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Twitter and Your Career DR JENNY HOLMES MBBS MFFLM MRCPSYCH SPECIALITY DOCTOR PSYCHIATRY OF INTELLECTUAL DISABILITY CHESHIRE AND WIRRAL PARTNERSHIP NHS TRUST LEAD FORENSIC PHYSICIAN MERSEYSIDE POLICE

Twitter and your career

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Presentation from the International Congress of the Royal College of Psychiatrists 24-27 June 2014, London

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Page 1: Twitter and your career

Twitter and Your Career DR JENNY HOLMES MBBS MFFLM MRCPSYCH

SPECIALITY DOCTOR PSYCHIATRY OF INTELLECTUAL DISABILITY CHESHIRE AND WIRRAL PARTNERSHIP NHS TRUST

LEAD FORENSIC PHYSICIAN MERSEYSIDE POLICE

Page 2: Twitter and your career

About Me

Late to Psychiatry

5 session Speciality Doctor job in Learning Disability

Lead the Healthcare Team serving Merseyside Police

Work with detainees in Police Custody, Adult and Child Complainants of Sexual Assault and Domestic Violence

High proportion of work is mental health based

Work with Merseycare NHS who are implementing extended Liaison and Diversion Services

Little known Faculty of Forensic and Legal Medicine (www.fflm.ac.uk) within Royal College of Physicians

Page 3: Twitter and your career

What Do I Believe In?

Independent Forensic Physicians provide part of the checks and balances on

the Power of the State

Strong Human Rights element to the work

The interface between Policing and Psychiatry poorly understood

The mentally ill and learning disabled are highly vulnerable in the CJS as

victims and offenders and require highly skilled professionals

Multi agency working is the key

Page 4: Twitter and your career

FME@northwestdoc

Dr Holmes. Forensic Medical Examiner (Custody &

SARC)/Psychiatrist . Interested in interface policing

and mental health. All views my own. RT not

endorsement.

Page 5: Twitter and your career

Why Twitter?

A way to interact with professionals of many disciplines:

Police/AMHPs/Psychiatrists/Probation/Lawyers/Emergency Medicine/Nurses

A way to understand policy and influence debate

A way to keep up with newsworthy items in field of interest

Page 6: Twitter and your career

Press Release 6 01 2014

Extra funding for mental health nurses to be based at police stations and courts across the country

Organisations: Department of Health and Home Office

Care and Support Minister, Norman Lamb, announces £25 million of funding to join up police and courts with mental health services

Policing Minister Damian Green said:

Police officers should be focused on fighting crimes and people with mental health conditions should get the care they need as early as possible.

These pilots will not only ensure that happens but in the longer term will help drive down reoffending by individuals who, with the right kind of treatment, can recover fully.

Page 7: Twitter and your career

Service Users

Strong network of service users

A way to learn about what it is like to live with a mental illness

Understand what works in professional interactions

A teaching resource

(see Jonny Benjamin #findmike and ‘Sometimes’)

Page 8: Twitter and your career

But

Those who are acutely mentally unwell are often drawn to MH professionals

seeking advice and to communicate hostility

Fine line between supportive interaction and doctoring

Suicidality

Foxtrot Oscar

When to end an interaction?

Page 9: Twitter and your career

Career Development

Education of other professionals

Raising of profile (service and personal)

Invitations to speak at conferences

Contribution to national debate

Page 10: Twitter and your career

Tweet on Topics of Interest

Let's be clear #blurredlines is a song that condones sexual violence against

women. I have 14 years experience of looking after rape victims

Pharrell Williams making a very poor but brazen defence of #blurredlines but

good attempt @krishgm : @jonsnowC4 you should have tried!!

Page 11: Twitter and your career

Comment on the News

Hope the latest USA shooting doesn't demonise people with Aspergers. Gun laws

not autism/mental illness is the issue. When will USA wake up?

I feel there’s also an increase in requests for MH Act Assessments because there

is no prospect of a voluntary bed. And long delays in >

< starting MHAA as AMHPs etc stretched. And new concept of ‘we cant assess as

there’s no bed’ all pretty awful for a person in a Police Cell.

(in response to @rcpsych survery by PTC ‘Sectioned to Get a Bed’ 02 06 2014)

Page 12: Twitter and your career

Tweet About What I’m Doing

Off to a meeting on how we develop better pathways to prevent people

with learning disabilities entering the criminal justice system

Delighted to be invited to @MerseysidePCC Youth Advisory Panel

tomorrow to seek their views on how to reduce first time entrants to the YJS

Page 13: Twitter and your career

Join in Conversations on Important

Topics

@NathanConstable

New restraint guidelines for NHS staff .Did anyone in ACPO or CoP know this

was happening? The implicationarehugehttp://tinyurl.com/nhga3tx

FME @northwestdoc May 19

@NathanConstable can't argue with @MentalHealthCop mantra -

weapons/hostages/barricades to support Police decision on when to

intervene

Page 14: Twitter and your career

Network

@ProfLAppleby

Probation, now child protection: aren't there services that state should

provide as matter of principle? http://m.bbc.co.uk/news/education-

27452457 …

Page 15: Twitter and your career

Join Campaigns and Consultations

@TheBMA

If you believe that equal value should be placed on both mental and physical health PLS RT http://bit.ly/RbsuX9 #healthparity

Great debate #s136. We all need to send input to the Government inquiries on s136/5 and Policing/Mental Health. Lots of valid points made

@rcpsych

New CQC map shows "worrying restrictions" in "places of safety" for young people experiencing mental health crisis

http://www.cqc.org.uk/media/new-map-health-based-places-safety-people-experiencing-mental-health-crisis-reveals-restrictio …

Page 16: Twitter and your career

Seek Help

FME

@northwestdoc

Struggling over writing a presentation on restraint for a mixed

Police/mental health professionals audience. Its a minefield. Suggestions?

Page 17: Twitter and your career

The Perils

Protect the Personal

Twitter likes a bit of personal to keep it interesting but keep it anonymous

Patient Confidentiality

Very easy to inadvertently breach

Page 18: Twitter and your career

Other People’s Agendas

Page 19: Twitter and your career

I wrote a Blog in Response

Mrs May’s Speech: Thoughts From a Police Outsider

Irene Curtis @barrackslass · May 27

Excellent balanced blog from @northwestdoc covering the 'no blame' culture

we need: Thoughts from a Police Outsider http://wp.me/p4FgY03

Page 20: Twitter and your career

Enquiry from Journalists

Positive?

A chance to put my message across?

Or all together more sinister?

Led to me taking the blog down

Page 21: Twitter and your career

Lessons Learned

Stick to what you know

Don’t be tempted to over personalise it

Make sure any organisation you can be identified as working with is happy for

you to tweet and what the parameters are

Exercise extreme caution with service users

Remember you represent the medical profession

But it can lead to learning, reflection and significant career development –

particularly in a niche field