Caidreamh - HSE.ie · Caidreamh Caidreamh Failte Welcome to issue 7 of Caidreamh – our Winter 2018/2019 edition. In some respects, this is a sad occasion for me as it is, in fact,

Caidreamh Edition 7 1

Caidreamh

Failte

Welcome to issue 7 of Caidreamh – our Winter 2018/2019

edition.

In some respects, this is a sad occasion for me as it is, in

fact, the final issue of Caidreamh! Moreover, it is the last

time I will oversee its production as I retire at the end of

February. However, it also marks a new departure for Men-

tal Health Engagement (MHE) and Recovery which has

been promoted up to now by Advancing Recovery in Ire-

land (ARI) These two strands of service user, family mem-

ber, carer and service provider involvement are now being

brought together under one umbrella. As a consequence,

our next (Spring) publication will be a combined effort. And

we would like you to help with this by suggesting a name

for the new publication. The proposer of the name select-

ed will receive a gift voucher so “put your thinking caps on”!

We would like to think that all those who have supported

MHE and ARI will continue support Mental Health Engagement and Recovery - MHER . We hope

and believe that this amalgamation will be greater than the sum of its parts. It is an exciting time for

service users, family members and service providers

In this last issue of Caidreamh, we have an inspiring piece on the subject of kindness – A Little

Kindness - in the mental health services by service user, Jonathan, while our Irish language corre-

spondent, Seosamh O Maolalai, has an accompanying piece on the issue of thoughtfulness –

Smaointeacht Beag

Katherine Brown, a consultant psychiatrist, and Liam Hennessy, Head of MHE, introduce a Model of

Care for Early Intervention in Psychosis (EIP), a model which was put together based on best inter-

national evidence by a group made up of all the disciplines in the mental health services and of

which I was a member.

Catherine Brogan, Training Officer for Mental Health Ireland, provides an overview of the training

programme for service user, family members and carers that Mental Health Ireland will be rolling

out across the country on behalf of Mental Health Engagement. In fact, two pilots of this pro-

gramme have already begun at the time of writing.

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There is room for each one of us to make a difference


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We include a piece about the learning I experienced while speaking at conferences in Norway and

France late last Autumn, which illustrates the value, I believe of international cooperation.

We want to alert you too to what will be coming down the tracks for MHE and the wider mental

health services with the imminent production of a guide, video by Mental Health Ireland and stand-

ardised pathway of care for the service user.

We have our usual Books section and our Poetry Corner in this edition is about Hope, a suitable ac-

companiment to the articles about Kindness and Thoughtfulness. It seems to us that this trio –

Hope, Kindness and Thoughtfulness - can play a big role in our mental health services and chime

very well with the Recovery philosophy.

On that optimistic note, it is time for me to say Farewell or Slan tamaill. It has been a huge privilege

to lead Mental Health Engagement over the last three years. And I would like to say mile buiochas

to the many friends and colleagues I worked with or met during that time, whether they were service

users, family members, carers or service providers. I will always think of you kindly.

Finally, I would like to say a particular thank you to the team here at the national office – Catherine

O’ Grady, Gerry Maley, Michaela Meenaghan, Brendan Culleton and Valerie Greville. Whatever I

have achieved could not have been done without you.

Liam Hennessy,

Head of Mental Health Engagement

Contents

A Little Kindness…………………………………………………………………...3

Smaointeacht beag………………………………………………………………..4

MHE Training………………………………..……………………........................6

Early Intervention in Psychosis (EIP) Model of Care…………….……….……7

Norway/France………………………………………………………………….….8

Local Library...……………………………………………………………………..9

Quotable Quote…………………………………………………………………….9

Poetry Corner………………………………………………………………….….10

Local Fora Details…………………………………………………………….….12

Helpful Contacts……………………………………………………………….…15


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A Little Kindness

Jonathan, service user

A long time ago I was in hospital, Tallaght Psychiatric Hospital. I was in for 10 months, out, then for

three and back in for a further two at that stage. I guess the nurses knew me. I was struggling.

Swinging from depression to psychosis. One night the suicidal urge came on strong. I am an intro-

vert, and it was like my introversion caved in on itself, collapsing like a black hole. I was in bed and

it was around 11.30. I think. The ward was dark and quiet.

