Star Wards Dec 2010 Newsletter #55

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    December 2010 Issue #55

    Hello, shalom and

    welcome to the firstJewishedition of theStar Wards newsletter!

    Buddy and I are Jewish.

    Judaism is matrilineal

    i.e. if the mother isJewish, their offspring

    are Jewish. The slightcomplication of the

    daughter being aTibetan Terrier doesnt

    seem to feature in

    religious texts, butBuddy is definitely

    Jewish because sheloves eating and gettingpresents.

    Part of the inspirationfor this Jewish editionof the newsletter is the

    amazing Ruby Wax, whohas done so much to not

    only reduce the stigmaof mental illness butalso to inject much

    needed accessibleinformation about therealities of being

    mentally ill. Theres an

    account on p. 10 of thehilarious and profoundly

    moving show Losing It

    which Ruby and singer-

    songwriter Judith Owen

    generously performed asa special performance

    for Star Wards.

    Those of you with

    Jewish tendencies,

    heritage, friends,patients or (inevitably)

    Jewish psychiatrists will

    know that the festivalof Chanukah is

    ridiculously early this

    year. December 2nd to9th. And its yet another

    high cholesterol High

    Holyday, with friedgoodies such as

    doughnuts and latkes

    (potato pancakes) beingcompulsory. Consuming

    all that schmaltz(fat) isguaranteed to warm you

    up. As ever, Im in awe

    of the commitment ofward staff and their

    heroic efforts to get

    into work. Theres a

    great feature in the

    newsletter from Amy

    Bennett in Sheffield,

    one of the most snowed-

    under areas of thecountry. Shes just sent

    me an email saying: We

    have been trekkingthrough the snow to get

    to work, but there has

    been a really good staffturnout, and morale is

    high despite the

    conditions! Thats thespirit! Congratulations

    all round or, as we say in

    Yiddish, mazel tov.

    Buddy in multi-faith

    holiday gear

    Love

    and

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    Mitzvah Day on November 21st was a huge success nationally, and Geoff Brennan,nurse consultant at Camden and Islington, yet again trail-blazed for inpatient services.

    First, theres an excerpt from an article describing Mitzvah Day in the context of the

    current government pre-occupation with the Big Society. Weve then got a fab account

    of Mitzvah Day in hospital by Geoff. Huge thanks to Geoff and colleagues for their

    pioneering work and to Marian at Mitzvah Day for heroic efforts to include mental

    health hospitals.

    Thanks to Mitzvah Day and Jewish Care for the wonderful photos

    Heres a Jewish joke to get us in the mood. Its Chanukah in Stamford Hill, and

    elsewhere, and Mrs Cohen is concerned that she hasnt recently seen her elderlyneighbour, Miss Smith. She says to her son Moishe: Bubbeleh, be a good boy. Go nextdoor and find out how old Miss Smith is. Moishe comes back a few minutes later. Nu?

    Is Miss Smith alright? asks his mum. Shes fine, Mum, but shes cross with you.

    Cross? Why would she be cross with me? Well, Moishe replies, she said its none of

    your business how old she is.

    November 21st2010, Times Online. By Rabbi Boyd-Gelfand, Chief Executive of

    Movement for Reform Judaism.

    What does the Big

    Society mean in

    action?

    Giving up your time to

    volunteer to help others.

    Each year, around this

    time, our synagogues

    start haranguing me.

    Give blood! Collect toys

    for sick children! Come

    tidy the local park! Then

    I know Mitzvah Day is

    approaching.

    One of the challengesfacing this Government

    has been to explain in

    ordinary language what

    its mean by its big idea:

    the Big Society. And

    yet, it seems to me

    Mitzvah Day is in fact

    the embodiment of

    exactly what they mean

    when they talk about

    the Big Society. Mitzvah

    (loosely translated as

    Good Deed) Day is

    put simply - the Jewish

    communitys national day

    of volunteering.

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    The ask is simple and

    yet unusual: because the

    one thing you are not

    allowed to give on

    Mitzvah Day is money.

    Instead, it is about

    giving something far

    more valuable: time.

    Mitzvah Day has only

    been running in the UK

    for five years. Now it

    attracts 15,000

    volunteers 7 per cent

    of the UKs entire

    Jewish community and

    encompasses 200

    synagogues, schools and

    community groups the

    length and breadth of

    Britain, not to mention

    France, Israel, Poland,South Africa and the

    USA - and half a dozen

    other countries besides.

    How to explain

    its success?

