{"id":982,"date":"2018-05-17T09:34:40","date_gmt":"2018-05-17T09:34:40","guid":{"rendered":"http:\/\/wp.lancs.ac.uk\/cedr\/?p=982"},"modified":"2020-03-17T17:31:39","modified_gmt":"2020-03-17T17:31:39","slug":"working-with-men-who-self-harm-in-a-learning-disability-secure-unit","status":"publish","type":"post","link":"https:\/\/wp.lancs.ac.uk\/cedr\/2018\/05\/17\/working-with-men-who-self-harm-in-a-learning-disability-secure-unit\/","title":{"rendered":"Accessible Summary: Working with men who self-harm in a learning disability secure unit"},"content":{"rendered":"<h2>Rebecca Fish and Hannah Morgan<\/h2>\n<h2>Introduction<\/h2>\n<p>Some research from Canada and the US says that more young men are self-harming. \u00a0There is a small amount of research from the UK. This says that when men self-harm, their injuries are usually more violent and can be seen as accidental.<\/p>\n<p>Some of the research talks about UK prisons. More men in prison are self-harming. Some prisoners reported that staff can show bad attitudes towards their self-harm. Prison staff said they need more help to deal with male self-harm.<\/p>\n<p>We talked to staff who work with men with learning disabilities in a secure unit. We wanted to find out what it is like to work with men who self-harm.<\/p>\n<h2>Method<\/h2>\n<p>This work was paid for by Mersey Care NHS Foundation Trust. We were given approval to do this study from Lancaster University.<\/p>\n<p>We interviewed nine staff members in a secure NHS learning disability unit in England. The staff were one psychiatrist, two therapy staff and six direct care staff.<\/p>\n<p>The questions were:<\/p>\n<ul>\n<li>How do staff work with men who self-harm?<\/li>\n<li>Is male self-harm changing?<\/li>\n<li>What helps?<\/li>\n<\/ul>\n<h2>Results<\/h2>\n<h3>Types of self-harm<\/h3>\n<p>The staff told us the types of self-harm that they had seen. They said men self-harm by causing fights, cutting or tying ligatures.<\/p>\n<p>They also said men use less risky self-harm like picking and scratching. One person said that men swallow risky things.<\/p>\n<h3>Is the type of self-harm changing with this user group?<\/h3>\n<p>Three staff said that self-harm is changing:<\/p>\n<blockquote><p><em>Whereas one time, you know it might just have been a cut or a graze, or a bruise where someone\u2019s rubbed their skin.\u00a0 Now it seems to be you\u2019ve got to reach for the sky and, do something that will really shock. (Int 41)<\/em><\/p><\/blockquote>\n<p>One person said that men are self-harming more because of moving plans:<\/p>\n<blockquote><p><em>It is increasing, and it started to increase because resettlement\u2019s on the cards now.\u00a0 And I think that\u2019s around anxiety levels and they way they\u2019re feeling. (Int 42)<\/em><\/p><\/blockquote>\n<h3>Meanings of self-harm<\/h3>\n<p>Some staff think the men self-harm because they are bullied.\u00a0 Some think it is because they are told what to do.<\/p>\n<p>Other staff said men self-harm to show they are distressed, because they can&#8217;t talk about it.\u00a0 Many staff said that that men self-harmed to start or stop ward moves.<\/p>\n<h3>Working with men who self-harm<\/h3>\n<p>Some staff said men hide their self-harm.<\/p>\n<p>It is hard for some men to talk about their feelings, to say why they are feeling worried and why they have self-harmed.<\/p>\n<p>Staff feel upset and sad when men self-harm.<\/p>\n<h3>Good ways to work with men who self-harm<\/h3>\n<p>Staff said these things helped:<\/p>\n<ul>\n<li>\n<blockquote><p>Building up trust and relationships with the men.<\/p><\/blockquote>\n<\/li>\n<li>\n<blockquote><p>Learning about men\u2019s pasts.<\/p><\/blockquote>\n<\/li>\n<li>\n<blockquote><p>Supporting friendships and family relationships.<\/p><\/blockquote>\n<\/li>\n<li>\n<blockquote><p>Talking about men\u2019s strengths and making them feel good about themselves.<\/p><\/blockquote>\n<\/li>\n<li>\n<blockquote><p>Art therapy and CBT therapy can help men to stop self-harming.<\/p><\/blockquote>\n<\/li>\n<li>\n<blockquote><p>Men need support when they are moving.<\/p><\/blockquote>\n<\/li>\n<\/ul>\n<h3>Staff support<\/h3>\n<p>It is difficult for staff to deal with self-harm. It is important to remember what the person has been through in their life.<\/p>\n<p>Staff said they try to keep positive. Good relationships are important. Staff need help from managers as well as work mates.<\/p>\n<p><strong>Rebecca and Hannah would like to say thank you to all the staff who helped with this research. We would like to credit Mersey Care NHS Foundation Trust for paying for this work.<\/strong><\/p>\n<p><strong>All images from CHANGE <a href=\"http:\/\/www.changepeople.org\">www.changepeople.org<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p class=\"excerpt\">Rebecca Fish and Hannah Morgan Introduction Some research from Canada and the US says that more young men are self-harming. \u00a0There is a small amount of research from the UK. This says that when men self-harm, their injuries are usually more violent and can be seen as accidental. Some of the research talks about UK [&hellip;]<\/p>\n","protected":false},"author":223,"featured_media":988,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[23,7,24,6,25],"class_list":["post-982","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-gender","tag-locked-wards","tag-men","tag-rebecca-fish","tag-self-harm"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2018\/05\/Self-harm-cutting-arms_more_male-e1526552342634.png?fit=350%2C396&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7ZPU6-fQ","jetpack-related-posts":[{"id":626,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2017\/06\/25\/restraint\/","url_meta":{"origin":982,"position":0},"title":"Accessible summary: Use of physical restraint on locked wards","author":"Hannah Morgan","date":"June 25, 2017","format":false,"excerpt":"by Rebecca Fish \u00a0 Physical restraint is holding somebody to stop them moving. It is done to stop harm to people or damage to property. Staff sometimes use physical restraint to restrict someone\u2019s freedom of movement. When people think about staying in units, they often remember being physically restrained, or\u2026","rel":"","context":"In \"easy read\"","block_context":{"text":"easy read","link":"https:\/\/wp.lancs.ac.uk\/cedr\/tag\/easy-read\/"},"img":{"alt_text":"Restraint","src":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2017\/06\/Restraint-1-300x222.