adolescence Flashcards
what is redthread
Redthread is a charity bridging the gap between youth work, health and education. Partnership working between services in primary care. Develop youth violence interventions.
who does red thread work with
11 to 24 year olds • Any weapon related injury or serious assault • Child Criminal Exploitation • Child Sexual Exploitation • Sexual Violence • Domestic Violence
what does redthread do?
Support from the earliest opportunity. • Support while in hospital. • Support in the community. –Linking into services –Advocacy –Developing support networks
how does redthread intervent in the hospital
Assisting with basic needs to make hospital experience more positive
• Translating medical concepts
• De-escalating potentially conflict within hospital
• Mediating police proceedings to be less obscure/ more trauma
informed for young people
• Engaging with peer group / family / such other visitors
• Convening strategy and discharge planning meetings
• Contributing to contextual social care referrals
how does redthread intervent once discharged?
• Ensuring young people continue to accessing appropriate healthcare
• Monitoring ongoing risk in community
• Advocating for young people to be (re)housed safely/appropriately
• Supporting with court proceedings
• Identifying Employment, Education or Training
opportunities/increasing YP’s readiness to access these
• Helping young people to be more ready to be referred to mental
health support/counseling or ongoing mentoring
what are some consequences of violence as a public health issue?
Expensive – costing the NHS £2.9 billion a year in England and Wales, whilst the cost to
society is estimated at £29.9 billion per year.
Contagious – exposure to violence leads to increased likelihood of further involvement
Damaging – research by the Institute of Psychology shows that “lifetime exposure to two
or more types of violence was associated with increased risk for all mental health outcomes.”
Unequal – violence is another kind of health inequality, disproportionately affecting the
UK’s most deprived communities
Treatable – evidence shows that violence can be reduced
through effective intervention
what is child criminal exploitation?
Criminal Exploitation involves exploitative situations, contexts and
relationships where young people receive ‘something’ (e.g. food,
accommodation, drugs, alcohol, cigarettes, affection, gifts, money) as a
result of them completing a task on behalf of another individual or group of
individuals; this is often of a criminal nature”
It often occurs without the child’s immediate recognition, the child thinks they
are in control.
• There is a power imbalance (age, gender, intellect, physical strength, money)
• Violence, coercion and intimidation are common,
• Often the child or young person’s has limited choice resulting from their
social/economic and/or emotional vulnerability.”
what is the hospital safeguarding team responsible for?
responsibility to
make the initial referral to Children’s Social Care teams.
- Redthread then feed into strategy meetings / discharge
planning meetings and community support.
what are the levels of contextual sagefuaridng>
Social Media Neighbourhood School Peer Group Home Child
victim blaming language
Putting themselves at risk
This implies that the child is responsible for the risks presented by the
perpetrator and that they are able to make free and informed choices
Drug running – He/she is drug running
This implies that the child or young person is responsible for the
exploitation and has the capacity to make a free and informed choice. It
does not recognise the abusive or exploitative context.
He/she is choosing this lifestyle
This implies that the child or young person is responsible for the
exploitation and has the capacity to make a free and informed choice. It
does not recognise the abusive or exploitative context.
Recruit/run/work
This implies that the child or young person is responsible for the
exploitation and has the capacity to make a free and informed choice. It
does not recognise the abusive or exploitative context.
What can make the situation
worse?
Talking over, or interrupting, the other
person.
• Showing disrespect, e.g. looking away,
appearing bored or disinterested.
Mood matching.
• Often people respond to anger with anger. If someone
raises their voice, or begins shouting, the other person
may do the same thing. This is called mood matching,
and is likely to hinder the likelihood of resolution
what can we do to help (access and barriers to adolescent health care)
Don’t talk about a young person and not to a young person - Consider medical language and ensure they understand fully without patronising. - Try to avoid giving set time regarding discharge – be honest about uncertainty.
how can you help limit challenging behaviour?
Listen to what young people have to say.
• Build up trust by being honest, fair and consistent,
and having a sense of humour.
• Develop positive body language, for example aim
to look relaxed, confident, assured and calmly
assertive. Maintain eye contact.
• Praise can be instrumental in changing attitudes
and boosting self-esteem, so learn to look for
positive behaviour and comment on it.
what is trauma informed care?
Moving away from blame to empathy. Shifting the focus FROM: “What is wrong with you?” TO: “What happened to you?” Its ok to feel like this How have you managed to cope so far? How are you feeling? Its ok to feel like this I believe you
what are the elements in working in a trauma informed way?
Safety: ensuring physical and emotional safety “is there anything I can do to make
this feel safer for you?”
Trustworthiness: making your role, your actions and your purpose clear.
Explain: Tell them what is happening and what will happen next.
Collaboration: Empower young person “are you happy for me to do this now.”
Support: Make sure that young person feels you are there for them. “Is there
anyone you need me to contact for you”.