In my past experience when you look for help at night the nurses want you to go back to bed and

not cause a disturbance. But I got out of bed and went to the Nurses’ Station. I stood in the door-

way and explained to the nurse, John, how I was. To my surprise, he invited me in. I took a seat.

John offered me a cup of tea and put the kettle on. John was not rushing me. He struck up a con-

versation and soon enough we were talking about fishing. I was offered a biscuit. Another nurse - I

will call him Kevin - was working on some paperwork. However, he too looked up often and joined

in. The biscuit and the cuppa were nice. I felt calm and safe. I smiled and nearly laughed.

I enjoyed that simple talk and the cup of tea on that dark night. After 20 minutes, I guess, I said I

felt better and returned to my bed. I quickly fell asleep. That night is a cherished memory.


Caidreamh

Smaointeacht beag

Seosamh Ó Maolalaí

Bíonn fadhbanna agam. Cúrsaí oibre don chuid is mó. Goilleann siad orm. Uaireanta ní cho-

dlaím go ró-mhaith. Ní maith an scéal é sin. I ndiaidh oíche chorraithe bíonn tuirse orm an lá dár

gcionn. Ní bhím ábalta díriú i gceart ar na fadhbanna atá le réiteach agam. Méadaíonn ar na

fadhbanna!

Téim isteach is amach ón obair ar mo rothar. Is breá liom a bheith ag taisteal ar an dá roth. Gan

dabht tá sé tábhachtach a bheith cúramach i lár tráchta na cathrach. An-thábhachtach. Ach is

maith an rud é an aclaíocht. Deineann sé maitheas do m’intinn. Bím ag canadh ar an rothar.

Agus ag taibhreamh. Mé i mo thaoiseach ar Éire agus fadhbanna uile na tire á réiteach agam!

Áit á fháil ag mo mhac ar phainéal peile Átha Cliath agus páirt á ghlacadh aige sa ‘ruaig don

chúig’! Aoibhneas!

Ar an mbealach abhaile dom, téim ar an gcosán (rothán?) taobh leis an gCanál Ríoga gar do

phríosún Mhuinseó. Anuraidh bhí an t-uafás puball le feiscint ar thaobh na canálach - daoine

gan dídean ag cur fúthu ansin go dtí gur chuir doineann an gheimhridh an ruaig orthu.

Bhí daoine áirithe ann gan dabht, bail ó Dhia orthu, a bhí ag iarraidh cabhair a thabhairt do na da-

oine gan dídean seo. Feachtas amháin, an teideal a bhí air ná #homelessnotvoiceless. Cuireadh

greamáin ar an bhfalla ag iarraidh ar an lucht díshealbhaithe a gcuid scéalta a insint. ‘What’s

your story?’ ag barr an leathanaigh agus línte le líonadh faoi bhun. Bhí féith an ghrinn i nduine

éigin mar is éard a scríobh sé nó sí ná ‘Anyone got weed?’

Ach, éist. Cúpla lá i ndiaidh don phleidhceoir sin meangadh gáire a mhealladh asaim, chonaic

mé an méid seo scríofa i bpeann trom dubh. “Anyone seen my son _____ ______? He has

been missing since Feb ’18. Call 087 __________”


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Fadhbanna? Níl fadhb ar bith agam. Níl, ach truflais is ráiméis. Tá páirtí álainn gealgháireach

agam. Triúr páiste, iad fásta anois, sona sásta sláintiúil gach duine acu. Buíochas mór le Dia.

Post agam le pá maith agus mé i mo chónaí i dtigh deas cluthar. Agus mé ag cailleadh mo chuid

codladh de bharr ‘fadhbanna’ na hoibre. Bíodh ciall agat, a bhuachaillín.

Tá fadhbh cinnte ag an athair úd. É cráite croíbhriste toisc go bhfuil a mhac ar iarraidh. Ar strae,

imithe, gan tásc ná tuairisc air. An fear bocht, an t-athair, is dócha nach gcodlaíonn sé siúd go

maith ar chor ar bith. Crá croí agus briseadh croí air féin agus ar a mhuintir.

Níl a fhios agam ar tháinig an fear bocht ar a mhac i ndeireadh thiar thall. Impím ar Dhia, más

ann Dó, cabhair agus faoiseamh a thabhairt dó. Agus cuimhním ar an bhfear bocht sin nuair a

thosnaíonn fadhbanna na hoibre ag goilleadh orm. Agus tuigim nach fadhbanna ar chor ar bith

iad.

