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Interventions for clients

Scroll to the bottom of this page to see tabs that can support your work with clients, targeting specific symptoms including sleep disturbance, promoting the benefits of exercise and overall wellbeing.

Using the download available for the Suicide Risk Minimisation Care Plan (SRMC), you can provide an immediate and short term strategy for your clients to manage suicidal ideation in the context of establishing a treating relationship and when the client feels acutely distressed at times between consultations.

  • Develop a safety plan with your client for what to do when they start to feel overwhelmed by their feelings
  • eg. 1. Move to a safe place
  • 2. Call my best friend (or Lifeline)
  • 3. Practice a breathing and progressive muscle relaxation exercise
  • 4. Focus on a person/place that makes me feel safe and loved
  • 5. If appropriate, note a practiced and effective DBT/distress tolerance strategy
  • Discuss with the client how to identify their "critical point" - the time when thoughts progress to behaviours. This is the time when instead of deciding to act on their distress we ask the client to enact their safety plan
  • Complete the client's practitioner details, identify their local Psychiatric Emergency or Crisis Care Team and note telephone contacts on the brochure - this is to limit the effort the client must go to in order to call practitioners or loved ones
  • Explain that the SRMCP is a support tool used during treatment establishment and at critical points, not a treatment approach in and of itself
  • Discuss the risk associated with use of alcohol and other substances when feeling suicidal (as per Suicide Risk and Substance Abuse Workshop) and encourage them to abstain or minimise their use in this context
  • Explain the importance of avoiding known triggers (people, situations or places) that make them feel suicidal until they feel stronger and act in adaptive and positive ways
  • Encourage the use of 24 hour telephone support services
  • After using the SRMCP, clients are encouraged to discuss their "critical points"in treatment and to reevaluate their safety plan to ensure it continues to offer protective value to them
  • Adjust the SRMCP according to the client's report and what you understand may increase the efficacy,to ensure maximum value

Additional downloads freely available include;

Self Efficacy - Maximising treatment outcomes -  Emphasising the importance of the client being active in their own treatment, discusses multidisciplinary approaches to treatment, "compliance" and the importance of doing homework. Self Efficacy aims at clients participating and being fully engaged in their own treatment managment and asking questions when they are unsure.

Exercise and the benefits of moving, providing education for clients to see the benefits of moving and why exercise is so important from an easy to understand neurological perspective. Depending on their starting level of activity, make suggestions that gradually increase the clients fitness or excercise level. Ensure that exercise is not emphasised as purely targeting physical health benefits but an overall benefit of emotional wellbeing.

How to Improve Your Sleep, a brochure challenging clients to adopt good sleep hygiene principles. Consider the sample routine SRAA have provided to work with your client on what kind of a routine they can put in place. It is strongly recommended that when implementing a structured sleep routine, that client understand the importance of perserverence in their efforts with results taking up to six weeks.

Wellbeing brochure, explains a wholistic approach to wellbeing which includes physical, spiritual, mental, emotional, behavioural and social factors. Use the brochure as a starting point to discuss where the client would like to see change in their life. Use therapeutic interventions such as CBT and ACT to engage your client discussing how they might be out of balance.

Responding to identified suicide risk is a framework against which non-practitioners and practitioners can work to support members of their family, community or workplace in times of high stress or crisis. Often practitioners working in private practice find it difficult to engage a broad approach to suicide risk management. This information is aimed at supporting those practitioners think more strategically about managing clients at risk.

Please use the 'request contact' tab for further information on anything therein.

 

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