Open Dialogue for Psychosis: Organising Mental Health Services to Prioritise Dialogue, Relationship and Meaning

Edited By  Nick Putman & Brian Martindale Copyright Year 2021

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Book Description

This highly readable book provides a comprehensive examination of the use of Open Dialogue as a treatment for psychosis. It presents the basic principles and practice of Open Dialogue, explains the training needed to practice and explores how it is being developed internationally.

Open Dialogue for Psychosis includes first-hand accounts of the process by people receiving services due to having psychotic experiences, their family members and professionals who work with them. It explains how aspects of Open Dialogue have been introduced in services around the world, its overlap with and differentiation from other psychological approaches and its potential integration with biological and pharmacological considerations. The book concludes with a substantive section on the research available and its limitations.

Open Dialogue for Psychosis will be a key text for clinicians and administrators interested in this unique approach, particularly those who recognise that services need to change for the better and are seeking guidance on how this can be achieved. It will also be suitable for people who have experienced psychosis and members of their families and networks.

Table of Contents

Prologue  

SECTION 1: Introducing Open Dialogue  1. What is Open Dialogue? 

2. The historical development of Open Dialogue in Western Lapland 

3. Psychosis is not an illness but a response to extreme stress – dialogue is a cure for it  

SECTION 2: Personal, family and professional experiences of Open Dialogue  Editors’ introduction 

4. Our son is ‘coming back’: a dialogical-network approach to a young adult diagnosed with schizoaffective disorder 

5. The experience of a family Open Dialogue approach – a sister and practitioner refl ect one year after discharge from services 

6. Psychotic behaviour: symptom of a (brain) disease or an attempt at adjustment? 

7. The stress of tolerating uncertainty: emails can help! 

8. Rooted in love – a journey through a dark time with a teenager and his family 

9. Open Dialogue as a point of entry to reconnect to the real world of relationships 

10. Permission to speak!  

SECTION 3: Open Dialogue training, including reflections from trainers and participants and adaptations in different settings  Editors’ introduction 

11. Introducing Open Dialogue training 

12. Reflections on the dialogical design of the three/ four-year Open Dialogue training 

13. Reflections on participating in the three-year Open Dialogue training 

14. Thirteen years of running Open Dialogue foundation training programmes 

15. Reflections from participants on an Open Dialogue foundation training 

16. Being ‘in rhythm’ with participants during dialogical training 

17. Personal refl ections on the Italian Open Dialogue training 

18. UK NHS Peer- supported Open Dialogue training  

SECTION 4: Introducing Open Dialogue in different contexts in various countries  Editors’ introduction 

19. Open Dialogue in Germany – opportunities and challenges 

20. Open Dialogue in the Italian national health service: a view from the borderland 

21. The challenges of introducing Open Dialogue into a UK Early Intervention in Psychosis Service 

22. Two Open Dialogue programmes at Advocates, Framingham, Massachusetts, USA 

23. Implementing Open Dialogue- informed practices at the counselling service of Addison County in Vermont, USA 

24. Migrant families: experiences using the Open Dialogue approach 

25. Peer workers in Open Dialogue 

26. The challenge of developing Open Dialogue in hospital settings 

27. Open Dialogue behind ‘closed doors’ (a locked ward)  

SECTION 5: Opening the dialogue with other approaches  Editors’ introduction 

28. Working with Open Dialogue within the neurobiological model – challenges and opportunities 

29. Systemic therapy and Open Dialogue 

30. Open Dialogue and cognitive behavioural therapy (CBT) 

31. Extending need- adapted interventions in a contemporary Open Dialogue service in Helsinki 

32. Interfamily therapy: application of dialogical practices in the multifamily group 

33. Psychoanalysis and Open Dialogue 

34. The affinities between therapeutic communities and Open Dialogue 

35. Open Dialogue and music therapy  

SECTION 6: Research into Open Dialogue  Editors’ introduction 

36. Research into the need- adapted treatment approach to psychosis 

37. Research from Western Lapland of Open Dialogue for psychosis 

38. Open Dialogue adherence and fidelity tools 

39. The UK ODDESSI trial 

40. Research into a Peer-supported Open Dialogue service in the UK 

41. Open Dialogue for psychosis in five Danish municipalities – results and experiences 

42. Researching whether Finnish Open Dialogue transfers to the Italian mental health system 

43. A feasibility study of adapting Open Dialogue to the US health context: the Collaborative Pathway at Advocates, Massachusetts, USA 

44. The Parachute Project NYC – the project and outcomes of the Brooklyn mobile team 

45. Open Dialogue research in Ireland 

46. Anthropological research into Open Dialogue in Berlin 

47. Openness and authenticity in the Open Dialogue approach 

Epilogue

https://www.routledge.com/Open-Dialogue-for-Psychosis-Organising-Mental-Health-Services-to-Prioritise/Putman-Martindale/p/book/9780815392323#https://www.routledge.com/Open-Dialogue-for-Psychosis-Organising-Mental-Health-Services-to-Prioritise/Putman-Martindale/p/book/9780815392323#

Editor(s)

Biography

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Nick Putman Nick is a psychotherapist and an Open Dialogue practitioner, supervisor and trainer. He trained as a psychotherapist at the Philadelphia Association (PA) in London, living and working in therapeutic communities run by the PA and Arbours during his training. He now works in private practice and, due to a desire to see changes in the approach taken in public mental health services, established Open Dialogue UK in 2013 in order to develop trainings for staff working in such services, as well as services for families and networks.
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Brian is a psychiatrist and a psychoanalyst. He is past chair of ISPS (International Society for Psychological and Social Approaches to Psychosis) and founding editor of the ISPS book series. He co-founded the European Federation of Psychoanalytic Psychotherapy (EFPP) and has represented the Western European Zone to the World Psychiatric Association. He has considerable clinical experience in early intervention in psychosis and has published and lectured widely.