Foclóir – Vocabulary

Fadhbanna – problems; Goilleann siad orm – they upset me, annoy me; oíche chorraithe – an un-

settled night; an lá dár gcionn – the next day; díriú – to focus; le réiteach – to be resolved; taisteal

– travel; roth – wheel; aclaíocht – exercise; m’intinn – my mind, my head; ag taibhreamh – dream-

ing; ruaig don chúig – drive for five; aoibhneas – bliss; Canál Ríoga – Royal Canal; príosún

Mhuinseó – Mountjoy jail; an t-uafás – lots of; puball – tent; daoine gan dídean – homeless peo-

ple; ag cur fúthu – residing; doineann – bad weather; ag iarraidh – trying to; feachtas – a cam-

paign; greamáin – stickers; lucht díshealbhaithe – the dispossessed; le líonadh – to be filled in;

féith an ghrinn – a sense of humour; pleidhceoir – a messer; meangadh gáire – a smile, a chuck-

le; a mhealladh – to tempt; truflais - trivialities; ráiméis – nonsense; páirtí – a partner; geal-

gháireach – happy, full of laughter; tigh deas cluthar – a nice comfortable house; bíodh ciall agat –

have some sense, cop on; cráite – demented with worry; croíbhriste – broken hearted; ar iarraidh

– missing; gan tásc ná tuairisc – without a trace; crá croí – heartache; i ndeireadh thiar thall – in

the end; impím – I implore; cabhair – help; faoiseamh – relief; ar chor ar bith – at all, at all


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Building Skills for Mental Health Engagement and Recovery Forum Training

Catherine Brogan, Mental Health Ireland

It was with great excitement on the 15th January that the working

group established to co-create and co-facilitate the Mental Health

Engagement and Recovery Forum Training began the piloting of

a 3 ½ day skills based programme for people who use mental

health services, their family members, supporters and service

providers.

This initiative was a collaborative approach between the Office for

Mental Health Engagement, Mental Health Ireland, ARI, Area Leads, Peer Educators, ARI facilita-

tors and Forum members. The purpose of the group was to coproduce a practical skills based pro-

gramme that would support all those interested in becoming forum members, those who would

take up the roles of elected representatives of the Forums and information and knowledge for ser-

vice providers to enable them support the development and sustainment of the Forums.

The Forum provides service users, family members and carers the opportunity to raise issues re-

lated to service improvement and have them brought via the Area Lead and their elected repre-

sentatives to their Local Management Team for action and it supports stakeholders to work collab-

oratively to find solutions to the issues raised.

The facilitative programme consists of a two day generic skills based training for all Forum Mem-

bers, with a one day dedicated training for elected representative roles on the Forum and a ½ day

information and awareness session for service providers.

80 people took part in this pilot programme and provided really helpful feedback on what worked

well and what could be improved. The Working group will meet on the 4th February to make the

refinements to the programme based on this feedback and we look forward to the programme be-

ing rolled out to all Forum across the country. We would like to thank all those who participated in

the co-creation and co-facilitation of the programme and all those who participated in this pilot roll

out.


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Early Intervention in Psychosis (EIP)

Katherine Brown, Consultant Psychiatrist and Liam Hennessy, Head of Mental Health Engage-

ment

It is a common experience that psychosis often develops in adolescence, particularly amongst

young males. There is also much international evidence to suggest that early intervention with the

illness leads to the best outcomes for the service users and families concerned. In keeping with this

context, the HSE mental health services have now developed a national clinical programme for ear-

ly intervention in psychosis. The programme was prepared by a working group composed of all the

disciplines working in this area and included an service user throughout. The infographic with this

article tells you what it is all about!


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Foreign Friends in Norway and France:

Liam Hennessy, Head of Mental Health Engagement

I had the privilege of addressing conferences in both Norway and France in

late Autumn last year on the twin subjects of mental health engagement

(MHE) and peer support working. I also had meetings with service users and

family members and carers while there.

There is great interest in these issues in both those countries as they are just

beginning on a journey to bring these concepts into their mental health ser-

vices and they see Ireland as something of a leader in this area.

This is quite humbling as, perhaps, we have not made as much progress as

we would like to have made with engagement and peer support working. Yes, the foundations are

there with the Area Leads for MHE, 35 Local Engagement Forums and some peer support workers

in place. But, certainly as regards engagement, the impact on local service delivery is still in its in-

fancy and we probably need more peer support workers including family peer supporters.

