Monday, 29 February 2016

Cheryl’s story: my postpartum psychosis

Cheryl McAulay didn’t have a typical 21st birthday. Instead of the big party she’d planned, the mother-of-one saw in her birthday at the mother and baby unit in Nottingham, where she was being treated for postpartum psychosis

Cheryl was admitted to the MBU at the Queen's Medical Centre (which has now been replaced by Hopewood), three weeks after giving birth to her son, Joel. Now, inspired by the BBC’s recent In the Mind season, she is sharing her story to help raise awareness of perinatal mental illness.

Cheryl's story

“I was 20 when I fell pregnant. Not many of my friends had children. I attended a few antenatal classes, visits with the midwife and GP, but mental health wasn’t a topic we ever talked about. It never came up.

Cheryl with Joel
A couple of days after I had Joel I went home to my parents’ house and then, shortly afterwards, I went to live with Joel’s dad, at his parents’ house.

I didn’t recognise it at the time, but my behaviour had started to change. I felt so hyper. I was talking at high speed. Sleeping was a struggle. The smallest tasks, just making dinner, felt impossible. One day, Joel’s dad walked in on me holding Joel’s foot under cold running water. ‘I was training him not to cry’ I said. It was after that I agreed to see my doctor.

Friday, 12 February 2016

Learning from experience: plans for our new Mother and Baby Unit

Blogger Eve was cared for at our Mother and Baby Unit, after the birth of her son. She now campaigns to improve access to mother and baby units, and is advising EastEnders on Stacey Branning’s postpartum psychosis storyline. We are creating a brand new site for children, young people and families, so we asked Eve about our plans.

Eve's thoughts on the new unit

I was in the QMC Mother and Baby Unit when I was unwell after the birth of my son. I was at rock bottom and thought my only chance of ridding myself of my despair was by not being alive anymore. But it turned out that wasn’t right; there was another way, and that was by being admitted to the unit.

Eve and Joe, three weeks before Eve was admitted to the Mother and Baby Unit

As a Mum, I needed to be somewhere that was safe, calm, homely and purposeful. And that is what the unit is and needs to remain in its new guise– a warm place with friendly faces with a knowledge of how to get you better. There is no better evidence base than lived experience and I am delighted that former patients have been spoken to with no subject being off limits when discussing improvement options for the new unit.

Friday, 5 February 2016

Supporting young carers

Last week we heard from Mike, who shared his experience of being a young carer. We spoke to Alyson Leeks, Family Intervention Coordinator, to find out more about young carers, and what the Trust is doing to help.


Who do young carers care for? 


A young carer is anyone under the age of 18 who provides physical or emotional support for a family member or loved one.

Young carers may be involved in caring for a parent, grandparent, sibling or other family member with a range of physical, mental health difficulties or intellectual disabilities. Many do not identify themselves as carers.


Young people caring for loved ones with mental health difficulties or substance misuse issues can be “hidden” carers. They carry out a caring role unnoticed by others, and this can have an enormous impact on their own development, education and opportunities.

Wednesday, 27 January 2016

7 emotions of a young carer

The experience of being a carer can run from helping someone with mild physical limitations to do a few activities or tasks, all the way to providing round-the-clock care for a person with a high level of need, whether that be physical, mental or both.

Whatever the need, the challenge is always compounded when the carer is young.

Mike’s experience of being a young adult carer began when he was 22, after a close family member developed a severe mental health condition.

Here he talks through some of the most common emotions of being a young carer.


Confusion

This originates in one of two ways, depending on how the caring role begins.

For those who have been carers from a very young age, the situation may initially seem normal because it’s all they’ve ever known. But as they get older and discover that their friends don’t carry out the same caring role, they may find it confusing. Why doesn't their mum/dad need them to help out like mine does? For many very young carers, real childhood is something they never experience.

In cases where the family member suddenly falls ill and the young carer is much older, the situation is a lot more jarring and disorientating. With caring, you learn on-the-job, and the upheaval and reversal of roles can be difficult to adjust to.

Loss

When a loved one develops a serious mental health condition, it can often feel like a death has occurred. There is not enough time and too much risk for you to leave the person you care for on their own, so your social life evaporates.

If you live with other family members who help to care, this is alleviated somewhat, but for those who live on their own it can be an excruciatingly solitary experience. The sense of loss can be profound.

For a very young carer, the loss may not be felt until many years later, when they realise that in many ways, they weren’t able to have a ‘normal’ childhood. While they may have gained skills such as independence, compassion and self-reliance, in doing so they missed out on being a child.


