March 2015 - Canberra (ACT) Dr. Dion Gee Australasian Psychology Services :

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Presentation transcript:

March Canberra (ACT) Dr. Dion Gee Australasian Psychology Services :

C ASE O NE : BACKGROUND Location: Housing complex (units) managed by Housing ACT. Tenants involved with Housing ACT: Client1 + Client2: Live together and are long term tenants. Client3: New tenancy and has a history of Mental Health Issues- medication compliance issues. Client 4: Long term single female- history of domestic violence; unknown/diagnosed PTSD

C ASE O NE : I NCIDENT Client3 has a psychological breakdown and violently assaults Client2 with a weapon and causes bodily harm. Client3 has also verbally abused, threatened and intimidated Client4

Police are involved with the crime. Client2 is seeking support from Victims of Crime. Client4 has a breakdown in mental health- referred to Housing ACT Client Support Co- ordinator (Intensive Support)- referred onto to GP for Mental Health Plan. C ASE O NE : E VENT TRIGGERS

Working with Client3 is extremely difficult. Section 51 (eviction) is proceeding, and as it is a new tenancy it has taken a lot of resources to set up. Eviction is in conflict with the approach of Maintaining and Sustaining tenancies The incident has affected long term tenancies and these require further resources to maintain Police are involved and providing support Courts are involved with the eviction Counselling services provided for Housing Managers who were involved with the incident City Mental Health is involved with Client3 C ASE O NE : I SSUES

Frame Works For Consideration Tenancy Legislation Criminal Justice Good Lives Forensic Mental Health Mental Health Disability Health

Assessment, Intervention & (Risk) Management Skills Required

C ASE T WO : BACKGROUND Location: Aged persons complex of 15 properties Housing ACT are receiving numerous complaints from tenants. Housing ACT is obligated to follow up with each compliant. The complaints are about issues that have occurred over years and the conflict is entrenched.

C ASE T WO : BACKGROUND Tenants involved with Housing ACT: Up to 4 different tenancies involved with the issues Over the years some have ‘taken sides’ and others have drifted in and out of the conflict. All tenancies in the complex are impacted by the conflict. The clients are aged and have different levels of disability and communication issues. Some clients are not engaged with support services and have isolated themselves from their family and community. Some residents are supported by their family, whom are also getting involved by trying to ‘protect’ their family member.

C ASE T WO : I NCIDENT Very frequent small incidents and complaints that are very difficult to resolve. Police refuse to get involved as minimal evidence to proceed with criminal prosecutions. Some of the incidents reported to Housing ACT are: Lack of car parks spaces/cars are being damaged, spray painted and abusive notes left on cars Harassment between neighbours- rubbish put in yards, accusations of cameras being used. Security issues- some tenants are locking gates OPEN so that they don’t bang in the night. Dogs barking/getting out. Children/Carers of residents involved in verbal abuse

Police are involved with the crime. Client2 is seeking support from Victims of Crime. Client4 has a breakdown in mental health- referred to Housing ACT Client Support Co- ordinator (Intensive Support)- referred onto to GP for Mental Health Plan. C ASE O NE : E VENT TRIGGERS

Issues are entrenched and difficult to resolve (CRS is not involved because the clients refuse to co-operate). Some clients just want the other parties out. Disability, age, social isolation and communication are impacting the issues. Clients happy to escalate to the Minister without discussion. Time/resources constraints – Housing Minister’s perception that a lot of time used managing seemingly unresolvable issues (impacts on morale). Minimal Police support (lower level issues & evidence). Fears of escalation and potential for critical incidents. C ASE T WO : I SSUES

Staff Wellbeing Organisational Culture Psychology Wellbeing Staff Support Staff Training Critical Incidents Accumulated Stress Vicarious Trauma Burnout

C ONTACT D ETAILS Address: Presentation available from:

Engagement Strategies/Traps Often complicated by a suspicious and distrustful nature, which guards against revealing emotional and interpersonal difficulties. Aim to resist being intimidated by arrogant and demeaning comments; as weakness is not tolerated in those that he places his trust in. Excessive friendliness and overt sympathies can often connote deceit. Questioning him directly about distorted attitudes/beliefs will intensify distrust, destroy rapport, and unleash a barrage of defensive hostility. Challenging self-confidence and his image of autonomy/strength risks destabilising a fragile equilibrium. Maintain ‘distance’ & resist personal exploration = indigence of perceived deficiencies Avoid situations whereby he seeks to outwit or attempt to assert dominance. Sarcasm, devaluation, & domination is often a ‘test’; reciprocation results in distrust. Limiting setting without invoking an accusatory or attacking stance is invaluable. Patience & equanimity can help establish a spirit of genuine confidence and respect. Avoid implicit requests to side with his opinions that identified problems are largely a result of imperfections and weaknesses of others.