    Well, first, in my

    experience anyway,

    Mitzvah Day is fun. It

    avoids the dour

    worthiness of most do-

    gooding events: kids

    making Chanukah Cards

    to send to British

    soldiers serving abroadget covered in pen and

    glue; the guitar comes

    out as the teenagers

    sing for the old folks

    home; even the Rabbi

    making bird boxes gets

    covered in mud believe

    me I know.

    Second, it brings peopletogether not just to

    talk, but to act. To give

    just one example: for

    the past two years,

    teenagers from

    Northwood and Pinner

    Liberal Synagogue have

    teamed up with thosefrom the nearby Roman

    Catholic Church, St

    Matthews, to collect

    goods for a homeless

    charity outside one of

    the local

    supermarkets.The buzz

    and energy of youngpeople throwing

    themselves into doing

    something good for the

    community really lifts

    the spirits.

    Indeed, amongst the250 or so Mitzvah Day

    projects across the

    country this year, there

    will be joint events not

    just with Hindus, but

    also Christians, Muslims,

    Sikhs, Buddhists and

    others.

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    Surely this must be

    what the Government

    means by Big Society:

    bringing people together

    in a country where too

    many people feel

    isolated and

    disconnected. Both

    Mitzvah Day and the Big

    Society are about

    connecting more of us

    with our own power to

    make a difference to

    the things we care

    about. They are about

    challenging us to think

    harder about our

    responsibilities to

    others and encouraging

    and supporting peoplewho want to contribute

    more than their taxes.

    It is worth noting that

    while the projects on

    Mitzvah Day may be led

    by Jews, theirbeneficiaries are from

    all faiths and from none.

    Some are very local,

    many are national and

    international: Barnados,

    Marie Curie, Vision Aid

    to name but a handful.

    Mitzvah Day at

    Camden and

    Islington

    By Geoff Brennan,

    Nurse Consultant

    Eating a good pizza and

    then taking in a movie. A

    typical, lazy Sunday

    afternoon? Not

    something you would

    expect following an

    admission to an acutepsychiatric hospital?

    Well, on Mitzvah Day

    2010, on Fleet Ward at

    the Grove Centre in

    Camden and Islington,

    we created our very own

    Pizza and movie

    experience with the help

    of Danny Rosenburg and

    Nick Landau, two very

    lovely Mitzvah Day

    volunteers.

    Should you want to

    recreate the experience

    yourself, here is the

    recipe.

    First, take a very

    capable Occupational

    Therapist called Gillian

    Rennie who is willing to

    give up her Sunday

    afternoon and roll up

    her sleeves as well asprovide a good dose of

    Scottish humour. This is

    an essential ingredient

    and you will find you

    cannot commence

    without it!

    Next take a dollop oflaid back but competent

    nursing staff to run the

    show whilst you make a

    bloody awful mess.

    Ideally they should be

    Jessica, Tamuka,

    Richard, and Sona, but

    any quality acuteinpatient staff will do.

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    Then take a fair

    smattering of patients

    stuck in the ward for

    the Sunday afternoon.If you are very

    fortunate, you may get a

    bubbly John who

    provides music, a mellow

    Frank who can talk in

    seven languages

    including Hebrew, a

    succulent Krishna whomakes a demon cup of

    tea, a smooth Sourab

    who doesnt mind getting

    his hands dirty and a

    spicy Lysia with words

    of encouragement. It is

    important to balance

    these ingredients and

    not to mind if the odd

    sour note -like theres

    smoke coming out of the

    cooker gets into the

    mix. You will find that a

    pinch of humour leads to

    just the right

    consistency. Also, do not

    worry if others join this

    frothy concoction for

    short periods as this will

    add rather than diminish

    from the overall flavour.

    Finally, marinade all the

    ingredients plus the

    Mitzvah volunteers into

    a kitchen with flour,

    yeast, vegetables,

    pepperoni, passata and a

    working kettle. Leave

    for three hours and stirup occasionally. At this

    point you will have eight

    large pizzas for public

    consumption.

    At this point take a

    break and go around the

    other wards showing off

    you skills. Do not, underany circumstances, let

    them into the kitchen to

    see the unholy mess you

    have left behind. This

    would not help their

    appetite.

    After the break, take

    the whole mixture and

    move to a specially setup Cinema in one of the

    large meeting rooms.

    Good quality equipment

    such as a projector is

    essential and you should

    be reminded to thankFaizal for getting all

    this set up before his

    deserved day off.

    Before serving, garnish

    with people from the

    other wards, serve on a

    bed of popcorn, sit back

    and enjoy.

    I recommend it.

    Shalom

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    The next two features arent overtly Jew-ish, but theresfood and lots of talkingandsinging, so thats enough to qualify for this Judaic themed newsletter.