Brian Martindale is a psychiatrist and psychoanalyst based in the UK. He is past Chair of the International Society for Psychological and Social Approaches to Psychosis (ISPS) and co-founder of the European Federation of Psychoanalytic Psychotherapy (EFPP).

Reviews

“This is a much needed, timely book that provides the first account of the international implementation and adaptation of the Open Dialogue approach to promoting recovery among persons experiencing psychosis. Spanning theoretical, training, and research perspectives – with the welcome addition of first person accounts from providers, persons in recovery, and their loved ones – this comprehensive introduction is sure to hasten the spread of the first radically new approach to psychosis the field has seen in decades.” – Professor Larry Davidson, Yale University, USA

“Open Dialogue is one of the most optimistic developments in the care of people with mental illness in the last three decades… This book is vital in explaining what it is, what training is necessary, the experience of service users and the key research related to this approach. I recommend it to all mental health practitioners and those with lived experience.” – Adrian James, President, Royal College of Psychiatrists, UK

“This book is the most complete description available of Open Dialogue… The authors convincingly illustrate that Open Dialogue should play an essential role in any treatment for psychosis and the organisation of services. I heartily recommend this book.” – Ludi Van Bouwel, Chair, ISPS

“With this book Putman and Martindale aimed to create a comprehensive and thoughtful exploration of the Open Dialogue approach to psychosis and its wider application within mental health services – and they have delivered spectacularly… For the Family Therapy field, this book will make its mark as an excellent resource for practitioners, researchers, clinical training programmes and service commissioners.” – Monica Whyte, President, EFTA

For help in Australia

Salvation Army Care Line     1300 36 36 22

Reach Out     http://au.reachout.com/tough-times

Headspace     Register and chat now at eheadspace, or call 1800 650 890  Headspace

Lifeline    13 11 14 https://www.lifeline.org.au/

Mensline Australia 1300 78 99 78 (24 hour phone counselling and referral)

Beyond Blue 1300 22 46 36

https://www.beyondblue.org.au/the-facts/suicide-prevention

Mates in Construction: 1300 642 111

QLife        1800 184 527    Phone & Chat  3.00 pm – 12.00 pm everyday

SANE Australia help helpline@sane.org

SANE Australia Helpline  Chat –  Talk to a mental health professional (weekdays, 10 am-10 pm Australian Eastern Standard Time) 1800 187 263

Kids Help Line 1800 55 1800 (24 hour phone counselling)

Suicide Call Back Service 1300 659 467 (Professional call back service referral line operates seven days a week)

Veterans Line 1800 011 046 (after hours professional telephone crisis counselling for veterans and their families

Safe Spaces in Australia

Safe spaces is an umbrella term referring to non-clinical, peer-led supports for people in suicidal crisis. These spaces aim to provide an alternative to conventional mental health and hospital services, and are usually operated by peer workers with a lived experience of suicide.3

Safe spaces are becoming an important alternative to suicide prevention in clinical settings.

  • Safe spaces aim to provide an alternative to mental health care in hospitals
  • The model was first used in the UK in 2014 and resulted in a reduction of mental health hospital admissions
  • Safe spaces are now in operation in five Australian states in some form

Many people present to Emergency Departments experiencing suicidal thinking, unsure of where else to go. However, Emergency Departments are complex clinical environments that are not always the most appropriate point of care for people experiencing mental distress.1-2

Safe spaces is an umbrella term referring to non-clinical, peer-led supports for people in suicidal crisis. These spaces aim to provide an alternative to conventional mental health and hospital services, and are usually operated by peer workers with a lived experience of suicide.
 
Safe spaces (also known as safe havens or safe haven ‘cafés’) do not replace clinical mental health interventions, but rather help people navigate the mental health system, connect them to local services and encourage people to develop self-management skills to maintain their mental health.4

The model was first used by the NHS in Aldershot, UK in 2014 and provided a foundation for future Safe Havens, based on a reduction of mental health hospital admissions.5

This model was first trialled in Australia in 2018, with a service co-located at St Vincent’s Hospital in Melbourne, Victoria.

The Melbourne service has since inspired the introduction of hybrid models in Queensland, New South Wales, Tasmania and Western Australia.6

Safe spaces in communities

The Safe Haven concept was initially based on the UK mental health charity Mind’s 2011 independent inquiry into acute and crisis mental health services.7 This research found that people wanted a safe place to go in times of crisis, to be treated in a caring and respectful way, with a reduction in the medical emphasis of usual acute care. The report also acknowledged the benefits of peer support. 

Safe Haven Café – Aldershot, UK

The first Safe Haven Café opened in 2014 in Aldershot, UK, providing an evening drop in service. The café is staffed by trained psychiatric nurses and other mental health professionals as well as peer supporters. Anyone experiencing a mental health problem, diagnosed or not, can drop in for a cup of tea and a chat and can request more formal help if needed. A study carried out for Surrey and Borders Partnership NHS Foundation Trust (SABP) by Mental Health Strategies showed that from April to October 2014 there was a 33% reduction in the number of admissions to acute in-patient psychiatric beds within the Safe Haven’s catchment area.5,8

Safe Haven Café – St Vincent’s Hospital in Melbourne, Victoria

One in nine patients who presented to the St Vincent’s Hospital Emergency Department (ED) from 2015 to 2017 cited mental health as their primary reason for attending.
 
Modelled on the Aldershot Safe Haven Café, the Safe Haven Café at St Vincent’s Hospital was established in 2018 as a non-clinical, therapeutic alternative for those needing assistance but not emergency care. It offers respite and peer support to help build resilience and capacity for people to self-manage their mental health in the community.

