co-production of an intervention facilitating informal caregivers to support adults at risk of suicide and serious self-harm: a brief report

Deborah Frances
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Abstract

The recovery model in mental healthcare increasingly recognises suicidal behaviour as an interpersonal issue, with caregivers seen as essential in prevention.  In the UK, as in other parts of the world, there is growing consensus in policies, guidelines and academic research towards carer involvement in a person’s mental healthcare, yet inconsistency in practice remain commonplace. In response to the theme of poor family involvement consistently identified in reports into deaths by suicide in Devon (UK), Devon Partnership NHS Trust has developed Stronger Together, a training programme for carers of suicidal adults.  The programme, co-produced with carers and service users, also includes a collaborative learning component with healthcare staff. This report explores the programme's co-production and my personal involvement.  Co-production shaped Stronger Together, aligning it with national policy and research findings.  Its co-delivery and co-learning approach uniquely addresses carers' needs and fosters staff-carer collaboration.  Learning from this initiative could help other mental health trusts foster a culture of carer collaboration, potentially improving patient safety, reducing caregiver burden and enhancing support for patients and families to reduce deaths by suicide.  It also strengthens the case for co-production of training that effectively meets the needs of participants and delivers on its outcomes.
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共同制定干预措施,促进非正规护理人员为有自杀和严重自残风险的成年人提供支持:简要报告
心理保健中的康复模式越来越认识到自杀行为是一个人际关系问题,而照护者被视为预防自杀的关键。 在英国,与世界其他地区一样,政策、指南和学术研究对于照护者参与到患者的精神医疗保健中也越来越达成共识,但实践中的不一致仍然普遍存在。针对英国德文郡自杀死亡报告中一直指出的家庭参与度低这一主题,德文郡合作国民医疗服务信托基金会开发了一项针对有自杀倾向的成年人的照顾者的培训计划--"携手更强"(Stronger Together)。 该计划由照顾者和服务使用者共同制定,还包括与医护人员合作学习的内容。本报告探讨了该计划的共同制作过程以及我个人的参与情况。 共同制作塑造了 "携手更强 "计划,使其与国家政策和研究成果保持一致。 其共同实施和共同学习的方法独特地满足了照护者的需求,并促进了员工与照护者之间的合作。 从这一举措中汲取的经验可以帮助其他精神健康信托机构培养照护者合作的文化,从而改善患者安全,减轻照护者负担,加强对患者和家属的支持,减少自杀死亡。 它还加强了共同制作培训的理由,有效地满足了参与者的需求并取得了成果。
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