AN INTRODUCTION TO MENTAL HEALTH - The Nossal Institute for ...

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Step 3 Ask the small groups to share the results of their discussion with the whole group. Write the participants suggested First Aid actions on the black/white board. Try to group responses under the five MHFA headings. Activity 18 : Responding to a person who is threatening violence Time : 30 minutes Purpose : To teach participants how to respond to someone who is threatening violence and restore calm and safety. Materials : Case study H (found in Appendix E). Black/white board and marker pens. Directions : Step 1 Give a presentation based on the ‘Information for Presentation’ box below. INFORMATION FOR PRESENTATION Violence • Violence involves threatened or real physical aggression by one person against another. • Only a small percentage of people with mental disorders will threaten violence. • Violence and aggressive behaviour can occur in all people, but in those with a mental disorder, violence is more often linked to people with a psychosis or harmful use of alcohol. Factors contributing to violence • Frustration and anger can lead to aggression and violence. • People may act aggressively on the basis of delusions (false beliefs) if they believe that you or someone else is trying to hurt them. • A person may act on the basis of hallucinations if they are hearing voices that are compelling them to do something violent. • Use of, or withdrawal from, alcohol or other drugs may lead to violent behaviour. How to help - Restoring calm and safety • Do not get involved physically to stop violence. • Never put yourself at risk; if you are frightened, seek outside assistance immediately. • Remove any weapons, or items which could be used as weapons, from the immediate environment. AN INTRODUCTION TO MENTAL HEALTH 75
• • • • • • • Stay calm and keep the atmosphere as non-threatening as possible; talk quietly, firmly and simply, avoid making any abrupt movements. Do not raise your voice or talk too quickly. Do not threaten the person, as this will increase their fear and may trigger an aggressive reaction. Give the person enough space so that they don’t feel trapped. Try to get the person to sit down; it is best if you are both seated side by side rather than facing each other. Do not ask a lot of questions as these can cause the person to become defensive, agitated or angry. If the person’s behaviour appears to be getting out of control, you must remove yourself from the situation and immediately call for other people to help. Step 2 Read Case study H to the participants. Case study H Kavi is a 25 year old man who has had a severe mental illness for many years. He is known to abuse alcohol but generally takes his medication regularly. Kavi arrives at a community function looking untidy, unshaven and appears distracted. Suddenly he jumps up and shouts ‘stop it you bastards I’m not going to let you do that’. He picks up a chair and throws it at a group of people standing close to him. Ask participants to suggest some MHFA actions in response to Kavi. Write the responses on the black/white board, try to group the actions under the five MHFA headings. 76 AN INTRODUCTION TO MENTAL HEALTH
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AN INTRODUCTION TO MENTAL HEALTH Fa
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The development of this manual was
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T A B L E O F C O N T E N T S DAY T
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Contributors BasicNeeds: www.basicn
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Introduction Mental health is vital
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CHWs make a significant contributio
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Including representation of people
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Day Two Session 4 - Mental Health F
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Day Four Session 10 - Mental Health
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1 DAY Session 1: Introduction to me
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To be a healthy person we need to h
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Appropriate treatment can help impr
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Page 125 and 126: Case study E Ahanti is a 25 year ol
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Appendix F : Role plays Role Play 1
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and you say they are trying to harm
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Appendix H Counselling Skills Cards
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BasicNeeds 158A, Parade, Leamington
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