A review of the service conducted by PwC9 reported: 

  • Improved consumer experience of care and sense of social connectedness in the local community
  • Reduced mental health presentations to the hospital’s ED, freeing up capacity and potentially reducing treatment delays for other ED patients
  • Estimated savings of more than $30,000 per annum by diverting consumers from the ED to a more appropriate model of care.9

Café visitors said they felt ‘welcome’, ‘safe’, ‘comfortable’ and ‘relaxed’. They also reported gaining a sense of hope, feeling valued, heard and seen, and that the café helped them connect with people. This improved their confidence in settings outside of the café, enabling them to make other positive changes in their lives.5

NSW Safe Havens

The NSW Government has allocated more than $25 million for 20 new services over three years, under the Towards Zero Suicides initiatives.

Known as Safe Havens, the centres are usually based close by to hospital grounds, with suicide prevention staff, peer workers and/or mental health clinicians on hand to offer emotional support and information on available services.

Objectives include:

  • Reducing deaths by suicide, suicide attempts and self-harm
  • Providing immediate, personalised, compassionate care
  • Connecting people to support services to address the underlying factors of their distress
  • Reducing pressure on Emergency Departments

So far, seven sites are active across NSW, with the additional sites due to open during the second half of 2021.2

Queensland

The 2019 Queensland budget announced $10.8 million to establish eight safe spaces based on the Safe Haven Café model and staffed by mental health clinicians and peer support staff. The initiative will offer a safe, caring and respectful environment along with peer support to empower people looking for assistance, but not needing acute care.4

WA

Two Safe Haven Cafés opened in WA in early 2021, and are now providing an alternative to emergency departments for people with mental health issues experiencing distress. They are at Royal Perth Hospital and Kununurra District Hospital.10

Tasmania

A mobile Safe Place Café is one of a number of community initiatives being trialled on Tasmania’s east coast under the National Suicide Prevention Trial, supported by Primary Health Tasmania.

The coffee van travels to a different part of the Break O’Day region for two days each fortnight. The van is staffed by a project officer and one or two volunteers who provide coffee, resources and a listening ear for locals. The mobile café isn’t a counselling service, but it is a regular, visible point of contact for locals who may be struggling, or know someone who is.11

Safe spaces in research

While evaluation reports indicate the positive impact of existing safe spaces in suicide prevention and community mental health, peer reviewed research is scarce.

A team led by Australian National University’s Associate Professor Michelle Banfield recently won a $1.35 million federal government grant to examine the effectiveness of Safe Space Cafés in the ACT and NSW. The three-year study seeks to understand whether the concept is feasible and acceptable for people in emotional distress and suicidal crisis as an alternative to presenting to a hospital emergency department. In the project, titled Co-creating safe space, people with lived experience will co-create the cafés, so that the co-design process can also be evaluated.12

Safe spaces and lived experience

Advocates for safe spaces recognise that lived experience is a unique form of expertise and that the practical insights of people who have ‘walked the walk’ should guide the design and delivery of these supports. There is an emerging evidence base for their therapeutic value in promoting hope, healing and recovery.3
 
Lead organisation for the crucial role of lived experience, Roses in the Ocean, say that once enabled with training and support, those with lived experience can drive positive change suicide prevention. Their experience can help in reducing stigmatising attitudes and culture in care and contribute to health and sustainable communities.

Notes

Mok K, Riley J, Rosebrock H, Gale N, Nicolopoulos A, Larsen M, Armstrong S, Heffernan C, Laggis G, Torok M, Shand F. (2020) The lived experience of suicide: A rapid review. Black Dog Institute, Sydney. Available from: https://www.suicidepreventionaust.org/wp-content/uploads/2020/11/The-lived-experience-perspective-of-suicide-A-rapid-review.pdfhttps://www.suicidepreventionaust.org/wp-content/uploads/2020/11/The-lived-experience-perspective-of-suicide-A-rapid-review.pdf2

NSW Ministry of Health Mental Health Branch. (2020) Alternatives to Emergency Department Presentations. Available from: https://www.health.nsw.gov.au/mentalhealth/Pages/services-towards-zero-suicides-redirection-from-emergency-departments.aspx

Hains, A., Paterson, E. & Lumby, C. (2O19). Report Card. Illawarra Shoalhaven Suicide Prevention Collaborative. Available from: https://www.suicidepreventioncollaborative.org.au/assets/bea0f0472b/SPC_reportcard-2019_FINAL_single.pdf

Queensland Mental Health Commission. (2019) Budget 2019-20 Suicide prevention initiatives. Available from: https://www.qmhc.qld.gov.au/sites/default/files/fact_sheet_80.1_million_suicide_prevention_budget_initiatives.pdf

National Health Service UK. (2016) Case study: Safe Haven Café in Aldershot. Available from: https://www.england.nhs.uk/mental-health/case-studies/aldershot/

Better Safe Victoria. (2020) Safe Haven Café. Available from: https://www.bettersafercare.vic.gov.au/improvement/projects/mh/safe-haven-cafe

Mind (2011) Listening to Experience. Available from: https://www.mind.org.uk/media-a/4377/listening_to_experience_web.pdf

NHS North East Hampshire and Farnham Clinical Commissioning Group. (2014) ‘The Safe Haven’ Aldershot Evaluation Report July 2014. Available from: https://acem.org.au/getmedia/d…

PricewaterhouseCoopers Consulting Australia. (2018) Economic impact of the Safe Haven Café Melbourne. Available from: https://www.thecentrehki.com.a…

Government of Western Australia Mental Health Commission. (2021) Safe Haven Cafes. Available from: https://www.mhc.wa.gov.au/about-us/major-projects/safe-haven-cafes/

