Living with Risk in the Community

1. Living with Risk in the Community Sam Smith

2. Living with Risk - Research Perceptions of risk Risk = Danger Voice reputation communication becoming other Harm abuse home resilience and resistance

3. Living with Risk C-Change – the organisation People Risk Multi agency working

4. Living with Risk ‘To live in the universe of high modernity is to live in an of environment of chance and risk’ Giddens 1991,109

5. Living with Risk A life worth living Person centred The person is more than the label No naiveté

6. Living with Risk ‘assessment is inherently subjective and that understanding judgemental limitations is crucial to effective decision making’ Slovic, Fischoff and Lichtenstein (1982, 464)

7. Living with Risk Risk assessment and risk management are active ongoing processes not discreet actions or tasks.

8. Living with Risk • Identify predictable risk • Devise scenario based risk management strategies • Background • Preventative measures • Scenario • Follow up

9. Living with Risk

10. Living with Risk - Z • PUBLIC TRANSPORT • Background • When using public transport there have been a number of incidents when Z has encroached upon the personal space of members of the public and/or has been staring in manner that caused members of the public discomfort and/or distress. • Preventative Measures • Where possible avoid busy buses/trains • Avoid trains where there is standing room only • Z should, where possible, sit near to door of bus/train • Z should, where possible, sit to the inside of the seat, the “window seat” • Scenario No 13 • On the bus or train Z is conspicuously staring at a member of the public.

11. Support Strategy • Divert Z’s attention away from the focus of his attention, if possible • If diversion is not an option or not working, get off at the next stop. • Do not talk about the situation until you and Z are off the bus/train. • If the person Z’s is focussed on gets off at this stop, walk in opposite direction. • When appropriate explain to Z why you got off the bus/train. • Talk through the inappropriateness of the situation with Z. • If necessary get a taxi to your proposed destination. • Inform the Team Leader at the next opportunity. • Complete an Incident Report and forward to the Team Leader and Service • Leader. • The Incident Report will be forwarded to the Care Manager. • Z should be encouraged to share this situation at his next ITSO group. Living with Risk

12. HAPPINESS HIGH Only use these strategies if the person and everyone else agrees that the risk is worth taking and it does not leave the person or others in real danger These strategies should always be used. SAFETY LOW HIGH Only use these strategies if the person or others is in real danger Never use these strategies LOW Living with Risk

13. Living with Risk We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness. American Declaration of Independence

14. ‘The views of service users (sic) are largely absent from the literature but their role in taking and managing risks on an everyday basis should not be overlooked, nor their potential to play a more significant role in the process’ Stalker, K., (2003) Journal of Social Work, Managing Risk and Uncertainty in Social Work, 3(2) 211-233. Living with Risk

15. Living with Risk Thank you for listening Sam Smith Executive Director C-Change for Inclusion sam.smith@c-change.org.uk 0141 427 2946