Anger

While I loved the person I cared for, I often felt bitter and angry about the situation I was in. How could they do this to me, to my life? It wasn't their fault, how could it be? But caring is so full of strong and contradictory emotions, that it’s no wonder I was sometimes angry and frustrated.

There was also a sense of guilt and self-recrimination that maybe my family had somehow been the cause of this illness, that we could have done something to stop it. That's not rational, but anger rarely is.

Fear

Fear that the person you care for will never get better. Fear that they’ll hurt themselves. Fear that you and your family will never get your lives back. Fear that you will be trapped in this demanding situation forever. These are all thoughts I had, which became more prevalent as the years went past.

Fear can go both ways. Parents who are cared for by their young children may often be afraid to seek help from local authorities as they fear their child will be taken away.

Exhaustion

One of the worst aspects of being a long-term carer is exhaustion. When caring for someone with a mental health problem, you sleep very lightly, and the slightest noise can have you wide awake in seconds. Are they wandering around again? Are they trying to get outside? What will I find if I go downstairs at 3 o'clock in the morning?

And during the day, if they keep pestering you over and over, telling you their fixations and delusions, it can seem endless when you try to explain everything is going to be alright.

When young carers are trying to combine the efforts of school, exams, university and  part-time jobs, all with the focus of trying to better themselves and improve their prospects, it can often feel like there’s not enough time to do everything.

Loneliness 

The person you love seems little more than a ghost most days. You often don't get time to go to school, college or university. You don't really see your friends any more. You ask yourself "why me?" But there’s no real answer. It’s just one of those things, with no-one to blame.

The sense of having no route of escape, no way out of the situation, makes the world seem like a grey and lonely place.

That is why it is absolutely vital that carers' groups and social support for carers, especially young ones, are given the chance to exist. Seeing that you are not alone and that a happy, productive life is possible is essential for the wellbeing of carers. This is especially true for young carers, who may be going through a difficult enough time in adolescence as it is, when loneliness is often commonplace already.

Hope

And yet, despite all this, something keeps most carers going; love for the person they care for, determination and grit, or the presence of a support network which can facilitate and reinforce these qualities and emotions. Life can continue, and continue well, provided that the young carer is given what they need to make the most of a very challenging situation.

I was lucky that I had the Rosewood Involvement Centre, which rescued me from my feelings of gloom and isolation and reminded me that I am never alone as long as I am with people who have known the struggle of caring, and can offer support in good times and bad.

It’s worth remembering that people can recover. My loved one has made a full recovery since September 2014, and there has been no relapse since. I'm cautious, but it feels as though life may have gone back to normal forever.

Still, I take it one day at a time, and am mindful that so many others may never recover. Some young people may be carers for decades to come, or even their entire lives.

It is vital that we never forget what carers do for our society, especially young carers, who need extra support to help them achieve their full potential in life.

For information about caring, or if you’re a carer looking for advice or support, visit Carers Trust.

Friday, 18 December 2015

How to keep your kids on the nice list

Christmas with kids is supposed to be one of the best parts of being a parent. But a change of routine, arguing over presents and over-indulgence can all make your child’s behaviour a Christmas nightmare.

Kate Simpson - Early Years Specialist Practitioner, and Fran Breed - Health and Family Support Worker, from Sure Start, gave us their top tips on managing your child’s behaviour at Christmas.

Stick to your routine


It’s difficult with so much going on, but try to stick to your routine as much as possible. This will help you keep a sense of normality and show that your normal rules still apply.

If children are staying with grandparents or with their other parent, have discussions beforehand on how you manage behaviour so that it’s consistent for your child.




Encourage sharing


With all those new toys, there are bound to be disagreements!

It’s natural for young children to think of themselves, so they find the concept of sharing very difficult. Don’t expect young children to want to share their brand new toy – we wouldn’t want to share our Christmas gifts!

Be realistic with your expectations, and give children time to enjoy their gifts before expecting them to share.

You can encourage sharing by setting a time limit using visuals. For example, say ‘when the big hand on the clock gets to the top’, use an egg timer if you have one or set the alarm on your phone. Give lots of praise for sharing and lead by example.


Use praise and positive language


If you only give your child attention for negative behaviour, it’s easy to see why they might want to act up. Try to stay positive, and make sure you notice the good things.


Your time is the best gift


It might sound cheesy, but your presence really is the best present. Children still need quality one to one time, otherwise negative behaviour will present itself.


Choose your battles


Behaviour will be different due to tiredness, being over excited and too much sugar. Keep this in mind and try to have realistic expectations over the Christmas period.



Stay calm and smile!


Don’t put pressure on yourself for everything to be perfect - the things which go wrong can end up being the best family stories!