There was some interesting learning in both trips. In Norway, for example, addiction services are

part of the mental health services, while in France they regard autism as a cognitive development

deficit and support those on the autism spectrum within mental health services.

In Ireland, as a response to the needs of those with mental health difficulties as well as addiction

issues, a Model of Care covering dual diagnosis is now in preparation to meet this difficult chal-

lenge. It will lead to more “joined up thinking” about treatment. Moreover, it will leave behind the

situation where a service user was either treated within the addiction services or, separately, the

mental health services, meaning that his or her total needs might not have been cared for in a fully

holistic way.

Autism services in Ireland too may be setting out on a process of change. This has followed the

commissioning and publication of the Review of the Irish Health Services for Individuals with Autism

Spectrum Disorder (ASD) in November, 2017. As a result, the HSE plans to begin an Autism Spec-

trum Disorder Service Improvement Programme comprising a number of Service Improvement pro-

jects. The Programme will aim to respond to the need for greater awareness amongst health pro-

fessionals and the general public about both ASD and the support for service providers working

with people with ASD, in other words, more “joined up” thinking.

I think that we can all learn from our international colleagues and friends as they can from us. A

timely note to finish on as we possibly enter a post Brexit world with many societies looking inward

and decrying people from other countries, their cultures and values. Ireland is not exempt from this

as we have, for example, a very poor record with racist insults and hostility to black people, second

only to Finland according the European Union (EU) Agency for Fundamental Rights in a study

called Being Black in the EU published in late 2018.


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Local Library

How to Relax

Thich Nhat Hanh

How to Relax explores the basics of mindful meditation and practise. This book is a guide to

achieving deep relaxation, controlling stress, and renewing mental clarity. It has sections on heal-

ing, relief from non-stop thinking, transforming unpleasant sounds, solitude, and more.

Get Up and Go Diary 2019

While strictly speaking this is not a book, it is a useful encouragement tool with lots of wise advice

and motivational sayings. However, it may be a little too upbeat for some.

Quotable Quote

Our quotable quote for this edition is in keeping with our theme of hope and comes from the Nobel

Peace Prize winning, civil rights leader who was sadly assassinated just over 50 years ago, Dr

Martin Luther King.


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“Hope” is the thing with feathers

“Hope” is the thing with feathers -

That perches in the soul -

And sings the tune without the words -

And never stops - at all -

And sweetest - in the Gale - is heard -

And sore must be the storm -

That could abash the little Bird

That kept so many warm -

I’ve heard it in the chillest land -

And on the strangest Sea -

Yet - never - in Extremity,

It asked a crumb - of me.

Emily Dickinson

Rhyme and Reason

Fragment 7: When Hope but made

Tranquillity be felt

When Hope but made Tranquillity be felt—

A Flight of Hopes for ever on the wing

But made Tranquillity a conscious Thing—

And wheeling round and round in sportive coil

Fann'd the calm air upon the brow of Toil—

Samuel Taylor Coleridge


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CHO 1 Date Venue Time

Donegal Forum January 10th

February 12th

March 12th

Motley Crow,

Railway House Ramelton Road,

Letterkenny

17:00-19:00

Sligo/Leitrim Forum January 24th

February 21ST

March TBC

Ballytivnan Centre

Clarion Road

Sligo Town

19:00-21:00

Cavan/Monaghan Forum January 29th

February 19th

March 26th

St Joseph’s Pastoral Centre

Broad Road

Monaghan Town

16:00-18:00

For further information please contact [email protected], Area Lead for Mental Health Engagement for CHO 1

Local Fora Dates and Locations


Castlebar Local Forum February 14th

March 14th

April 11th

May 9th

Mayo Mental Health Association,

Antrim Street

17:30-19:30

Roscommon Local Forum February 11th

March 11th

April 8th

May 13th

REGARI Recovery College,

The Lodge (building adjacent to Ros-

common University Hospital)

18:00-20:00

Ballina Local Forum February 19th

March 19th

April 16th

May 21st

Ardnaree Family Resource Centre 19:00-21:00

Galway City Local Forum February 28th

March 28th

April 25th

Harbour Hotel 18:00-20:00



North Tipperary Local Forum February 15th

March 5th

April 2nd

May 7th

Nenagh Library, O’Rahilly St,

Nenagh North, Nenagh

14:00-17:00

Clare Local Forum February 19th

March 19th

April 16th

May 21st

Sonas Centre 19:00-21:00

Limerick Local Forum February 26th

March 26th

April 30th

May 28th

St Joseph’s Health Campus,

Mulgrave St, Limerick

18:00-20:00


mailto:[email protected]