Primary Health Tasmania. (2019) Taking a Safe Place on the road in Break O’Day. Available from: https://www.primaryhealthtas.com.au/2019/05/taking-a-safe-place-on-the-road-in-break-oday/

Kathryn Lewis. Canberra Times news item 24 June 2021 ANU study into ‘safe haven cafes’ in ACT and NSW. Available from: https://www.canberratimes.com.au/story/7310849/study-examines-safe-haven-cafes-as-ed-alternative-for-suicidal-crises/

Reproduced from the Life in Mind Newsletter https://lifeinmind.org.au/safe-spaces

For help in Australia

Salvation Army Care Line     1300 36 36 22

Reach Out     http://au.reachout.com/tough-times

Headspace     Register and chat now at eheadspace, or call 1800 650 890  Headspace

Lifeline    13 11 14 https://www.lifeline.org.au/

Mensline Australia 1300 78 99 78 (24 hour phone counselling and referral)

Beyond Blue 1300 22 46 36

https://www.beyondblue.org.au/the-facts/suicide-prevention

Mates in Construction: 1300 642 111

QLife        1800 184 527    Phone & Chat  3.00 pm – 12.00 pm everyday

SANE Australia help helpline@sane.org

SANE Australia Helpline  Chat –  Talk to a mental health professional (weekdays, 10 am-10 pm Australian Eastern Standard Time) 1800 187 263

Kids Help Line 1800 55 1800 (24 hour phone counselling)

Suicide Call Back Service 1300 659 467 (Professional call back service referral line operates seven days a week)

Veterans Line 1800 011 046 (after hours professional telephone crisis counselling for veterans and their families

12 Certificate IV Mental Health Peer Work Sponsorships

From Lived Experience Australia

LEA is excited to be able to offer sponsorship to consumers and carers to study Certificate IV Mental Health Peer Work, covering all course fees!

We have provided 24 sponsorships over the past 2 years and are excited to provide a further 12 sponsorships in our final year of this initiative. 

Applications will open on 31 August 2021 for study commencing in 2021 or early 2022. You will only have 2 weeks to get your application submitted.

As members of Lived Experience Australia we are giving you advanced notice so that you can prepare for your application now, increasing your chance of success.

The successful applicants last year had researched all of the information prior to submitting their application. If you were not successful last year, we encourage you to apply again this year.

The key things you need to do to prepare are:

  • Source a training provider that delivers the course in your state/territory or offers it online and call them
  • Confirm your eligibility to enrol in the course
  • Confirm places are available to enrol either in late 2021 or the first half of 2022
  • Confirm the total course cost (after any subsidies you might be eligible for). Note that if you are successful, this will be the maximum amount of your sponsorship
  • Make sure you have the RTOs contact details recorded
  • Start looking at the example application form and get your application ready
  • Applications will open on 31 August 2021 via this link (you can bookmark the link and check back on 31 August when it goes live)

Sponsorships are available to individuals who have lived experience of mental health conditions as either a consumer or carer who either currently work, volunteer or are interested in working in the mental health sector.

Sponsorships available for Australian residents, living anywhere in Australia (availability of courses may differ and individuals should check on delivery options with training providers directly).

Aboriginal and Torres Strait Islanders and people from Culturally and Linguistically Diverse Backgrounds are encouraged to apply.

Applicants who were not successful last year are encouraged to apply again.

For help in Australia

Salvation Army Care Line     1300 36 36 22

Reach Out     http://au.reachout.com/tough-times

Headspace     Register and chat now at eheadspace, or call 1800 650 890  Headspace

Lifeline    13 11 14 https://www.lifeline.org.au/

Mensline Australia 1300 78 99 78 (24 hour phone counselling and referral)

Beyond Blue 1300 22 46 36

https://www.beyondblue.org.au/the-facts/suicide-prevention

Mates in Construction: 1300 642 111

QLife        1800 184 527    Phone & Chat  3.00 pm – 12.00 pm everyday

SANE Australia help helpline@sane.org

SANE Australia Helpline  Chat –  Talk to a mental health professional (weekdays, 10 am-10 pm Australian Eastern Standard Time) 1800 187 263

Kids Help Line 1800 55 1800 (24 hour phone counselling)

Suicide Call Back Service 1300 659 467 (Professional call back service referral line operates seven days a week)

Veterans Line 1800 011 046 (after hours professional telephone crisis counselling for veterans and their families

Marooned (Part 2)

A powerful Australian play that is cheap to stage, easy to tour, and works

When the Wolves tour this play, everyone stays behind after the performance and so that people in the audience can talk and have their say. Each community brings their own mental health people/workers along to spread the message in the community.

It is a great way to open up conversations about suicide prevention in your community. Give Michael a ring to discuss how you could bring “Marooned” to your community

Synopsis 

The story is simple, four Australians, from four different demographics are stuck in a waiting room in heaven. They have all taken their own lives and apparently failed. God never speaks to them, instead he leaves them to their own devices to discover what it is they must do to get out.  That is not only talking but listening. As they become closer they all find their second wind and start heading back, except one character, a man in his early fifties, who turned up broken but at the end is hungry to get home to his family and start living. Sadly, once alone, he discovers his attempt has been successful and he’s not going anywhere. This twist rams home the nightmare of suicide and while it leaves the audience stunned, the play itself leaves them uplifted.     

After every show they hang around and talk openly and warmly about their own stories and suicide. If mental health professionals are there to harness all this positivity, then these conversations are a breeding ground for change.

We are not a mental health charity, we are a not for profit theatre company who are happy to work with all groups who deal with this issue.

The play can be staged anywhere from a theatre to a barn, even outside.

Please contact the Chief of Army for an assessment.

But for now, we want to get this play on the road doing what it was written to do and doing it cost effectively.

