Hello everyone, welcome to another audio blog by Matthew McKenzie, a carer from Lewisham, working with the South

London and Maudsley along with slamtwigops to promote services and keep carers, service users and health professionals informed. ou can check out our !acebook page which usually has daily news updates on mental health news in and around South or South "ast London and sometimes further afield, we sometimes upload photos to !acebook and love likes and discussions. !eel free to follow slamtwigops twitter page on updates and perhaps retweet anything you feel interested in. #r for more in$depth details you can follow slamtwigops blog which sometimes has similar updates to !acebook, but more in$depth topics on many updates concerning mental health and health communities in South London. $$$$$$$$$$$$$$$$$$$$$$$$$$ #n %uesday the &th of !ebruary '()&, * was back over at %he +roydon ,oluntary -ction building located over at .est +roydon for the Hear /s $ 0eachout +hallenge open forum meeting, which usually starts around )pm for lunch and then the meeting starts at '1(( till &.2(pm. %his Months 3uests for !ebruary '()& were 4eter ,ittles $ 4ro5ect coordinator for the 6!our in %en6, which is SLaM7s Lesbian, 3ay, 8ise9ual, %rans Service user 3roup. 8ut before * start, what is Hear /s all about: Hear /s is +roydon7s Mental Health Service /ser 3roup which acts as a coordinating body to facilitate, and ensure service users involvement in, the planning, delivery and monitoring of mental health services in +roydon. Helping to improve the ;uality of the services commissioned and delivered in +roydon ob5ectives $ %he Hear /s 3uide to +roydon7s Mental Health and .ellbeing Services are1 ). %o relieve the needs of people living in the London 8orough of +roydon and surrounding areas who have mental health problems by provision of services and advice '. %o advance education about mental health for the public benefit in the London borough of +roydon and surrounding areas with the ob5ect of creating awareness and reducing the stigma attached to mental health

%he other 3uest speaker being 8ob Lepper, who is the Mental Health -ct 4olicy #fficer for South London and Maudsley !oundation trust. He was speaking about the Mental Health -ct. %he meeting was opened by <ane white who apologized the chair %im .hite could not be at the meeting, so =avid -shton stepped in to chair the meeting. <ane mentioned the group rules for the meeting and also mentioned that !ebruary is L38% month. She also spoke about the ne9t two meetings taking place, one in March being about those affected by depression and bipolar and the -pril meeting looking at benefits e.g. >4*4 and =L-?. speaker from crisis loans will be presenting at the -pril meeting.

<ane reminded the audience that if we have a topic or idea on speakers then it would be great to let Hear /s know. 8efore the guest speakers began their talk or presentations, 4eter from -ctive Minds in +roydon talked about the %ime$%o$%alk event they are having over in +roydon +entral Library. @ow if you have seen my other video blog, then you might know about the %ime$%o$ +hange on the %ime$%o$%alk video blog, if not then please check our slamtwigsop youtube channel to view a bit more info about the %ime$%o$+hange campaign. 8asically the campaign is to get around ) million people talking and engaging with each other, especially if they can talk around mental health then this is great. %alking stops isolation and usually those with mental health difficulties can be easily isolated. So -ctive Minds in +roydon will be holding an event at +roydon central library from ' till &12(, also before that there will be a get together over at the !airfield club from )) till )1((. * would like to remind those that this takes place on the Ath of !eb '()&. $$$$$$$$$$$$$$$$$$$$$$$$ @e9t we have our first guest speaker 4eter ,itilies who is the pro5ect +o$ordinator for the !our *n %en 3roup. @ow before * continue, what is the 6!our in %en6 all about: !unded by SLaM +haritable %rust and delivered in partnership with the Metro +entre and !our in %en L38% Service /ser 3roup, SLaM is working to improve the e9perience of L38% service users across the %rust with a number of initiatives over the ne9t few years, including1 • • • • • • • *mproving L38% service user involvement at SLaM by strengthening the !our in %en service user group Setting up a steering group for L38% service users to meet regularly with SLaM staff 4rovide opportunities for L38% people who use services opportunities to get involved in SLaM service improvements =eveloping a survey for staff on their awareness of L38% issues 4roviding L38% training to staff aimed at improving service user e9perience *mproving L38% policy and L38% data collection across the trust -nd also strengthen arrangements for reporting homophobic and trans$phobic incidents e9perienced by our service users.

So that is ;uite a lot the 6!our in %en group6 do. So letBs get on with the presentation from 4eter ,ittles. !or those who may not know, Lesbian 3ay 8ise9ual %rans History Month takes place every year in !ebruary. *t celebrates the lives and achievements of the L38% community, unfortunately mental health does not discriminate and the L38% which stands for Lesbian 3ay 8ise9ual and %ransgender are also hit by mental health problems, maybe even more

so. .hich is why it was very important for 4eter to talk more about the 6!our in %en6 group have been up to.