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":844,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2018\/02\/16\/behind-this-wall-seclusion-and-locked-wards\/","url_meta":{"origin":982,"position":1},"title":"Accessible Summary:  \u2018Behind this wall\u2019\u2013 seclusion and locked wards","author":"Hannah Morgan","date":"February 16, 2018","format":false,"excerpt":"by Rebecca Fish In 2012 I did some research on 3 locked wards for women on an NHS secure unit for people with learning disabilities in England. People are sent to these units under the Mental Health Act if they have broken the law, or if their behaviour is a\u2026","rel":"","context":"In \"Rebecca Fish\"","block_context":{"text":"Rebecca Fish","link":"https:\/\/wp.lancs.ac.uk\/cedr\/tag\/rebecca-fish\/"},"img":{"alt_text":"Seclusion room","src":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2018\/02\/seclusion.png?fit=1004%2C782&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2018\/02\/seclusion.png?fit=1004%2C782&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2018\/02\/seclusion.png?fit=1004%2C782&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2018\/02\/seclusion.png?fit=1004%2C782&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":948,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2018\/05\/16\/women-with-learning-disabilities-living-on-locked-wards\/","url_meta":{"origin":982,"position":2},"title":"Accessible Summary: Women with learning disabilities living on locked wards","author":"Rebecca Fish","date":"May 16, 2018","format":false,"excerpt":"Rebecca Fish In 2012, I spent time in three of women\u2019s wards in an NHS learning disability secure unit. I wrote a book about it called \u2018Locked Away\u2019. I asked women what they liked about living here, and what they did not like. I also talked to staff. This is\u2026","rel":"","context":"In \"gender\"","block_context":{"text":"gender","link":"https:\/\/wp.lancs.ac.uk\/cedr\/tag\/gender\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2018\/05\/Custody-Mental-Health-Secure-Unit-e1526497291708.jpg?fit=350%2C303&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":1218,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2019\/04\/26\/moving-on\/","url_meta":{"origin":982,"position":3},"title":"Accessible summary: How do women with learning disabilities &#8216;move on&#8217; through secure units?","author":"Rebecca Fish","date":"April 26, 2019","format":false,"excerpt":"Rebecca Fish and Hannah Morgan People with learning disabilities have to stay in secure units if they have broken the law or if they are a risk to themselves or other people. It is important that people can move on through these services, and then back out into the community.\u2026","rel":"","context":"In \"accessible summary\"","block_context":{"text":"accessible summary","link":"https:\/\/wp.lancs.ac.uk\/cedr\/tag\/accessible-summary\/"},"img":{"alt_text":"emotional support, friends chatting","src":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2018\/02\/Support-Emotional-Chat-2-300x175.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":143,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2016\/10\/12\/that-blue-room-seclusion-and-locked-wards\/","url_meta":{"origin":982,"position":4},"title":"Blog: \u2018That blue room\u2019 \u2013 seclusion and locked wards","author":"strongs","date":"October 12, 2016","format":false,"excerpt":"Rebecca Fish In 2012 I spent 9 months doing ethnographic research on 3 locked wards for women on an NHS secure unit for people with learning disabilities in England. People are detained in these units under the Mental Health Act if they have committed an offence, or if their behaviour\u2026","rel":"","context":"In &quot;Events&quot;","block_context":{"text":"Events","link":"https:\/\/wp.lancs.ac.uk\/cedr\/category\/events\/"},"img":{"alt_text":"Rebecca Fish","src":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2016\/10\/Becky-Fish-239x300.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":1403,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2019\/11\/15\/blog-use-of-restraint-on-locked-wards\/","url_meta":{"origin":982,"position":5},"title":"Blog: Use of restraint on locked wards","author":"Rebecca Fish","date":"November 15, 2019","format":false,"excerpt":"By Rebecca Fish In 2005 I published some research with my colleague, Eloise Culshaw, about physical intervention (commonly referred to as restraint) on locked wards for people with learning disabilities, looking at experiences of staff and service users. We found that sometimes, restraint is not used as a last resort:\u2026","rel":"","context":"In \"blog\"","block_context":{"text":"blog","link":"https:\/\/wp.lancs.ac.uk\/cedr\/tag\/blog\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]}],"_links":{"self":[{"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/posts\/982","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/users\/223"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/comments?post=982"}],"version-history":[{"count":6,"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/posts\/982\/revisions"}],"predecessor-version":[{"id":1224,"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/posts\/982\/revisions\/1224"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/media\/988"}],"wp:attachment":[{"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/media?parent=982"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/categories?post=982"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/tags?post=982"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}