceptance, however, does not yet allow sneaking around to gather information when one might actually be caught for it.


Define the term person-centred

A person-centred approach is directed attention on an individual, which takes an holistic method of application. This means that it is not just the results or outcome and its attendant difficulties of mental ill-health that are focused on. Rather, the whole of an individual’s life and current lifestyle is considered and there are drives into achieving positive changes in the individual’s life that are made to bring about a stable position which encompass personal security, sociability, work, and any other aspects of a person’s life. Advice on debt and finance is sometimes available.


Describe the importance of a person-centred approach for mental health

People feel that they are important and are thus self-centred (self-absorbed?). When mental health assistance is given with a person-centred approach the individual is given some control over their route to wellness. If they are dragged from their dwelling kicking and shouting and railing against mistreatment they will likely rebel against any indoctrination. However, if they are gently persuaded and given the opportunity to engage in mental reassignment they will embrace the concepts and new lifestyle as being through their own decisions and actions. 

Richard Thaler came up with ‘Nudge Theory’ some years ago. Nudge Theory is used by Governments to assist job-seekers to find their own way back into employment. Sometimes though, the reluctant job-seeker will find themselves on a mandatory program that extends from the DWP work coaches’ capacities yet gives the moaning job-seeker a chance to shape their job search and believe they have found a job to suit them.

A person-centred approach to mental health has the same result in satisfying the individual as to the degree of control they have over their mental health recovery and how to stabilise it to attain a plateau of wellness that can be reached through differing conduits while stopping and refreshing at different platforms along the route. It is important because the journey is a voluntary one that the individual, with a travel guide, can manipulate to suit their capacity to positively change.


Explain the importance of recognising one’s own responsibilities and limitations in relation to supporting the mental health of others

Managers with mental health training should follow the organisation’s policies for the reporting of mental ill-health and the support that should be given to the individual. This is important because any mishandling in this area can negatively impact on the individual, the position of the manager, and the organisation’s reputation. At this point, the manager has their own judgement and actions somewhat curtailed and a framework of assessment and action provides a guidance to the manager to alleviate the stress that the manager may experience on being responsible for support from their own, perhaps disjointed, approach. So, a good manager will have, in this way, realised the importance of recognising their own responsibilities and limitations.


Without a recognisance of limitations and an uneven or rugged approach to mental health support without following the organisation’s policies and procedures, respect and support of colleagues may be compromised and discrimination against individuals with mental ill-health may inadvertently occur. With this in mind (recognising one’s own responsibilities and limitations) it is important to know how to report a mental health issue in order that safeguards can be implemented and assistance from appropriate people and services can be sought and utilised.



Identify when it may be necessary to refer to others when supporting individuals with mental ill health. Include people you may refer to.


Without a recognisance of one’s own limitations and an uneven or rugged approach to mental health support without following the organisation’s policies and procedures, respect and support of colleagues may be compromised and discrimination against individuals with mental ill-health may inadvertently occur. With this in mind (recognising one’s own responsibilities and limitations) it is

important to know how to report a mental health issue in order that safeguards can be implemented and assistance from appropriate people and services can be sought and utilised.


Sometimes, mental ill-health has such control over an individual that psychosis will override the individual’s ‘normal’ perception of reality and will cause an individual to be unable to recognise their mental unruliness. In this case, this person would need to be persuaded to seek mental health adjustment services. Of course, this is not by injection, or by operant or classical conditioning (such as for Malcolm McDowell’s character in the film ‘A Clockwork Orange’, forced to watch gratuitous violence on a cinema screen while listening to music by Beethoven). 

This adjustment service is peopled with helpful and understanding persons. There is still, however, a mentality of ‘Keep Calm, and Carry on’ left over from wartime Britain in the 1940s that shrouds the prevalence of anxiety, stress, and other mental health issues. This is not helped by a sway among young people to move towards an attitude that has garnered the epithet ‘Snowflake’. Used in a derogatory way, it has, by dint of having a name, become a rallying point for people who are normally reasonable and fair-minded (a name being a shortcut or code for a whole person or concept). From which elevated position, a bit advanced from their normal resting position, they pour scorn on ‘weak’ people or people who perceive, rightly or wrongly, a bruised attitude in others. Hence. there is a concerted, though not necessarily co-ordinated, retreat from having mental ill-health brought up in a ‘normal’ conversation. By ‘normal’ I mean ‘safe’, or not complicated, such as not discussing religion and politics.


Referring someone to mental health services or persons may be the appropriate action where there is a failure in the individual to perceive their mental ill-health as treatable and especially when they seem to be a threat to themselves or others, notwithstanding that young people are in this group of people because they have unprotected sex, drink too much alcohol, and drive too fast.


