Self Harm and Early Leave

Self-Harm Triggers Hurting self Leaving premises without consent and before therapy has completed Knowingly putting self in risk situations Anxiety +++ Relapse or hanging out/withdrawal/PAWS Psychotic episode Irritable/angry/confused Client left alone Whanau contact without support Early warning signs What works Trying /planning to leave early Feeling like in w/d when not Voicing concerns Isolating/not talking Feeling helpless/hopeless Anxious, frustrated or confused I.ACT Early leave form sighted and signed 1:1 at all times 2 available carers Alarm systems, secure environment/knowledge of exits and windows Maintaining communication If client is insistent on leaving someone is to go with them Make emergency plan with client prior to tx Note trusted friend/whanau member for emergency contact Emergency – call police and have detailed description of client and clothes What does not work Client Leaving client alone Leaving client alone after social/whanau contact Access to unsafe objects (knives, blades, poisons, drugs.) Not completing emergency plan Informed consent/safety plan made Client made aware of distorted/heightened perception during tx Client to decide who they trust for emergency contact and contact details written in to Client Tx Record Sheet Ibogaine Te Wai Pounamu SELF HARM and EARLY LEAVE - Risk Management ?