    Its a WRAP at

    Broadmoors Service

    User Recovery

    Conference

    The first service user

    conference ever held at

    Broadmoor Hospital took

    place on 13th October

    to celebrate World

    Mental Health Day 2010.

    Patients from all wards

    attended.

    Jimmy Noak, Deputy

    Director of Nursing,

    opened the event and

    set the theme for the

    day. We were

    fortunate to have two

    renowned externalspeakers in Marion

    Janner, Director of

    Star Wards

    (accompanied by her

    assistance dog, Buddy),

    and Rachel Perkins, Mind

    Champion of the Year

    2010. Both are serviceusers and pioneers of

    the recovery approach

    to mental health care.

    Marion spoke about her

    own experience of

    inpatient services and

    how she developed the

    Star Wards initiative.

    Rachel spoke aboutmaking recovery a

    reality and how story

    telling is a powerful way

    of offering peer

    support. She also

    introduced us to

    Wellness Recovery

    Action plans (WRAP).

    Both these sessions

    were interactive with

    several users sharing

    their views and

    experience.

    The Wellness Recovery

    Action Plan (WRAP)

    prompts service users

    with various questions

    which help them reflect

    on their mental health

    and wellbeing, and how

    to take an active part in

    preserving or restoring

    it. It also helps ensure

    their wishes sit at the

    centre of the care

    planning process. Joe

    Ayres, Chair of

    Recovery & Social

    Inclusion Group, and

    Terry Fegan, Practice

    Development Nursepresented the Hospitals

    WRAP, and a number of

    service users agreed to

    take part in focus

    groups and become

    WRAP Ward Champions.

    The plan is to roll this

    out across the hospitalin November and

    December.

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    An update from Vivienne

    Mowatt and David

    Phillips on the Hospitals

    plans for redevelopment

    was followed by songs

    from the service userand staff Hospital Vocal

    Group, with which

    everyone, by then in

    celebratory mood,

    joined in.

    The Choir With No Name

    members are London

    homeless people

    The conference endedwith a lively discussion

    around the theme of

    recovery and the

    introduction of the

    WRAP. Feedback on the

    day from service users

    was extremely positive

    and many asked for a

    re-run for those who

    were unable to attend

    this first event. Thanks

    to everyone involved,

    specific thanks to Joe,

    John and Caroline for

    the work they put in to

    organise this event.

    Talkwell Training

    pilot evaluation,

    Sheffield. By Amy

    Bennett, Senior

    PractitionerTalkWell training was

    approved for a pilot on

    Maple Ward in

    Sheffield early in 2010

    and has recently been

    delivered. It was agreed

    with the ward managersthat the training would

    be delivered over 2 full

    study days to all of the

    support workers on

    Maple, with the other

    wards helping to cover

    Maples rota in order to

    help facilitate thetraining. The study days

    were planned to be a

    month apart, and

    supervision sessions

    were planned for the

    month in between the

    sessions in order to help

    facilitate

    implementation and

    reflection. Added to the

    training package was a

    session on When does

    talking become

    treatment?, an

    interactive exploration

    of the types of talking

    treatments we can use

    on acute wards, their

    theory bases, and how

    support staff can assist

    in someones

    psychological care on a

    ward.

    The training was

    delivered by Amy

    Bennett, Senior

    Practitioner, Trish

    Neilson, PSI lead, and

    Emma Highfield, PSI

    lecturer and CPN. 7support workers

    completed the full

    course, and 2 completed

    one day of the training.

    Evaluations were given

    to the participants to

    complete at the end of

    the training, as well as a

    quiz to help assess

    knowledge gained. The

    ward manager was also

    consulted for feedback

    on the effects of the

    training in practice, in

    consultation with the

    deputy ward managers.

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    Evaluation forms were

    given to staff with a mix

    of Likert scale answers,

    and open questions. It is

    evident from this that

    the training was deemed

    by the participants as

    successful, useful and

    that people felt they

    had learned a lot. In

    terms of improving the

    training, people felt

    they wanted more

    information on some of

    the approaches within

    PSI and CBT, and they

    also thought the

    qualified nurses should

    have been on the

    training with them.However, coming away

    from a ward

    environment as a team

    of support workers for

    the training was seen as

    a very positive team

    building exercise, and

    the space together toreflect on their practice

    and real life examples of

    the issues they face

    every day was valuable

    to them.

    The quiz at the end of

    the course captured

    some of the learning

    which had taken place,

    and demonstrates that

    people had absorbed

    some of the key

    messages of the

    training, both in terms

    of knowledge and values.

