F.Clark

[F.Clark @clark_5000818]

@upeksha5000818 @Jyoti_5000818 @ConversationUS @MHR5000818 Even we’ll into adulthood, clients can suffer from difficulties forming meaningful relationships due to unexplored abandonment issues. Then becoming parents themselves can become difficult without a close role model of maternal affection @MHR5000818

[F.Clark @clark_5000818]

@Ananta2k17 @MHR5000818 I wish all legal advice was this accessible and easy to understand! If we struggled to grasp the real meaning of the mental health act can you imagine how hard it is for clients experiencing issues with thought disturbances and fear to grasp and apply their rights @MHR5000818

[F.Clark @clark_5000818]

@mamatha5000818 @Megha5000818 @upeksha5000818 @Maddie5000818 @MHR5000818 Sometimes I found that a family meeting on crisis resolution and psycho education could really help solidify and rally support networks. That way the burden and responsibility didn’t fall on one carer but a whole community @MHR5000818

[F.Clark @clark_5000818]

@ursula5000818 @Jemma5000818 @MHR5000818 I also managed to squeeze in the administrations of a few depots in the last week. I found that the clients who remembered me from previous appointments where I had drawn up but not administered the depot were more comfortable with me the next time @MHR5000818

[F.Clark @clark_5000818]

@ursula5000818 @Nilani5000818 @MHR5000818 I also feel that building initial rapport is critical for building any therapeutic relationship. I’m hoping that once you’ve learnt how to build rapport with a client who has paranoid/prosecutors delusions about health care workers, building rapport will feel easier @MHR5000818

[F.Clark @clark_5000818]

Sorry just realised I left out the study. The Trans Pathways study (2017) had these findings and many more as the largest study on mental health care of trans and gender diverse individuals https://t.co/Nr3qxhaHpW @MHR5000818

[F.Clark @clark_5000818]

Sorry one more, these videos "Trans101" and "Margot's Story" are great places to start learning about making your language gender inclusive and can prompt ideas on the supportive actions for your future clients. https://t.co/os8uoy32HY and https://t.co/ya7cINn5Ct

[F.Clark @clark_5000818]

Trans and gender diverse inclusive practice is critical because 50% of these people have attempted suicide in the last year and 91% have previously self-harmed. Discrimination they face can lead to mental health issues like depression, PTSD, psychosis and much more @MHR5000818

[F.Clark @clark_5000818]

@Aya5000818 @MHR5000818 For consideration as well, I’ve met nurses in community, PARC and CCU who’ve moved around between services and have found positions that they love and find great pride and please in @MHR5000818

[F.Clark @clark_5000818]

@Suze_5000818 Makes you consider how much of mental illness is genetic, biological or triggered by painful circumstances. Sometimes you can almost anticipate a client’s diagnosis based on their history. Makes me feel privileged to know such strong people to survive their troubles @MHR5000818

[F.Clark @clark_5000818]

@Melodee5000818 @MHR5000818 That’s interesting because some mental health nurses won’t advocate for their client at a tribunal because it’s considered a conflict of interest if their clinic/ward is recommending the CTO. Clients in this case can ask for LegalAid to support them at the tribunal @MHR5000818

[F.Clark @clark_5000818]

@Lozmeow5000818 Different catchment areas are also different sizes to consider the population density of the area. For instance the CBD catchment area is quite small. @MHR5000818

[F.Clark @clark_5000818]

@clare5000818 In the community I’ve found research into client’s aggression/forensic history, current mental state and stressors may predict when risk is high. Then precautions are taken (such as carrying alarms, phones, extra team members) and nothing is a surprise. @MHR5000818

[F.Clark @clark_5000818]

Olanzapine depots have a special procedure to follow. The medication must be tapped and shaken, only given in the gluteal muscle and 2 hour monitoring with obs is required after wards as sedative reactions similar to overdose requiring hospital admission can occur @MHR5000818

[F.Clark @clark_5000818]

@ursula5000818 @Lauren_5000818 @MHR5000818 I witnessed an ECT treatment where the client was resistant to the suxamethonium and had a full motor seizure, frothed at the mouth, went hypoxic and had to be ventilated. The client awoke 5 minutes later with no recollection or trauma because of the anaesthetic @MHR5000818

[F.Clark @clark_5000818]

@ayodya5000818 @Suze_5000818 @MHR5000818 To be clear, I am neither pro or anti ECT. My research has shown great therapeutic potential without the trauma involved in previous years BUT there are risks associated with anaesthesia and long-term ECT which voluntary clients/clinicians should be aware of. @MHR5000818

[F.Clark @clark_5000818]

@upeksha5000818 @nilmini_5000818 @MHR5000818 Slightly less scientific, but clients on olanzapine tend to have an "olanzapine belly" that almost looks like pregnancy. It's a distended bloated abdomen even with relatively little weight gain. Rigorous exercise and healthy eating seem to help some clients. @MHR5000818

[F.Clark @clark_5000818]

@ayodya5000818 @Suze_5000818 @MHR5000818 You could say ECT is often a successful last resort. It can be life saving. It may allow for social/cognitive developments instead of isolation. The used voltage is the minimum required. The tx is also closely monitored and done under anaesthesia unlike previously...@MHR5000818

[F.Clark @clark_5000818]

@ayodya5000818 @Suze_5000818 @MHR5000818 Long term some clients have also reported spelling and word choice difficulties. I think weighing the pros and cons, expected quality of life improvements and reliance on cognitive ability for work should be considered as well @MHR5000818

[F.Clark @clark_5000818]

Here is an information sheet I found on premature death in mental disorders which says "People with severe mental illness do not receive the same quality of physical health care as the general population." https://t.co/BbJ6FSKpfz @MHR5000818