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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
Dec 20
2 billion on private placements…but is every patient being treated equally here?

I’d suggest not. The NHS inpatient provision for those I work with is a handful of beds. Those displaying recurrent self harm and suicide (all female trauma survivors)…
…are near exclusively given inpatient treatment in the private sector.

How much does it cost? It’s hard to get a clear answer but no one seems to disagree with £300,000 a year per person.
Is it good value?
Well you’d assume so for £300,000 a year. Unfortunately you become a specialist unit by saying you are one. You can hear about the specialist providers mentioned above here

bbc.co.uk/programmes/m00…
Read 9 tweets
Keir Harding Profile picture
Nov 23
Normally it's @PsychToday with the most stigmatising articles on BPD but here's @verywellmind with an expose on "Why people with BPD tend to lie.

You might think this clickbait title then refutes that bpd lying/manipulative trope. It does not...

.verywellmind.com/link-between-b…
Some studies of those told they have BPD put experiences of abuse at over 80%. Zanarini did a study of over 300 inpatients told they had BPD and found over 90% reported childhood abuse. So to reframe the article lets explore

"Why do survivors of childhood abuse tend to lie?
"they tend to lie, which ruins trust and intimacy, fosters resentment, and harms the very relationships they fear losing." - this statement isn't cited. If there is evidence to back it up, the author opts not to use it.
Read 19 tweets
Keir Harding Profile picture
Oct 4
It was great to see this article in @OTnews this month. Why? Because the @BIG_SPD conference was resplendent with Occupational Therapist people not only attending, but heavily contributing.

Is this new? 🧵 Image
Not new maybe, but this was from the conference in 2015 - 1 OT present and a poor example of one at that! Image
This year we got OT Student @ZM_LXP describing her research on the impact of a personality disorder label. “Accused of being ill, commanded to be well” was an ace title Image
Read 15 tweets
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

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