Tag Archive: anger

The specialist team is experienced in treating a range of complex conditions and challenging behaviours including: Self-harm; eating disorders; learning difficulties; psychosis; schizophrenia; depression and anxiety; anger; and substance abuse.

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A lot of the young people struggle with relationships. The cognitive behavioural-based social skills group is a really significant part of their treatment and recovery. It’s based on a positive approach, and the emphasis is on their strengths. Themes include bullying, anger, friendships and isolation.

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We sometimes use appropriate humour to reduce their negative or angry state and we remind them of the enjoyable activities they’ll be able to do when they calm down. If this doesn’t work and their hostility becomes a threat to themselves or others, we’ll move them to a quiet, safe area.

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Instilling fear in young people as a practice has negative consequences. It can produce yet more anger and resentment. It can intimidate and cause them to lose yet more confidence in themselves.

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Various groups run throughout the week, such as ‘managing emotions’. During this group, the young people are in whole-group setting and discuss a variety of feelings such as, anger, frustration, worthlessness, suicidality, self-harm etc. It allows a safe avenue for being able to express their emotions. The group also aims to provide them with new skill set in order to approach these feelings differently.

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… the need for physical activity, for example [a punch bag]. Following on from the likelihood that there will be times on the unit when stress levels are high, the opportunity for young people to release anger and frustration in a constructive way seems useful. (From YoungMinds’ Where Next 2)

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Safewards

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‘Safewards’ (the clue is in the name!) and CAMHS

A major new piece of research from Professor Len Bowers and his team at Kings College, has demonstrated that simple interventions can help wards be safer. Prof Bowers says that Safewards takes inspiration from Star Wards and focuses on small, practical changes that can have a dramatic effect.

Safewards comes with a model which highlights that flashpoints can happen on any ward.  What the model then suggests is that both staff and patients can create a culture where these flashpoints don’t have to result in harm to anyone – either through patients getting upset and angry or staff using coercion to gain control. The ten practical interventions suggested are all doable (and very Star Wards friendly), although some will need to be adapted for CAMHS wards.

Safewards comes with a webpage offering support – here is a link to the model.

http://www.safewards.net/model/model-diagram

And here is a special page on the forum, dedicated to CAMHS wards!

http://www.safewards.net/forum/camhs

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Internet safety from Islington CAMHS

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Islington CAMHS spoke to young people to help them learn about internet safety and to find out what works well for them to keep safe online. The young people they spoke to gave them lots of tips and ways to keep safe online. Here’s a taste:

The internet is great for lots of reasons including …

  • Communication – such as interacting and talking to people.
  • Information – good for schoolwork, finding out updated information quickly and also having access to the news and maps.
  • Entertainment – streaming entertainment on websites such as YouTube and BBC iPlayer and also playing games.
  • Safety – young people told us they have used their phones to help them get out of tricky situations.

Top tips include:

  • Use a ‘phone jar’ – give yourself a target of how many times you go on your phone and if you go over, you have to put money in the phone jar.
  • Tell friends about the consequences of sharing information online, such as employers or prospective employers seeing posts and photos etc.
  • Don’t post when you’re upset /overly happy/ angry or in a different mood than usual.

Read the full guide here

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Social Skills Group

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A social skills group based on a positive approach where the focus is on the young person’s strengths, rather than on their difficulties. Topics explored within the group include bullying, anger, friendship and loneliness. These emotive subjects are presented in an approachable and non-confrontational way. The group is very structured and combines using worksheets with games and relaxation. It uses cognitive behavioural techniques to help young people identify feelings, both their own and those of other people.  (Holmes et al 2011)

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Identify emotions that welcome positive change

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“The team work to manage any strong emotions such as anger or aggressive behaviour. We continually reflect on the meaning of the young person’s emotional expression and behaviour, and during time with them identify emotions that welcome positive change.”

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