Transcript When psycho-social interventions go wrong... (ppt, 2.07 MB)

When psychosocial interventions
go wrong...
Jill Manthorpe and Kritika Samsi
Working with puppets...
Care home workers terrified dementia patients
with horror handpuppets 'for fun‘
Daily Mail, 3rd December 2010
Two care home nurses are facing jail for using a
glove puppet to bully elderly women as a joke.
(They) were paid to look after the frail
grandmothers - but instead the pair 'scared them
for just for the fun of it'. (They) laughed while
using a green goblin puppet to terrify women
patients aged 87 and 91 in the home for the
elderly.
Being playful...
Jail for care trio who filmed their abuse of
elderly at X nursing home
Bradford Telegraph & Argus, 15th December 2010
Three care workers have been jailed after filming
the “inhuman and degrading” abuse of two old
people… Harrowing mobile phone footage of an
86-year-old man being bullied, baited and
taunted and a 99-year-old woman sprawled, legs
apart, on the floor pleading for help were played
to a packed courtroom.
‘fooling around...’ (mitigation)
Care workers filmed attacks on elderly
Isle of Wight County Press, 26th February 2009
Two young women filmed their sickening abuse
of old people to entertain their friends. A court
was told how the two former care home workers
tormented their victims, both suffering from
severe dementia, pinching them, pulling and
contorting their faces, pushing a mobile phone at
one woman’s face and putting their fingers in the
mouth of another.
Managing challenging behaviour?
Carer pinned OAP down by his arms
Rhyl Journal, 26th November 2008
A carer in a nursing home who held a 91-yearold resident down by his arms, wept as she
was found guilty of ill-treatment. (she)
claimed that she had been acting in selfdefence as the man, who suffered from
dementia, tried to punch her.
These are examples of convictions under
the Mental Capacity Act 2005. They all
relate to people with dementia and their
treatment by paid care workers/nurses.
Our study – Evidem MCA
• We wanted to know if professionals in dementia care
knew of this potential empowerment of people with
dementia.
• Conducted interviews and survey with 250 staff
working in dementia care.
• We found that most did not know – despite training,
publicity and newspaper coverage.
• We therefore recommend greater attention to the
rights of people with dementia not to be abused and
their rights to have access to justice.
• In doing so, this may reduce the fear, stigma and
dependency of dementia.
We conclude that psychosocial interventions
needs to be supplemented by:
• Highlighting the value of recording so it may stop the
abuse and provide better access to justice for vulnerable
people (and staff)
• Whistleblowing (reporting concerns to outsiders but
also to insiders)
• Promoting accountability to people with dementia
above accountability to colleagues, employer or agency
• recognising that training does not itself safeguard and
that interventions need to be ethical.
Thank you
Disclaimer
This report/article presents independent research
commissioned by the National Institute for Health
Research (NIHR) under its Programme Grants for
Applied Research scheme (RP-PG-060-1005). The
views expressed in this publication are those of the
author(s) and not necessarily those of the NHS, the
NIHR or the Department of Health.