Referral should be made when individuals present as psychotic and are not currently seeking mental health help or being seen by mental health persons, teams, or services; or are likely to harm themselves or others, including suicide (how can we know?); and doing something that could put someone else at risk through violence or aggression – but not, apparently, when they are drinking too much at a party, having unprotected sex with their friend’s girl/boy friend, and then driving home too fast full of bravado and high self-esteem that borders on delusional, with a subsequent drop into sorrow and anxiety the next morning when they remember what they did. (Sounds like this person should be arrested for being in possession of an offensive nature who is exhibiting three counts of self-harm, likely to endanger others through violent use of a car, and signs of a bi-polar mental health condition).


When to seek help in supporting an individual with mental ill-health largely depends on whether the manager or responding person is at work or is otherwise dealing with an employee of the organisation they work for. The organisation’s policies will guide the manager accordingly. Of course, if the manager encounters someone who does not work at their place or organisation they can ignore them and get on the nearest bus to escape – or just say ‘I don’t carry any change, sorry.’, or ‘While you are living under my roof you will do as I say. Get a job!’



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Martin Cadwell

Hope and Recovery

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Edited by Martin Cadwell, Thursday, 10 Oct 2024, 06:15


four stylised shapes resembling humans sitting arouns a table

Continuing with the series on how I answered the questions for a level 3 certificate on Mental Health and Mental Health Advocacy in the Workplace by attempting to use the null hypothesis to prove the positive hypothesis (or not).

In my answer for the certificate there is a lot of my actual attempt to be serious, (we cannot jest about support for people with mental ill-health). My contribution was dry and lengthy, so I have excluded it. I will post it if anyone wants to see it.


Moving on:

Under the Equality Act 2010 an employer or service provider has a responsibility to consider how the individual can be best placed in the work-force and ergonomics need to be assessed accordingly, in order for the individual to continue in work or be a recipient of a service. This Act really applies to disability, which as an umbrella term, includes long-term mental ill-health.


 Hope and recovery:

In 1958, Marie Jahoda suggested that there were six criteria that needed to be fulfilled for ideal mental health. Of course, this was also a time when calisthenics was ‘The’ exercise and women were subjugated, either by their own beliefs, or by men who believed that women only had a specific role, or more likely, by both through indoctrination. However, Marie Jahoda seems to have recognised both a woman’s plight and mental ill-health, with the following criteria for mental well-being:


  1. Positive attitude towards the self

  2. Self-actualisation

  3. Autonomy

  4. Resistance to stress

  5. Environmental mastery

  6. Accurate perception of reality


Available at: https://www.tutor2u.net/psychology/reference/deviation-from-ideal-mental-health

Accessed: in 2022 and 06th October 2024


These criteria are uni-sexually applied.


Of course, there are various theories of what constitutes ‘normality’ and not everyone has sat down to examine their own ideas and tested for any validity to their thoughts.


When one considers that some people with mental ill-health are guided towards mental stability and mental health by people who have their own ideas on normality, or are enacting an ill-conceived theory of mental wellness, one cannot help but to imagine those saviour men and women kicking down doors in residential buildings and forcefully removing any people thinking fresh ideas or innovative thoughts so they can be re-indoctrinated with the Party-line; because the neighbours have noticed a smell of air-freshener, or lemons emanating from behind the ‘diseased’ person’s freshly painted front door that is a different colour to all their neighbours’ front doors. While that is vivid in our minds, we should imagine it to be a portrayal of how, lots of mentally unwell people see interference in their lives from well-meaning others. ‘Please negotiate with the hostage-taker, I am not in control of the situation. If you will not negotiate with the hostage taker, then leave me alone so I can’. Of course, we should be mindful of the ‘Stockholm Syndrome’ if the hostage negotiates with the hostage-taker.


Many people have an IQ that is far beyond the average score of 100. An IQ of 130 is as different to the average of 100, as the difference of 70 (the IQ of a dog) is to 100. This of course, simply by a considered guess, means that because people with an IQ of 100 are able to survive with social assistance freely available to them, we should not be fooled into understanding that 100 is not enough. It, most certainly IS enough. However, there are people with IQs of 70 who need constant, round the clock, human care to survive. 

When my doctor tells me to socialise more, I wonder what she is trying to achieve; should I get a dog?


There was once a man who received a telephone call from a recruitment consultant who spoke about a role in the NHS. The job-seeker explained that tensions in the NHS would not allow him to make any inroads into having any conversation about the NHS without falling into one of two camps – striking for more pay is good, and striking is wrong for all care positions. He explained that the catch-all ‘If you can’t stand the heat, then get out of the kitchen’ works well for him as an heuristic. The recruitment consultant asked if the jobseeker watches football and if footballers are worth their wages. “Only the World Cups and Euro Cups”, came the reply. The recruitment consultant self-righteously and indignantly said, ‘You would pay more for entertainment than for health care!’, and hung up. 

