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Keir Harding Profile picture
@Keirwales
Jun 14, 2023 • 7 tweets • 4 min read • Read on X
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Really interested in this from @GaryWinship

While services are so frightened I don't think they can conceive of sharing power and decisionmaking with patients (members?) #BIGSPD23 Image
Therapeutic communities have been around for a while... #BIGSPD23 Image
Just had a comment about a pioneer interested in "the other 23 hours". Therapy isn't just the therapy time. #bigspd23 #rcot23
Is there much communalism or democratisation in services these days? Would we want it? #BIGSPD23 Image
£7000 for an essay on therapeutic communities? Sounds worth a pop. #BIGSPD23 Image
How much have TCs influenced KUF training? (Lived experience and clinical facilitators delivering coproduced training) Image
These are the TCs in the UK.

More than I thought to be honest. #bigspd23 Image

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More from @Keirwales

Keir Harding Profile picture
Jul 7
So what do I want from a new government in the world of mental health?

Well, 8500 new people working in mental health. Why is that?

news.sky.com/story/sir-keir…
That's important because the community mental health teams I worked in 10 years ago were drowning in the demand THEN. With the workforce dropping, those who remained have done less with less. Image
The focus on child mental health is important too and it's good to hear them talking about the appalling waiting lists for desperate children and families
google.com/amp/s/amp.theg…
Read 12 tweets
Keir Harding Profile picture
Oct 10, 2023
It is #WorldMentalHealthDay with a focus on Mental Health being a universal human right.

If you're struggling, remember to ask for help. Image
When you ask for help, you'll be joining a fifth of all 16 year old girls in the country:

"16-year-old girls are most likely to be in contact with NHS mental health services - with 22.8% of the population (69,580) having been in contact with these services during 2021-22" Image
You'll also find a notional emergency going on with 1 in 5 mental health nurses vacancies unfilled in the NHS

theguardian.com/society/2023/o…
Read 7 tweets
Keir Harding Profile picture
Sep 23, 2023
Thanks to @BPDFFS @Girl_Interrupt_ and @HoppyPelican for pointing me at this. I don't understand it very well, but I'm going to spell out what I don't understand and what I'm wondering about...
The diagnosis of personality disorder has changed. There are no 'types' any more, just personality disorder mild/moderate/severe. This paper looked at whether you could use honos scores to measure that severity.
This is what a honos section on self harm looks like.. Image
Read 17 tweets
Keir Harding Profile picture
Jul 23, 2023
Here's a thread no one has asked for looking at this from the recent #RCPsychIC conference. Is it BPD or CPTSD?

Let's have a look 👇👇👇
The slide is citing this paper so we shall dive in and see what they say...

ncbi.nlm.nih.gov/pmc/articles/P…
The paper says BPD and CPTSD/PTSD are different. There is a lot of overlap though

29% of people with cptsd met criteria for BPD.
25-58% of those dxed with BPD met criteria for ptsd
Read 20 tweets
Keir Harding Profile picture
Jun 23, 2023
And so we come to the end of the day marking 20 years since No Longer A Diagnosis of Exclusion

Some great people there 🙂

Some reflections on the day...

@HoppyPelican @MEAMcoalition @KKaurWilson @AlexStirzaker @DrSRanote @skalidindi1 @KKaurWilson @NationalKufHub
We looked at some great beacon services. We agreed there was much that could help. We acknowledged the prejudice and discrimination.

This is the same as 20 years ago.
We didn't explore why the stigma and discrimination was still there. Why the recommendations of NLADOE couldn't be followed.

(and if we hadn't had the 'thorn in the flesh' incident, I'm not sure we'd have been here today).
Read 15 tweets
Keir Harding Profile picture
Jun 23, 2023
Second session kicks off with @BIG_SPD presidents @OliverDale10 and Julia Blazdell talking about where there were when No Longer a Diagnosis of Exclusion came out

"Rampant discrimination and prejudice"
These were the recommendations from 2003 👇👇👇
"If you haven't done KUF do it"*

Other co produced training is available 👍beamconsultancy.co.uk/training
Read 10 tweets

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