    The ward manager has

    given very positive

    feedback, reporting

    that the staff who

    attended the training

    have talked about what

    they have learned with

    him, as well as

    discussing some of the

    ways it has affected

    their practice. In terms

    of service user

    feedback, none has

    specifically been sought

    regarding this training,but there are measures

    on the Quality and

    Dignity survey which are

    related to being listened

    to and understood which

    will be monitored over

    time to see if the

    results for Maplechange.

    Very interactive andall points of view

    respected and

    considered. As a

    group our awarenesshas been raised

    regarding ourpatients distress and

    our job has beengiven value.

    Provided morestructure to 1:1sessions. Learn to

    trust my instinctmore to gaininformation ratherthan just to do what

    is written on a careplan How can I tellsomeone to challenge

    their voices when Idont know what they

    feel or think abouttheir voices and howit affects them.

    Thinking more abouthow I ask questions,and to chat about

    everyday things withpatients could helpthem as much as

    discussing treatmentsetc.

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    Made me re-look atmy approaches on how

    I talk to people and

    think/gave me lots of

    ideas of how to startand end a talking

    session.

    It has changed theway I talk to the

    clients, and how I amwith them. Also

    understanding a lotmore.

    We are not justtalking to patients weare offering therapy.1:1 time can have

    structure as weencourage patients

    through our verbal

    cues to open up.Trust the patient

    knows his needs anddesires, trust our owninstincts.

    Samaritans (story feelings and options) found this very

    useful when spending

    time with clients.Body language to be

    open and smiling atclient can approach

    and talk

    Have really enjoyedthis training and feel

    that the other wards

    would benefit fromTalkwell. Have found

    it very useful and will

    use everything thathave been taught.

    Ruby Wax Losing

    It at St Anns

    Hospital

    One of Star Wards much

    loved funders is the

    incomparable Comic Relief.

    Not only do they provide us

    with a hugely generous

    grant, but they also

    offered Star Wards a

    special performance of

    Losing Itby Ruby Wax and

    Judith Owen. Ruby andJudith agreed to come to

    my local hospital, St Anns

    in Tottenham, to whom Im

    totally indebted for the

    exceptional care they give

    me.

    It was a fantastic evening,

    and a chance for Star

    Wards to thank some of

    the people who make it

    possible for us to run the

    project. Many thanks to

    Steve Thomas, Head of

    External Communications

    and Marketing, Barnet,Enfield and Haringey

    Mental Health NHS Trust

    for allowing us to

    reproduce this article from

    their Wellbeing magazine.

    And if by any chance Ruby

    and Judith are reading this

    newsletter (did you noticehow I just casually called

    them by their first names?

    Cool!) vast thanks to you.

    Do I look mad to

    you?

    Comedian and

    broadcaster Ruby Wax

    has been very open

    about her history of

    depression and has now

    turned her experiences

    into a show, Losing It,

    alongside singer-songwriter Judith Owen,

    who has also spoken

    about her own mental

    health problems.

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    They performed a

    version of their show,

    for a specially invited

    audience of service

    users, staff and friends

    of the Trust, at St

    Anns Hospital. They

    spoke to Steven Thomas

    from the Trusts

    communications team, to

    allow Wellbeing readers

    to understand a little

    more about the show.

    It sounds like something

    from a contrived

    Hollywood movie. Ruby

    is American, but lives in

    London. Welsh-bornJudith was raised in

    London, but lives in

    California. Ruby used to

    date Judiths husband,

    and introduced the

    couple. Theyve known

    each other for years, a

    relationship which isobvious from the way

    they sometimes finish

    off one anothers

    thoughts. But heres a

    relationship with a

    difference: both women

    are entertainers who

    have been unusually open

    about their experiences

    of mental illness. And

    now theyre performing

    a show thats about just

    that subject.

    Ruby is, she says with

    her characteristic

    bluntness, one of The

    Tribe. Thats how she

    refers to the one in

    four of us who have

    experienced mentalillness. But identifying

    that she was unwell

    wasnt easy, and she

    ended up asking a

    friend: Do I look mad to

    you? She recalls: I

    drove her crazy till she

    said yes, because Icouldnt tell because it

    happened so slowly. My

    brain was the problem,

    but because its my

    brain which Id use to

    work out that problem,

    it was an even bigger

    problem.

    The show was conceived

    as a kind of instruction

    manual, for anyone whos

    ever felt like an

    outsider. A lot of

    people think: How do I

    become a successful

    businessman? or How

    do I carry off a certain

    lifestyle? We get

    samples in magazines

    but we don't actually

    know how to do it as

    people. So the show

    throws up questions and

    I give the answers which

    are hilarious but true.