There is no comparison between a wage as a reward and a wage not to work somewhere else. One is a reward for completed work and the other is a marketing tool. Just like a painting is worth millions today due to its fame and scarcity and was worth practically nothing when it was painted 200 years ago, the market determines the value – it is worth what someone will pay for it. That is definitely not to say that NHS workers are only paid what they are worth, yet one can’t really believe that the Government thinks that the workers are paid enough not to go elsewhere for work. That is the Government’s supposed view, not my own. I think nice people should be paid a lot of money even before they get a job. Realistically, if the Government said Hey! Work in the NHS and get paid a high wage, who would they get? Yes, I know! Pay kind and caring people what they are worth WHEN they work in the NHS. Don't pay narcissistic, greedy, psychopaths to care for vulnerable people, so keep wages low. Don't judge me - I really don't know!


Let us imagine being given hope for the future and support from a like-minded individual to the recruitment consultant above, who uses only snippets of knowledge and understanding in their lives to ‘get by’ and as a result, is subject to the risk of being challenged on a daily basis – no wonder that person needs to be resilient. It simply does not fly that a person can be adequately advised for successful re-integration into a society without first indoctrinating them to comply with the overall flavour of madness that currently exists at that given time.


Today, sharing your personal details and lives online is necessary to get a job, otherwise one is deemed to be unsociable or too private (Weirdo!)


So, supporting recovery in its best composition means accepting that one’s own thoughts and understanding count for very little, and a steering of a person towards ‘goals’ that should be achieved may not be the goals that the mentally unwell person aspires to, or later adheres to.


On hope:


‘Wonko the Sane laughed. It was a light easy laugh, and sounded like one he had used a lot before and was happy with.

“Ah yes,” he said, “that’s to do with the day I finally realised that the world had gone totally mad and built the Asylum to put it in, poor thing, and hoped it would get better.”’


- Douglas Adams – ‘So long and thanks for all the fish’.


The Mental Health Foundation and Marie Jahoda in 1958, seem to recognise that resilience to cope with the stresses and strains of everyday life are essential for good mental health. Just how much of everyday life should we ignore? Thank goodness for heuristics – or should we download some new ones? But isn’t that like saying we need some new clichés?


Strong relationships within the business/study organisation can support recovery.


The recovery process has:


  • Correction from others as being useful;

  • Hope and optimism that the individual themselves can segue into a (dysfunctional) society (that staggers from one crisis to another, although that is not how it is usually described);

  • Contra-wise to sliding into society un-noticed in order to avoid scurrilous gossip, the individual should build a positive sense of their own identity and overcome the challenges and stigma of mental ill health (in other words, hide your light under a bushel and only be yourself at home and with friends and family OR shout from the rooftops that you suffer from something that everyone else on the planet fears; mental ill-health);

  • Have meaning and purpose, including social roles and goals in work and education;

  • Empowerment and responsibility over one’s own life (despite being told how to live your life at the beginning of the recovery process).


To the previous list, this: Oh! I give up! Here are all my personal details online and pictures of me doing interesting things; now will you leave me alone? No? How about if I share information about other people with you? Still no? Okay, I promise to have opinions on everyday and mundane things and I will buy a book on armchair politics and both pontificate drunkenly while propping up a pub bar, and publish comments on social media sites, ‘Deal me in’ - inspired by ‘The Game’ by Dory Previn, track number nine on ‘Mythical Kings and Iguanas’, 1971. (Available on YouTube)


Next in this series on Mental Health and Mental Health Advocacy in the Workplace is 'Return to work' ....

'Like an old and restored car, if someone cannot pass an emissions test, it is best to make sure they are not in a room that does not allow the other workers to freely escape from.'



OU Students: Don't forget to contact your tutor for advice

Samaritans 

(These people are really cool and non-judgemental)

https://www.samaritans.org/

Call 116 123 (Free) in the UK


NHS

  • You can get help from NHS 111: by calling 111 from your phone; by using 111 online in the NHS App.

  •  111 can direct you to the best place to get help if you cannot contact your GP during the day, or when your GP is closed (out-of-hours). Depending on what you need, you might be advised to: call 999 or go to A&E in an emergency. or go to an urgent treatment centre'

Calls to 111 can take quite a while to connect to a person - there are often long waits. If you need support outside of your immediate family, friends, or work / learning establishment, due to the, often lengthy, wait to be connected to someone on 111, it might be advisable to ask someone to call it for you.

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