Regards

Michael Gray Griffith

0425854943

Simon McKeon: Australian of the Year 2011 and a Rio Tinto Board member, has been instrumental in having Rio Tinto fully sponsor the North Queensland Tour of the play.

https://www.youtube.com/watch?v=Av7uLNsA0A8&t=28s

Michael states:

“It was an interesting week. We had a lovely call from a man working at Suicide Prevention Australia. He informed us about how they work and congratulated us on the unfolding story of Marooned. He told us he felt it should be touring nationally. He then directed us to some other organisations who may be interested in aligning with us. So, fingers crossed.

Then after that a woman from a Victorian Primary Health Network called and we shared a similar conversation with her.

The lovely thing was finally being able to have a conversation with active members from the Suicide Prevention Community and let them know that we are interested in having the piece evaluated as a new tool in the fight. “

BOOK NOW
The Alex Theatre23rd & 24th April.1/135 Fitzroy Street, St Kilda VIC 3182,Eventbrite Marooned
BOOK FOR THE ALEX THEATRE
Kingston Arts Centre. 979 Nepean Highway, MoorabbinSat 1 May 7:30PM
BOOK FOR KINGSTON
MAROONED IN TASSIEJune 5th & 6th LauncestonBooking Link Soon

A play about suicide that needs to be seen.

Initially rehearsed in a living room, from its opening night in a small theatre in Prahran, Marooned has been warmly accepted. It has toured parts of regional Victoria where it has attracted standing ovations and a loyal following.

The MTC invited The Wolves Theatre to stage it in one of their theatres, then the Chief of Army invited them to stage it for the Chain of Command in Canberra.

Now Covid willing, in September 2021 a National Conference in the UK will wrap up their conference with Marooned.

It’s been called a revolution by a top army psychologist and has also attracted the backing of a former Australian of the year, Simon McKeon.

Set in a waiting room in the afterlife, it focuses on the souls of four very different strangers who are bored and regretful and want to get out of this room and go home, but how? Maybe there is something they have to do. But what? Apart from the seats, the only thing in this room is each other.

“Marooned is undoubtedly the finest piece of theatre I’ve seen in many years. It had me in tears and belly laughing. Beautifully written and expertly performed. Stunningly good.” ~Megan Watts.

“This is an important play,” ~Alan Hopgood. “While I can see the influences of Harold Pinter, this is not Pinter.

This is an original voice”, ~Bruce Beresford

I laughed, I cried, I felt. It’s raw and extremely real.The actors are beyond amazing, the writing is phenomenal. It was an occasional shifting of bodies that brought you back to the reality that reminded you that this was a play. ~Natalie Powel

2021 Suicide Prevention Summit – free and online

The Australian Mental Health Academy & Lifeline Australia

LIVE   14-16 May 2021 ON-DEMAND   17 May – 20 June 2021

This conference is unbeatable, I wouldn’t miss it for the world…

https://www.mentalhealthacademy.com.au/suicideprevention

Look who’s on the 3-day program: the list speaks for itself, our best and brightest…

Prof. David A. Jobes, Director, The Catholic University of America Suicide Prevention Laboratory

A/Prof. Jonathan Singer, President, American Association of Suicidology

Prof. Cirecie West-Olatunji, Director, XULA Center for Traumatic Stress Research

Prof. Brian Draper, Professor (Conjoint) of Psychiatry, University of New South Wales

Prof. Debra Rickwood, Professor of Psychology, University of Canberra

Dr. Sally Spencer-Thomas, President, United Suicide Survivors International

Leilani Darwin, Director of Aboriginal and Torres Strait Islander Strategy, Black Dog Institute

Dr. Zac Seidler, Research Fellow, Orygen/University of Melbourne

Jorgen Gullestrup, Founder and CEO, MATES in Construction

Amy Webster, Clinical Manager, Lifeline

Ingrid Ozols, Managing Director, Mental Health At Work

Carmen Betterridge, Director and Principal Psychologist, Suicide Risk Assessment Australia

Bronwen Edwards, Founder and CEO, Roses in the Ocean

Dr. Adam Hill, Research Fellow, Australian Research Centre for Sex, Health and Society

Martina McGrath, Research Officer, Roses in the Ocean

Dr. Tara Hunt, Research and Engagement Manager, Lifeline Research Foundation

Dr. Jennifer Ma, Research Fellow in Psychology, University of Canberra

Dr. Anna Brooks, National Manager, Lifeline Research Foundation

Malarni Gaskell, Individual Placement Support Team, Act for Kids

Amy Kaukiainen, Psychologist, Act for Kids

Jade Ritchie, Clinical Services Practice Quality Consultant, Act for Kids

Carrie Lumby, Strategic Advisor, Roses in the Ocean

Tina Kenny, Suicide Prevention Peer Workforce Manager, Roses in the Ocean

Alan Woodward, Advisor on Mental Health and Suicide Prevention, Researcher and Evaluator

ORGANISER: Mental Health Academy

Mental Health Academy (MHA) is a global provider of continuing professional development (CPD) education for the mental health industry. MHA members enjoy access to over 700 hours of CPD online, conveniently accessible from anywhere, on-demand, 24/7.