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North Kerry Local Forum February 12th TBC 19:00-21:00

South Kerry Local Forum February 13th TBC 19:00-21:00

Cork City Consumer Panel February 13th Inniscarrig Centre,

Western Road

Cork

18:30-20:00

For further information please contact Rory Doody, Area Lead, Mental Health Engagement, Cork Kerry Community Healthcare at

[email protected] or 087 350 2640


South Tipperary February 4th Clonmel Community Resource Centre,

Kickham Street,

Clonmel

18:00-20:00

Kilkenny February 5th Recovery College South East,

Greenshill,

Kilkenny

18:00-20:00

Carlow February 6th Activation Centre,

Kelvin Court,

Carlow

19:30-21:30

Waterford City February 13th Central Library,

Lady Lane,

Waterford

18:00-20:00

Wexford February 18th Wexford Mental Health Association,

Henrietta Street,

Wexford

18:00-20:00



Dublin South East Forum February 5th

March 5th

April 2nd

May 14th

The Junction, Pearse & Macken Streets 19:30-21:30

Wicklow Forum Meeting February 11th

March 7th

April 4th

May 2nd

Knockrobin Health Centre 19:00-21:00

Cluain Mhuire Forum March 27th

April 24th

May 29th

Avila House, Blackrock 19:30-21:30

Lucena Supporters Forum February 13th

March 13th

April 10th

May 8th

Avila House, Blackrock

TBC

19:30-21:30





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Ballyfermot/Lucan Local Forum Second Tuesday of each

month.

Ballyfermot Primary Care Centre 18:30-20:00

Kildare West Wicklow Local Forum Last Thursday of every

month

Education Room,

Naas General Hospital

19:00 - 20:30

St. James Hospital Mental Health

Services Local Forum

Second Monday of every

month

St Martha’s Day Service,

730 South Circular Road,

Kilmainham

19:00 - 20:30

Tallaght Local Forum Third Tuesday of every

month

St Maelruain’s,

Main Street

19:00 - 20:30



Longford Local Forum January 29th

February 26th

March 26th

April 30th

Longford Library

(Beside Tesco / Longford Shopping

Centre)

11:00 – 13:00

Westmeath Local Forum February 5th

March 5th

April 2nd

Mullingar Library,

County Buildings,

Mullingar Town Centre

18:00 – 19:45

Laois Local Forum January 24th

February 28th

March 28th

April 25th

Triogue Centre,

Bridge Street,

Portlaoise

18:00 – 19:45

Louth / Meath Contact your local Louth / Meath Consumer Panel at consumerpanellouth-

[email protected]

For further information please contact [email protected]


Balbriggan Local Forum Meeting TBC Balbriggan Library TBC

Blanchardstown Local Forum

Meeting

TBC Blanchardstown Library TBC

Raheny Local Forum Meeting TBC St Francis Raheny TBC

For further information please contact Mental Health Engagement CHO 9 at: [email protected]






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Samaritans

Website: www.samaritans.org

Free Phone: 24 hours: 116123.

Shine

Website: www.shine.ie

Support Email: [email protected]

Support Contact Details

Aware

Website: www.aware.ie

Email: [email protected]

Freephone: 1800 80 48 48

Available Monday - Sunday

10am to 10pm

Pieta House

Website: www.pieta.ie

Email: [email protected]

Freephone: 1800 247 247.

Available 24/7

Useful Links

Services and Supports

www.hse.ie/mentalhealth www.yourmentalhealth.ie

Useful Documents

Family, Carer and Supporter Guide - https://www.healthpromotion.ie/hp-files/docs/HMT01164.pdf

Family, Carer and Supporter Guide Leaflet - https://www.healthpromotion.ie/hp-files/docs/HMT01165.pdf

http://www.samaritans.org

http://www.shineonline.ie

http://www.aware.ie


http://www.pieta.ie


https://www.hse.ie/mentalhealth

http://www.yourmentalhealth.ie/

https://www.healthpromotion.ie/hp-files/docs/HMT01164.pdf