    The show is a universal

    thing, so everyone in the

    audience will go: This isme.

    Revisiting her mentalillness on stage, Ruby

    says, is very cathartic.

    It's like you're telling

    someone a secret and

    then it feels much

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    better. Because if they

    think it's OK, then it's

    OK. And you get to tell

    everybody.

    Judith wishes she had

    spoken up earlier about

    her own mental health:

    I wish Id had the

    courage and the support

    to be able to find what I

    find now, which is that I

    no longer think: How do

    I start this

    conversation? I kept it

    secret for so long, but

    now I think: Talk about

    it. Talk to whoever, to a

    friend. And it helps.

    I mention a theory held

    by a friend of mine, who

    has bipolar disorder. He

    thinks his illness is

    obvious to others, so hedoesnt need to tell

    anyone he has it: he

    thinks they just know.

    Judith shakes her head.

    Ruby says: When youre

    unwell, you just go away

    and get out of peoples

    way. Nobody can tell.

    That suggests that the

    onus in on each and

    every one of us to talk

    about how were feeling,

    and to invite others to

    talk too.

    The last few years have

    seen a number of very

    well-known people

    speaking about their

    mental health. Is there

    something of acompetition among those

    in the public eye to have

    the best story, or

    appear the maddest?

    No, Ruby replies

    quickly, but it seems

    that speaking about

    myself makes it easierfor people to talk about

    themselves, so I hope

    thats a good thing.

    Ruby says: When I

    first entered a mental

    health ward, I thought,

    I feel at home. These

    are my people. And

    although both are now

    well, Ruby and Judith

    are determined to stick

    by their people by

    performing in mental

    health premises. Now

    the show is completely

    different because now it

    isn't for an audience

    that has mental issues.

    It's for an audience of

    everyone you've ever

    met; it's not exclusive.

    Only because I had the

    slip, do I take you on

    the journey at the very

    end of going off a cliff.

    Losing It continues ontour over the next few

    months, and West End

    dates are soon to be

    announced.

    Barnet, Enfield &

    Haringey NHS Trust

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    Lovely Jewish and Jewishish resources

    Serious BooksCaring for Jewish Patientsby Joseph Spitzer

    Judaism in Today's World (Religion in Focus)by Janet Orchard and others

    Unserious booksHow to Raise a Jewish Dogby Ellis Weiner, Barbara Davilman, and Rabbis of BocaRaton Theological Seminary

    Yes, but is it good for the Jewsby Jonny Geller

    Haikus for Jewsby David M. Bader

    Jewish as a Second Language by Molly Katz and Jeff Moores

    Websiteshttp://www.bbc.co.uk/religion/religions/judaism/

    And finally, an unauthorised, celeb-packed, very unPC and equally hilarious video about

    a great American Jewish charity, American Jewish World Servicehttp://bit.ly/ajwsvideo

    12

    http://www.amazon.co.uk/s/ref=ntt_athr_dp_sr_1?_encoding=UTF8&search-alias=books-uk&field-author=Joseph%20Spitzerhttp://www.amazon.co.uk/s/ref=ntt_athr_dp_sr_1?_encoding=UTF8&search-alias=books-uk&field-author=Janet%20Orchardhttp://www.amazon.co.uk/Haikus-Jews-David-M-Bader/dp/060960502X/ref=sr_1_1?ie=UTF8&s=books&qid=1291379356&sr=1-1https://www.amazon.co.uk/Jewish-Second-Language-Interrupt-Opposite/dp/0894808850/ref=sr_1_6?s=books&ie=UTF8&qid=1290937610&sr=1-6http://www.bbc.co.uk/religion/religions/judaism/http://bit.ly/ajwsvideohttp://bit.ly/ajwsvideohttp://www.bbc.co.uk/religion/religions/judaism/https://www.amazon.co.uk/Jewish-Second-Language-Interrupt-Opposite/dp/0894808850/ref=sr_1_6?s=books&ie=UTF8&qid=1290937610&sr=1-6http://www.amazon.co.uk/Haikus-Jews-David-M-Bader/dp/060960502X/ref=sr_1_1?ie=UTF8&s=books&qid=1291379356&sr=1-1http://www.amazon.co.uk/s/ref=ntt_athr_dp_sr_1?_encoding=UTF8&search-alias=books-uk&field-author=Janet%20Orchardhttp://www.amazon.co.uk/s/ref=ntt_athr_dp_sr_1?_encoding=UTF8&search-alias=books-uk&field-author=Joseph%20Spitzer