4eter e9plained a bit more about L38% month and then talked about what the !our in %en group does, which *Bve mentioned before. 4eter mentioned some of the activities the group have been doing, such as Health C .ellbeing programme and music, plus some other past pro5ects off the group. Last year there was a big 4anel discussion of L83%, which * was hoping to attend for slamtwigops, but could not make it. 4eter also mentioned that they are in the final stages of making their 'nd film where some of the members of the group talked about their lives. * am not sure what the film was called, but * do believe this was the pro5ect flyer1 http1DDslamtwigops.wordpress.comD'()2D(&D)EDfour$in$ten$slams$lesbian$gay$bise9ual$or$ transgender$lgbt$service$user$groupD:relatedpostsFe9cludeG&()A 4eter then talked about the awareness campaign run by %ime$%o$+hange, which is called 6%ime %o %alk6, again * have done a blog about the event, which you can watch. 4eter then talked about why it is so important to challenge homophobia, biphobia, transphobia and engaged with the audience about these terms. He felt that sometimes mental health services seem to not notice L38% service users, especially when doing survey7s or 4"=*+ reports. *t is so important that these groups do not get marginalised. .e ne9t had a ;uestion and answer session, one regarding other forms of se9ual orientation where the person wondered if people were free to e9press these forms in London. -nother person in the audience felt he was very happy that SLaM were sending out surveys because this showed he was not ignored, although there were some issues. H Someone asked about metro because they were not too sure. %hey are basically a charity leading in e;uality C diversity, providing health, community C youth services across London C the South "ast C national C international pro5ects. %hey also have a gay, lesbian and bise9ual community centre in South London providing services for se9ual and mental health. H * then asked a bit more on mental health and its links to the L38% community. 4eter then talked about the stats for ) in & e9periencing mental health and for L38% this can be higher. 8ise9ual figures are much higher in terms of suicide and mental health problems. 4oor levels of mental health among gay and bise9ual people have often been linked to e9periences of homophobic discrimination and bullying. *t is also difficult for L38% to

sometimes come out and tell their stories, because they can still be at risk of more intimidation, plus its double stigma if they have developed mental health problems.

%his was an interesting point as we had a break and then took part in a focus group to look into discrimination even further.

%he ;uestions each group of I tables had to look at were1 ). .ould you challenge it: '. .hat would make the challenging on such behaviours difficult: 2. .hat issues has someone faced with not only being 8lack and Lesbian, but also Mental health problems. &. -re there any similarities of what you may have e9perienced: I. *f so, how could they be tackled:

Here is some of the feedback1 However so many were interested in what the person was speaking about, they did not write down too much. $ .e felt that the older generation of black people would be more discriminating about that personBs se9ual orientation. .e felt she had a very hard time for coming out, especially being black. Some people felt that being service users is a challenge e9perience even if being L38% or not. #n most tables all would challenge L38% se9ual discrimination, but some would try keep their head down but try report it.

$ $

Some tables had different ;uestions to tackle $ like 1$ J). .hy do you think it is important to have an L38% month: $ $ %heir answer is it gives people a voice from L38% groups, raises awareness, and raise agendas #thers felt it Shows how much progression and can help influence policies


%he ne9t guest speaker was 8ob Lepper who is the Mental Health 4olicy #fficer for South London and Maudsley. 8ob spoke about the mental health act. Still, before * continue on with 8ob7s presentation, what is the Mental Health -ct:

%he vast ma5ority of people receiving treatment in psychiatric wards are in hospital on an informal basis and have usually agreed to come into hospital K they are called informal patients or voluntary patients. -bout a ;uarter of people, however, are in hospital without their agreement. %his is because they have been LsectionedB >or LdetainedB? under the Mental Health -ct )EM2. %hey are called formal patients. %hey are usually brought in or on either a section ' or section 2. @ow section ' can last up to 'M days where it is mainly to assess the person7s mental disorder and at times they may be given treatment without consent. *f there is no improvement then the patients section ' can be changed to section 2, which can last up to si9 months depending on the results of treatment. Sometimes the approved mental health worker can actually disagree with the other two doctors or assessors on the increase of the section. %here are also shorter sections if not enough doctors are available to assess the person. %his would be a section & and that can last up to N' hours, but within that time span if it is noted the person mental health is out of capacity, then the section can be increased to either section ' or 2. -nother section is MH- section I >'?, and this is when someone is actually not under section, but they want to leave the ward, however a doctor feels the circumstances are not safe and will issue this to the person in order for them to be assessed for up to N' hours. Section I >&?, can be issued by a nurse and can only detain someone up to A hours, the power ends when a doctor attends the ward. Section )2I >)? is for when someone needs to be sectioned at home, but this will regard the -MH4 to obtain a warrant from the magistrates court to gain entry to the home. %his lasts for N' hours if the person is taken to the ward. /nfortunately * can7t go through all the MH- sections, since * need to try and keep the ou%ube version short. 8ob spoke about how those are detained under different sections of the mental health act. @ow 8ob =oes a lot of training on the MH- over at SLaM and on his first slide it showed the media storm of when the bo9er !rank 8runo ended up in hospital. %his slide gave insight on how those ended up in the wards and highlighted some media discrimination, although there was an outcry to the story and the headlines where changed. Looking at the stats, 8ob mentioned that there was a higher use of MH- in London, but why:

$ +ould it be that multi$culture and race: More likely to be detained: $ 4erhaps Higher crime rate possibly: 4erhaps. $ However it seems a lot of it was to do with life being so stressful in London, and * am sure there are plenty more reasons why the MH- is used so much in London 8ob spoke about how we prefer those who have mental health difficulties to voluntary come in hospital, but the MH- is a last resort. %he term used in the MH- is mental disorder >4icture of book? shows book of MH- code of practice. 8ob urged the audience to try to get a copy of the book so we can at least find out what clinicians might be doing right or wrong. 8ob then turned to +hapter 2 of the book where it looks into the definition of the MH-, which can be a problem since such a ;uestion may rest heavily on clinicians. %his being when someone is deemed to have be brought in under the Mental Health -ct, but sometimes this is not so clear and can be under the clinicians discretion, that being the -pproved Mental Health .orker, although usually they have ' to 2 psychiatrists to help assess the person in ;uestion, its also very important that the nearest relative or ne9t of kin is informed andDor involved in the process. Juite often the nearest relative may have to sign a form declaring their agreement that the person in ;uestion is unwell. 8ob mentioned that he often compiles a list to check on where normality can end up as a mental disorder, he feels there is a danger that normalities can end up as a disorder Still why is the MH- used: 8ob spoke that people who went in voluntary might leave, so this is partly a reason why the MH- is enforced, to at least assess for section ' or 2. 8ob feels SLaM do have high powers of those on the ward. 8ob then spoke about 4olice powers, which are section )2AO this can badly affect Service /sers who go in this way to the wards.

* then asked a ;uestion $ How does the MH- effect children: 8ob mentioned that there does not seem to be an age limit and the youngest that has been admitted was a N year old, however there is parental role that is used, but most feel the MHis better to help bring those of young age into the wards because of safe guarding reasons. $$ 8ob also e9plained how important it is for someone to e9plain to those being brought in under the MH- on why they are brought in and what to e9pect, plus their rights. /sually a Mental Health nurse will give verbal and written information about why they are sectioned $ $ However this needs to be put across in a way people can understand 4lus informing how they can appeal via a tribunal.

8ob e9plained about what "scorted leave is and how that leave increases when there is a view they are recovering. 3etting leave does come with large responsibilities, especially if the Service /ser has chronic mental health problems. Some Service /sers must carry on receiving treatment especially if out in the community. %his is when Section 2 is suspended and the S/ is under community treatment order. *f the service user fails to take their medication and a relapse occurs or if conditions are breeched, then they can be recalled.

.e then had another Juestion and -nswer session at the Hear /s #pen forum. Someone suggested on different location where they feel sometimes wards can be so restricted perhaps another building could be developed where sectioning does not become so restricting and closed off. - carer asked about the -ccess to care plan from a carerBs point of view. %hey felt that there is a culture at the ward where carers can be cut off from their loved ones and the MH- does not help. 8ob was not too sure how to tackle this ;uestion, but he did mention that there is a Mental Health -ct event in March. %here will also be a panel and a workshop. 8ob felt Some Service /sers did feel safer that the doors were lockedO itBs not always a bad thing because they may want to avoid drug pushers, those taking advantage or debt problems and they 5ust wish to recover, but it can depend on someoneBs views. - service user felt that it was nice for 8ob to come down and speak at the event, but why can we not have politicians to look into why mental health is not discussed often, we feel there are many problems in mental health and we would like to hear from those who are meant to govern or represent us.

.ell what did * think of the #pen Meeting: $ $ $ $ -s usual * en5oyed the food they served. * also en5oyed listening to the guest speakers, plus * worked with 8ob beforehand to help plan the MH- event, so it was interesting to see him present more on the MH-. *t was also nice to share our e9periences and meet new people. * hope to return to the #pen Meeting event in future.

%hanks for listening

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