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The Manchester Fire and Mental Health Liaison Project Warren Pickstone Head Of Resilience and Planning. Background to the project. “Over 1/3 people who died in fire in Manchester were known to mental health services”. Key elements of The Fire and Mental Health Liaison project.
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The Manchester Fire and Mental Health Liaison ProjectWarren Pickstone Head Of Resilience and Planning
Background to the project “Over 1/3 people who died in fire in Manchester were known to mental health services”
Why an Occupational Therapist? Need a holistic approach to fire safety that includes:
Link between – Mental Health Fire Risk Fire and mental health link? Person, Environment and Occupation. Performance /Capacity Volition / Habituation Roles & Routines
Need for partnership working? Health Trust • Specialist Skills • Learning points from incident reviews • Person Centred practice Fire Safety Choice & Dignity • Little fire safety awareness • Gaps in risk assessment
Need for partnership working? Fire Service Good at fire risk and fire safety Free home fire safety checks Prevention, protection, response Choice & Dignity Fire safety Difficulty accessing ‘hard to reach’ Little understanding of mental health Risk driven not person centred
Case study – Mrs X • Mrs X • 74 years, lives alone own home • 9 fires in 18 months • Falling asleep, food unattended • Alcohol • Depression • Bereavement • Loss of role • Volition • Smoke inhalation • Hospital admission • Referral made to Fire & Mental Health Liaison
RiskAssessment • X • (Scales)
Assessment and Intervention • Documentation of Risk • Joint Home Safety Check • Motivational Interviewing • Standardised Assessment • Occupational Goals • Environmental Adaptations • Referral to Community Alcohol Service • Engagement in Community Activity Outcome – no further fire incidents!
The outcomes of our work? • X • (Scales) Interactions To reduce the likelihood (cooker timer etc) To reduce consequence (smoke alarms)
Outcomes…. • Referral process and pathway • Sharing information protocol • Mental health awareness for fire service personnel • Fire safety awareness training for Occupational Therapy staff
Unchartered areas of work for occupational therapy Creating capable teams approach: • Person (e.g. depression, poor concentration) • Environment (e.g. cluttered, housekeeping, friends) • Occupation (e.g. cooking, smoking) Holistic Approach Required
Contact details Warren Pickstone pickstonew@manchesterfire.gov.uk