Since releasing the Seclusion Report I can’t count how many times I’ve heard of #MentalHealth nurses saying ‘it’s not possible to eliminate seclusion & restraint because of occupational violence’.
I call bullshit on that excuse, and here’s why… 🧵
1/6
The cause of seclusion is not because we’re aggressive towards you.
The cause is *your* violent practice—and the larger violent system you work in.
2/6
Yep sometimes we’re aggressive towards you. That’s because
You
Are
A
Threat
So maybe stop that.
What do I mean by threat? You lock us up, force treatments, impose punitive infantilising rules, ignore & judge us, breach our rights. It’s normal to fight back against that.
3/6
I think it might be helpful if you stopped using words like ‘aggressive’ to describe our natural responses towards your violence.
Instead, try words like self-defence, empowerment, exerting boundaries, fear-related fight responses.
4/6
You have all the power here.
Use it to end your own violent practice. No-one can change the whole system but you can change your actions.
Being violent to us won’t keep you safe because violence always begets violence.
If you want to be safe, show us respect.
5/6
If you still think it’s not possible to eliminate seclusion & restraint, then please, get out of the way, find a new job.
Because with that attitude, I’m sorry, but you cannot be a respectful, supportive, effective or safe mental health clinician.
6/6
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Here's some snippets from this morning's lecture on trauma (Masters of Social Work at @UniMelbMDHS).
I give a broad lens on what trauma is. So it's not about types of trauma 'events' so much as personal experience & impacts. Not just emotional but also identity & belief impacts.
I remind students that most psychiatric consumers are actually trauma survivors, regardless of 'diagnosis' - including folks with 'psychosis' labels.
Trauma impacts us differently, and there are usually good reasons for this if they take time to listen and explore with us.
I talk about the context of trauma which is so often missed. It's not just the 'big bad thing', but often what came before & after (or what didn't happen) that shapes our trauma experience.
eg, for me the silencing afterwards was just as traumatic, maybe more, than the abuse.
🧵
I don’t like that I’m self-injuring again. I worked so hard to stop it years ago. I tried really hard this time too. I don’t like that we’re coming into summer & so every time I dress I’ll have to weigh the risk of stares & judgement with comfort and wearing my truth.
1/10
I won’t ever forget the time I was on a train and a stranger, a large, loud drunk man, started yelling ‘why don’t you just do it right and kill yourself?’ (etc)
What I remember most is the other passengers (bystanders) looking away until the next station when I escaped.
2/10
I hate that if I take a selfie with visible scars, that social media platforms think it’s ok to block me. And others will think it’s ok to report me. I hate that something many of us survivors do to actually survive makes us a target for discrimination, exclusion & silencing
3/10