Try to stay calm and enjoy yourself, and you’ll find everyone ends up in a better mood.


If you’re still struggling with your child’s behaviour after Christmas, you can get advice from your local Sure Start centre. 

Thursday, 10 December 2015

A not so merry Christmas

Life can throw up problems at any time of year, but Christmas is a particularly difficult time to be struggling.

Financial problems, too much alcohol and the pressure to have the perfect Christmas can all make the festive period a stressful time.

If the thought of the Christmas season fills you with dread, there is help available.



Issues with alcohol


Alcohol seems to be everywhere at Christmas, and it’s easy to get carried away.

If alcohol is a problem for you or someone in your household, don’t stock up for Christmas – limit what you have at home.

You can get further help and advice from Alcohol Concern.

Money troubles


It sounds cheesy, but remember that the best gift you can give your children is your time.

When you do your Christmas shopping, be careful with credit. Never buy anything on credit until you’ve checked the interest rates and are confident you can afford the repayments.


You should also check that any company you borrow from is the real deal. Loan sharks charge very high interest and often use illegal methods to get the money from you. You can check the financial services register to make sure a company is legitimate.

If you do find yourself in financial trouble after Christmas, most community centres will hold debt management surgeries. They will be able to give information on your local food bank if you need it.

Your local Sure Start centre can also point you in the right direction for debt management advice.


Domestic violence


Domestic violence can happen at any time of year, but more time spent together at home can make things even more difficult.

If you are experiencing domestic violence, you are not alone and there is help out there: 


  • Nottinghamshire 24 hour domestic violence helpline: 0808 800 0340 - freephone 
  • National 24 hour domestic violence helpline: 0808 2000 247 - freephone 
  • Advice line for male victims of domestic violence: 0808 8010 327 – freephone

You can also find advice online at Refuge, Women’s Aid or Men’s Advice Line.

Mental health issues


When everyone seems to be happy and having a wonderful time, experiencing issues with your mental health can feel even more isolating than usual.



If you’re struggling this Christmas, try to talk to family and friends about how you’re feeling. You can also find a listening ear at the Samaritans.

If you need urgent help, visit our help in a crisis page to find the best place to contact.

Get more help


If you’re not sure where to go for help with family problems,
your local Sure Start centre can point you in the right direction.


If you’re experiencing issues with your mental health and you’re not in touch with our services, please talk to your GP. If you are using our services, please contact your care co-ordinator for advice.

Friday, 4 December 2015

The power of volunteering

Saturday 5 December is International Volunteer Day. We’d like to say a big thank you to all of the volunteers who help our patients and service users, as well as those who help to shape and improve our services.

Over 250 volunteers and befrienders give up their time to help people at Nottinghamshire Healthcare. There are lots of opportunities available. Our two Involvement Centres are places where people can take part in lots of different activities, from being on interview panels to working on their own personal development.

There are also lots of ways to get involved directly with patients, from helping to collect feedback to serving customers in our tea shops.


Befriending and visiting roles are another important way volunteers help at the Trust. Rampton Hospital has its own befriending scheme, for patients who have little or no contact with the outside world. Befrienders are individually paired up with patients who have similar hobbies and interests.

Befriending is a really important role for patients who don’t have many visitors, as it gives them contact with the outside world and helps to stop them feeling isolated. There are currently 49 befrienders working at Rampton Hospital, as well as befrienders working at some of our other secure hospitals.

Alan Coomes has two voluntary roles with the Trust; supporting patients at Nottingham City Hospital and taking part in ward audits and interview panels as an involvement and experience volunteer. Alan said, “‘I’ve been on my own for a very long time. Volunteering gives me a structure to daily life. I enjoy giving something back.”

“Volunteering lifts me out of the negative feelings and promotes a sense of positivity. It gives me what I describe as the 6 Cs; Care for others, Compassion, Competence, Communication with others, Courage and Commitment.”



Jules is another volunteer, who shares her story with new staff as part of their induction. Jules also volunteers at The Story Shop, a project where people with experience of mental health issues share their stories with others to help raise awareness and reduce stigma.

Jules says: “I like a routine. I like to be with people. Volunteering gives me an opportunity to be with others. It takes me away from my four walls, and I like to think that I make people happy when I volunteer and share my journey as a service user.”

Lots of our volunteers talk about the structure and routine working with us gives them. When people have been unwell and unable to work, volunteering gives them a purpose. Volunteering is of course about giving, but for many people it also gives them something back, too.

If you would like to find out more about volunteering at Nottinghamshire Healthcare, visit the volunteering section of our website.