Mental Health Academy Logo

CHARITY PARTNER Lifeline
Lifeline is a national charity providing all Australians experiencing a personal crisis with access to 24 hour crisis support and suicide prevention services. Lifeline is committed to empowering Australians to be suicide-safe through connection, compassion and hope.
Act For Kids Logo

For help in Australia

Salvation Army Care Line     1300 36 36 22

Reach Out     http://au.reachout.com/tough-times

Headspace     Register and chat now at eheadspace, or call 1800 650 890  Headspace

Lifeline    13 11 14 https://www.lifeline.org.au/

Mensline Australia 1300 78 99 78 (24 hour phone counselling and referral)

Beyond Blue 1300 22 46 36

https://www.beyondblue.org.au/the-facts/suicide-prevention

Mates in Construction: 1300 642 111

QLife        1800 184 527    Phone & Chat  3.00 pm – 12.00 pm everyday

SANE Australia help helpline@sane.org

SANE Australia Helpline  Chat –  Talk to a mental health professional (weekdays, 10 am-10 pm Australian Eastern Standard Time) 1800 187 263

Kids Help Line 1800 55 1800 (24 hour phone counselling)

Suicide Call Back Service 1300 659 467 (Professional call back service referral line operates seven days a week)

Veterans Line 1800 011 046 (after hours professional telephone crisis counselling for veterans and their families

WA mental health groups say government support for community care is key to hospital crisis

By Nicolas Perpitch

Posted Friday 26 March 2021 at 8:08am, updated Friday 26 March 2021 at 4:12pm

https://www.abc.net.au/news/2021-03-26/mental-health-concerns-over-perth-ambulance-ramping/100028922

Ms Harvey sits at a desk reading a brochure.
Taryn Harvey says a lack of support — including housing — leads to longer hospital stays.(ABC News: Evelyn Manfield)

Seven years ago, Leonie Auld was deeply depressed and suicidal.

Her sister took her to the emergency department at the Joondalup Health Campus, where she was admitted to the mental health ward.

“You feel very out of control of your life,” Ms Auld said. 

“You don’t have a sense of autonomy and control in your life and you can really only do the basics.

“For me just getting up,  making coffee and going back to bed was a regular occurrence. Not dressing. Wearing the same clothes every day. 

“Not being able to cope with work. It’s affecting your daily activities and being able to survive everyday life.”

After four weeks, she left hospital, but said she was not provided with any help or support to adapt and rebuild her life in the community.

“Once I was out of the safety of the hospital and those four walls, and real life comes at you, I didn’t have the mechanisms or coping skills to do that on my own,” she said.

She relapsed and was readmitted to the mental health ward.

But when she was discharged the second time, she had access to group counselling, supported ‘step down’ accommodation and intensive therapy. 

“So that enabled me to still continue my recovery but not be in that clinical setting, which was really important for me,” Ms Auld said.

She was one of the lucky ones to have access to limited services — and her successful reintegration into the community meant an extra mental health bed was freed up.

Mental health load worsening hospital crisis

The state government has attributed major blockages in Perth’s public hospitals in large part to increasing demand for mental health beds. 

WA’s peak mental health consumer body wants more government support for people to stay healthy in the community and not fall back on emergency departments.

“If we’re looking at how do you stop code yellows, you support people so they’re well and don’t have to go into hospital in crisis,” Consumers of Mental Health WA chief executive Shauna Gaebler said. 

She is calling for more support for people during the vulnerable transition out of hospital and for a “navigation service” to help people find and access mental health support to avoid hospital readmission. 

She also wants support for people to create a stable new life outside hospital. 

“The things that affect our lives, it’s around employment support, it’s around some access to financial support, accommodation support,” she said. “Those things that make our lives meaningful.”

Taryn Harvey, chief executive of the Mental Health Association WA, said better community support would free up mental health beds.

“We know that the government’s most recent data showed that 27 per cent, or 178 people, who were in a mental health hospital bed actually had no clinical reason to be there,” Ms Harvey said. 

“They were ready to be discharged, but because of a lack of housing and ongoing community support, they weren’t able to be discharged.”

New mental health teams to be funded

Mental Health Minister Stephen Dawson said the government was doing more to help people who did not require hospital treatment to become well in their communities, where they were close to support networks. 

That included establishing alternatives to emergency departments and crisis intervention services, such as ‘safe havens’ near Royal Perth Hospital and Kununurra emergency departments.

The government is also developing active recovery teams, which the Minister said would “bring together community support services and public hospital teams to ensure patients have the support they need to leave hospital and remain well in the community”.

The teams are due to be established by the middle of the year.

The government has already announced a $361 million package to expand youth community treatment services, assessment and treatment outreach teams and eating disorder services.

Health Minister Roger Cook said hospitals were also doing the best they could and more beds were being added to the system.

“It’s simply a stating of the obvious that occasionally hospitals will get a surge in presentations or something of that nature, and they just get the staff to redouble their efforts to move patients through,” he said.

“We’re seeing a growing number of presentations to our [emergency departments] and we’re seeing a particular cohort of patients who are highly complex and highly acute in terms of what symptoms they’re presenting with, and that’s really putting our ED’s under challenge.

“We’re bringing on 400 new beds. 300 are new inpatient beds and 100 of those are mental health beds, but we’re bringing on 117 beds on as a matter of urgency.”

To be continued…..

For help in Australia

Salvation Army Care Line     1300 36 36 22

Reach Out     http://au.reachout.com/tough-times

Headspace     Register and chat now at eheadspace, or call 1800 650 890  Headspace

Lifeline    13 11 14 https://www.lifeline.org.au/

Mensline Australia 1300 78 99 78 (24 hour phone counselling and referral)

Beyond Blue 1300 22 46 36

https://www.beyondblue.org.au/the-facts/suicide-prevention

Mates in Construction: 1300 642 111

QLife        1800 184 527    Phone & Chat  3.00 pm – 12.00 pm everyday

SANE Australia help helpline@sane.org

SANE Australia Helpline  Chat –  Talk to a mental health professional (weekdays, 10 am-10 pm Australian Eastern Standard Time) 1800 187 263

Kids Help Line 1800 55 1800 (24 hour phone counselling)

Suicide Call Back Service 1300 659 467 (Professional call back service referral line operates seven days a week)

Veterans Line 1800 011 046 (after hours professional telephone crisis counselling for veterans and their families

Marooned (Part 1)

“This play captures your attention all the way through. It is challenging yet compassionate in its take on this difficult topic, suicide. Seeing this play opens up the conversation for us all, about a topic that has been hidden for a long time” Olivia Wong, Psychiatrist.

https://www.wolvestheatre.com/so/12NNYboLF#/main

A good news suicide prevention story

Initially this original Australian play was meant to have a short season in a small theatre in Melbourne as a dedication to our friend, an actor who took his life.

