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Keir Harding Profile picture
@Keirwales
Jun 15 โ€ข 4 tweets โ€ข 2 min read Twitter logo Read on Twitter
Im listening to Danny Taggart talking about CSA and looking for some stats. These are horrific. ๐Ÿ‘‡ #BIGSPD23 Image
I'm really thinking about the scale of CSA. That as a society and community there is so much hurt yet we act as if its a shockingly infrequent occurrence. #BIGSPD23
And perhaps why trauma informed care is so important. The chances that those people who walk through our doors looking for help have lived through is very high. #bigspd.
And fairly likely those offering the help have also been hurt - will care professionals ever be able to acknowledge that? #bigspd23

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More from @Keirwales

Keir Harding Profile picture
Jun 17
Just come across this article and I'm just going to point out a few things that are missing. I'd love to do a more formal response so @katlay @ShaunLintern @eleanorhayward do let me know.

Firstly, @Sydneylimaa found her diagnosis really useful and I'm genuinely glad....
But the article didn't describe how associated 'BPD' is with childhood trauma. 80% is a frequently cited statistic but my personal experience is higher

manchester.ac.uk/discover/news/โ€ฆ
By missing this, there wasn't an exploration around how the behaviours people want to stop, can be seen as adaptions to living with intense threat, shame, fear, despair

beamconsultancy.co.uk/the-blog/2020/โ€ฆ
Read 13 tweets
Keir Harding Profile picture
Jun 15
On my way back from #bigspd23 and mulling over the things that have stuck with me... Image
I liked that Giles Newton How's, president of @ISSPD1 was there. He talked to the idea of "bpd" being problematic as something special in the UK. Hope some of what @BIG_SPD does well stays with him. (Also really liked how wandered all over the room)
I'm thinking about a "trauma informed personality disorder service" and wondering if there's an oxymoron going on somewhere
Read 12 tweets
Keir Harding Profile picture
Jun 14
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
Read 7 tweets
Keir Harding Profile picture
Apr 25
๐ŸงตA big part of trying to make the #RCOTCasson lecture bigger than ever was trying to get it outside of where it would normally be talked about.

I asked "It the Casson lecture being talked about on the BBC too ambitious?" @BBCNews @BBCWalesNews Image
It turns out that it was too ambitious, but with two days to go, let's have a look if there's anything that could hook the media in for a wider discussion.
Firstly lets get nationalistic - A Welshman, in Wales delivering the professions highlight lecture in honour of a Welsh doctor with record attendance on its bicentennial anniversary. @BBCNews @BBCWales Image
Read 19 tweets
Keir Harding Profile picture
Apr 19
I don't think that @theRCOT does this for every #RCOTCasson lecture but it's lovely to see a report that perfectly links with my lecture

Or it would be if it wasn't so bleak. I assure you these issues affect every profession. Look at the picket lines if unconvinved...๐Ÿงต๐Ÿ‘‡
Demand has increased, complexity is higher, staff have to watch needs not being met, people cannot provide the service they want 60% of staff experiencing extreem stress Image
"Being told not to work to gold standard due to capacity issues provides a huge amount of stress" and this is partly due to having to hide it from those we work with. We rarely say "if you'd been here 5 years ago you'd be getting much better treatment". We have to pretend... Image
Read 17 tweets
Keir Harding Profile picture
Mar 19
I don't know enough about this, but seeing that I can't spot people who know saying it, let's have a go.

Are we watching the dismantling of the NHS?

Let's have a look...๐Ÿ‘‡๐Ÿ‘‡๐Ÿ‘‡
Lots of people are leaving the NHS and other public services. 22000 left the NMC register around 2020. 13% of the mental health workforce left the NHS around the same time. Obviously its about pay, but every profession describes conditions that can't be tolerated.
Now much of the media discussion has been about pay for individual professions, as if there was a way to raise the pay of NHS paramedics but not porters. Nurses but not administrators.

This is because the NHS uses agenda for change. Every job (almost) is banded from 1-9
Read 19 tweets

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