But instead it resonated so deeply with audiences it was clear that it was something special. Night after night audiences would hang around after the play wanting to talk openly, warmly and proactively about suicide and its prevention.  And many of these people from Barristers to Pensioners urged us to take it everywhere.

Suicide prevention conferences achieve these positive and communal conversations but usually after a day or two, while this play achieves the same result after only 90 minutes.

And this conversation that it initiates is why the regional towns are taking the play. 

More importantly it’s the reason The AUSTRALIAN ARMY is to tour the play to all their bases. 

James The boat builder who brought Marooned to Corowa

Synopsis

The story is simple, four Australians, from four different demographics are stuck in a waiting room in heaven. They have all taken their own lives and apparently failed. God never speaks to them, instead he leaves them to their own devices to discover what it is they must do to get out.  That is not only talking but listening. As they become closer they all find their second wind and start heading back, except one character, a man in his early fifties, who turned up broken but at the end is hungry to get home to his family and start living. Sadly, once alone, he discovers his attempt has been successful and he’s not going anywhere. This twist rams home the nightmare of suicide and while it leaves the audience stunned, the play itself leaves them uplifted.     

After every show they hang around and talk openly and warmly about their own stories and suicide. If mental health professionals are there to harness all this positivity, then these conversations are a breeding ground for change.

We are not a mental health charity, we are a not for profit theatre company who are happy to work with all groups who deal with this issue.

The towns themselves can put it on for free, or charge and use it as a fundraiser.

The play can be staged anywhere from a theatre to a barn, even outside.

Please contact the Chief of Army for an assessment.

But for now, we want to get this play on the road doing what it was written to do and doing it cost effectively.

Regards

Michael Gray Griffith 0425854943

The Wedge Theatre, Sale.

Corowa Town Hall

Yarrawonga  Town Hall

Red Rock Regional Theatre

Canberra, Army Headquaters

Franskston

Camberwell

Prahan MC Showroom

MTC

The Palace Hotel

Towns Booked 

  • Ballarat
  • Launceston
  • Finley 
  • Paroo
  • Bega 
  • Grandlston
  • Canarvon
  • Berrigan 
Noel Thomas who brought Marooned to Yarrawonga
Graham Blumfield who brought the play to Frankston

For help in Australia

Salvation Army Care Line     1300 36 36 22

Reach Out     http://au.reachout.com/tough-times

Headspace     Register and chat now at eheadspace, or call 1800 650 890  Headspace

Lifeline    13 11 14 https://www.lifeline.org.au/

Mensline Australia 1300 78 99 78 (24 hour phone counselling and referral)

Beyond Blue 1300 22 46 36

https://www.beyondblue.org.au/the-facts/suicide-prevention

Mates in Construction: 1300 642 111

QLife        1800 184 527    Phone & Chat  3.00 pm – 12.00 pm everyday

SANE Australia help helpline@sane.org

SANE Australia Helpline  Chat –  Talk to a mental health professional (weekdays, 10 am-10 pm Australian Eastern Standard Time) 1800 187 263

Kids Help Line 1800 55 1800 (24 hour phone counselling)

Suicide Call Back Service 1300 659 467 (Professional call back service referral line operates seven days a week)

Veterans Line 1800 011 046 (after hours professional telephone crisis counselling for veterans and their families

Giving Men a Hand: The case for a male suicide prevention strategy

Australian Men’s Health Forum

Poole, G., 2020. Giving Men A Hand: The case for a National Plan to Prevent Male Suicide. Sydney: Australian Men’s Health Forum.
AMHF receives funding from the Australian Government.

CONTENTS

Thinking Differently About Male Suicide Page 1

The Facts About Male Suicide Page 2

10 Ways Male Suicide is Different Page 3

The Case For A National Plan To Prevent Male Suicide Page 4

5 Reasons We Need A Plan To Prevent Male Suicide Page 5

Moving Beyond Mental Health Page 6

Focusing On Life Crises Page 7

5 Risk Factors For Male Suicide Page 8

Looking Out For Men At Risk Page 10

Social Factors that Shape Male Suicide Page 12

Barriers To Preventing Male Suicide Page 14

Making Suicide Prevention Services Male-Friendly Page 16

10-Step Guide to Developing Male-Centred Health Programs Page 17

Five Actions to Prevent Male Suicide Page 18

“A recent analysis of Government-funded suicide prevention projects by the Australian Men’s Health Forum found that while 75% of suicides are male, the majority of Government-funded suicide prevention initiatives are more effective at reaching women (AMHF 2020).
These include StandBy (80% female clients); Kids Helpline
(77%); Beyond Blue’s Way Back Support Service (60%); headspace (60%) and Lifeline (around 60%).” Page 15.

Let’s Keep Preventing Female Suicide
While this report focuses on the need to prevent male suicide, work to prevent suicide should be gender inclusive and take into account the needs of women, girls and gender diverse people too. Page 5.

https://d3n8a8pro7vhmx.cloudfront.net/amhf/pages/1237/attachments/original/1616117359/MENS_HEALTH_Giving_Men_a_Hand__FINAL_V4_SINGLE.pdf?1616117359

For help in Australia

Salvation Army Care Line     1300 36 36 22

Reach Out     http://au.reachout.com/tough-times

Headspace     Register and chat now at eheadspace, or call 1800 650 890  Headspace

Lifeline    13 11 14 https://www.lifeline.org.au/

Mensline Australia 1300 78 99 78 (24 hour phone counselling and referral)

Beyond Blue 1300 22 46 36

https://www.beyondblue.org.au/the-facts/suicide-prevention

Mates in Construction: 1300 642 111

QLife        1800 184 527    Phone & Chat  3.00 pm – 12.00 pm everyday

SANE Australia help helpline@sane.org

SANE Australia Helpline  Chat –  Talk to a mental health professional (weekdays, 10 am-10 pm Australian Eastern Standard Time) 1800 187 263

Kids Help Line 1800 55 1800 (24 hour phone counselling)

Suicide Call Back Service 1300 659 467 (Professional call back service referral line operates seven days a week)

Veterans Line 1800 011 046 (after hours professional telephone crisis counselling for veterans and their families

Mary O’Brien’s “Are You Bogged Mate?” Program

Profiled on ABC’s Landline

Recognition for Mary O’Brien’s Are You Bogged Mate? program continues to gain traction. Following her recent double gong victories in the Australian Men’s Health Forum’s National Men’s Health Awards for 2020, Mary was featured in the ABC’s highly rated Landline, which focuses on stories in outback Australia.

Mary tells reporter Pip Courtney that she started Are You Bogged Mate? two years ago after two local men died of suicide in her hometown Dalby, three hours west of Brisbane.

Having spent her life travelling the country giving spray drift workshops to grain-growers, and growing up on a sheep property, she had developed a deep understanding of rural blokes and how to reach them.

“They are a very special breed, and they are certainly worth looking after,” she said.

Mary quotes statistics on male suicide, and says they scare the hell out of her.

“Six men a day in this country take their own life and two women. Rural men are twice as likely to take their own life as metropolitan men. In the 20-24-year-old age bracket, 40% of those young men that die are by suicide.”

When Mary developed her suicide prevention and mental health awareness program, she chose to deliver her message in relatable language and farming metaphors, likening depression to a machine getting bogged.

“If you red-line your machine all the time, it’s going to blow up,” she tells a group of rural blokes in a big open farm shed.

As one farmer states, “the analogy between mental health and seeking assistance is just brilliant.”

Psychologists and participants interviewed on the show say Mary is bridging the gap between mainstream health services that ‘don’t fit in with what communities need,’ and blokes. “On a daily basis, Mary saves lives,” claims Dervla Loughnan, who runs a virtual text-based counselling service.

Farmer Stuart Armitage was one of those blokes, who suffered deeply through the 2011 floods. “She’s on the same level as us and that’s the way we like it.”

Are You Bogged Mate? recently gain charity status and is paving the way to get sponsorship.  

“Services are missing getting the blokes in,” says Mary. “There is a still a stigma there. I hope I can break down some of those barriers and put it into ‘bloke-speak’ or farmer speak.”

She told Landline the AMHF Men’s Health Awards had been a special moment of recognition.

Mary won the overall Qld Men’s Health Award and the National Women Working in Men’s Health Award.

“That was awesome it was really humbling. And hopefully it just shines a bit more of a spotlight on rural men’s mental health and how important these guys are.”

https://www.amhf.org.au/are_you_bogged_mate_profiled_on_abc_s_landline

Take Action for Men’s Health

View Mary O’Brien story on Landline (ABC 28:55) (about half-way through the program at the 30 minute mark)

Read: National 2020 Men’s Health Award winners announced (AMHF)

Read: Mary O’Brien wins Qld Men’s Health Award (AMHF)

For help in Australia

Salvation Army Care Line     1300 36 36 22

Reach Out     http://au.reachout.com/tough-times

Headspace     Register and chat now at eheadspace, or call 1800 650 890  Headspace

Lifeline    13 11 14 https://www.lifeline.org.au/

Mensline Australia 1300 78 99 78 (24 hour phone counselling and referral)

Beyond Blue 1300 22 46 36

https://www.beyondblue.org.au/the-facts/suicide-prevention

Mates in Construction: 1300 642 111

QLife        1800 184 527    Phone & Chat  3.00 pm – 12.00 pm everyday

SANE Australia help helpline@sane.org

SANE Australia Helpline  Chat –  Talk to a mental health professional (weekdays, 10 am-10 pm Australian Eastern Standard Time) 1800 187 263

Kids Help Line 1800 55 1800 (24 hour phone counselling)

Suicide Call Back Service 1300 659 467 (Professional call back service referral line operates seven days a week)

Veterans Line 1800 011 046 (after hours professional telephone crisis counselling for veterans and their families

Humane Clinic Workshops

Matt Ball: Nurse Practitioner / Psychotherapist | Founder & Director at HUMANE Clinic | Former Australian Mental Health Nurse of the Year | Author of Dissociachotic Theory

For help in Australia

Salvation Army Care Line     1300 36 36 22

Reach Out     http://au.reachout.com/tough-times

Headspace     Register and chat now at eheadspace, or call 1800 650 890  Headspace

Lifeline    13 11 14 https://www.lifeline.org.au/

Mensline Australia 1300 78 99 78 (24 hour phone counselling and referral)

Beyond Blue 1300 22 46 36

https://www.beyondblue.org.au/the-facts/suicide-prevention

Mates in Construction: 1300 642 111

QLife        1800 184 527    Phone & Chat  3.00 pm – 12.00 pm everyday

SANE Australia help helpline@sane.org

SANE Australia Helpline  Chat –  Talk to a mental health professional (weekdays, 10 am-10 pm Australian Eastern Standard Time) 1800 187 263

Kids Help Line 1800 55 1800 (24 hour phone counselling)

Suicide Call Back Service 1300 659 467 (Professional call back service referral line operates seven days a week)

Veterans Line 1800 011 046 (after hours professional telephone crisis counselling for veterans and their families