Dignity through Action Workshop Introduction to the Dignity through Action Workshop HASCAS: Dignity through Action

DIGNITY THROUGH ACTION BACKGROUND TO DIGNITY THROUGH ACTION To encourage improved care delivery, in relation to ‘Dignity’, to vulnerable people in a variety of care situations. In summary the goals of this work are to: Challenge values, beliefs and attitudes Provide an educational approach through a resources package for qualified and unqualified healthcare workers. Deliver a positive action orientated programme as the basis for sustainable changes in the work place. HASCAS: Dignity through Action

HASCAS: Dignity through Action

Timetable HASCAS: Dignity through Action

The Meanings of Dignity DIGNITY THROUGH ACTION WORKSHOP (Vulnerable Adults) PART 1 The Meanings of Dignity HASCAS: Dignity through Action

What is a Vulnerable Adult? A vulnerable adult (over 20 years) is or may be in need of community care services by reason of mental or other disability, age or illness; and who is or may be unable to take care of him or herself, or unable to protect him or herself against significant harm or exploitation. Department of Health & the Home Office Definition . . . Very wide ranging definition HASCAS: Dignity through Action

Scale of Learning Disabilities No consensus on terminology and no official statistics Between 600,000 and 1,200,000 people in England (80% are adults) have learning disabilities. Lower than expected statistically. Expected to rise 11% by 2021. 60% live with families. 40% live in care homes and hospitals. 17% have jobs. Source: British Institute of Learning Disabilities Compared to general population, people with learning disabilities are: 2.5 times more likely to have health problems. 4 times more likely to die of preventable causes. 58 times more likely to die before the age of 50 years.  Source: Equal Treatment: Closing the Gap Interim Report, Disability Rights Commission (2005) HASCAS: Dignity through Action

Scale of Mental Health Issues 25% British adults experience at least one diagnosable mental health problem in any one year, and 25% of these receive treatment. Mixed anxiety and depression most common disorder in Britain. Women are more likely to be treated than men. British men are 3 times more likely to die by suicide. A third of GPs’ time is spent dealing with mental health issues, and mental ill-health costs the UK economy £100 billion a year. Formal mental health admissions is about 29,000 per year. Removals to a place of safety is about 47,000 per year. At 31 March 2009 there were: 12,300 patients detained in NHS facilities 3,700 patients detained in independent hospitals Various sources summarised: Mental Health Foundation, The Office for National Statistics and the NHS Information Centre HASCAS: Dignity through Action

The Meanings of Dignity ‘Dignity’ is a term which is used in two major ways. Dignity is a quality of the way we treat others as human beings. Dignity is quality of an older person’s ‘inner self’. Personal dignity and self image (self-esteem/self-respect) Expectations of being treated with dignity Appearing dignified (looking and acting dignified) HASCAS: Dignity through Action

‘Respect’ is a term which is intimately related to ‘dignity’ Meaning of Respect ‘Respect’ is a term which is intimately related to ‘dignity’ ‘Respect’ is a verb (action or doing word). HASCAS: Dignity through Action

Types of Dignity HASCAS: Dignity through Action

Treating People as Human Beings 1 Universal Declaration of Human Rights (UDHR 1948) European Convention on Human Rights (ECHR 1950) UK Law Human Rights Act (HRA 1998) ‘all human beings, endowed with reason and conscience . . . are born free and equal in dignity and rights . . . and should act towards one another in a spirit of brotherhood . . . and to be protected against the random misfortunes of life whatever their origins’. Underpinning values: Life and freedom from abuse. Justice. Privacy. Freedoms (thought, conscience, religion, expression, association). Prohibition of discrimination. HASCAS: Dignity through Action

Treating People as Human Beings 2 HASCAS: Dignity through Action

Treating People as Human Beings 3 – Some Examples HASCAS: Dignity through Action

Treating People as Human Beings – Learning Disabilities For people with learning disabilities:   Most friends also have learning disabilities. 30% say they do not have any contact with friends. 5% have no friends and do not see anyone from their family. 40% say they would like more say in what goes on in their everyday life. 30% say they did not feel safe using public transport. 30% said someone had been rude or offensive to them in the last year. In most cases, the person who bullied them was a stranger.   People with learning disabilities are more likely to have a long-term illness or another disability than other people. Only 25% of women have ever had a cervical smear. Source: National Statistics & NHS Health and Social Care Information Centre (2004)  HASCAS: Dignity through Action People may going into long term care without a regular comprehensive re-assessment of their needs. People having developing conditions which are left untreated until a crisis arises because they are perceived as already being in a place of safety. Depression being undiagnosed and left untreated. Care Homes failing to meet minimum standards for how they give people their prescribed medication to treat their medical conditions.

Treating People as Human Beings – Mental Illness   12% of people would not want to live next door to someone who has had a mental health problem. 60%of people describe a person with a mental health problem as “someone who has to be kept in a psychiatric or mental hospital” 33% think people with mental health problems should not have the same rights to a job as everyone else. Only 31% of people think mental hospitals are an outdated means of treating people Stigma & discrimination stops engagement in day to day activities such as shopping, going to the pub, taking a holiday, obtaining insurance, making new friends, joining a club, talking openly to other family members and preventing effective engagement with health professionals. Source: Stigma Shout HASCAS: Dignity through Action People may going into long term care without a regular comprehensive re-assessment of their needs. People having developing conditions which are left untreated until a crisis arises because they are perceived as already being in a place of safety. Depression being undiagnosed and left untreated. Care Homes failing to meet minimum standards for how they give people their prescribed medication to treat their medical conditions.

Treating as Human Beings People – Supporting Laws Other UK Laws uphold (older) people’s rights and direct how people should be treated by others: Q. WHAT ARE THESE UK LAWS? HASCAS: Dignity through Action

Treating People as Human Beings – Supporting Laws Other UK Laws uphold people’s rights and direct how people should be treated by others – for example: Sex Discrimination Act (1975). Race Relations Act (1976). Mental Health Act (1993)* Data Protection Act (1998). Sexual Offences Act (2003). Discrimination Acts (1995) & (2005). Race Relations Act (2000). Freedom of Information Act (2000). Employment Equality (Sexual Orientation) Regulations (2003). Employment Equality (Religion or Belief) Regulations (2003). Mental Capacity Act (2005)*. Safeguarding Vulnerable Groups Act (2006). Employment Equality (Age) Regulations 2006. Mental Health Act (2007 – amended *). Health and Social Care Act 2008 HASCAS: Dignity through Action

Types of Dignity HASCAS: Dignity through Action

Types of Dignity HASCAS: Dignity through Action

Maslow’s Hierarchy of Needs Human Needs Maslow’s Hierarchy of Needs HASCAS: Dignity through Action

Types of Dignity HASCAS: Dignity through Action

Types of Dignity HASCAS: Dignity through Action

Types of Dignity HASCAS: Dignity through Action

Types of Dignity HASCAS: Dignity through Action

Types of Dignity The Dignity and Older Europeans (DOE) Project Study 2001-2004 University of Cardiff HASCAS: Dignity through Action

(A vulnerable older person) Activity 1 The Aged War Hero (A vulnerable older person) HASCAS: Dignity through Action

HASCAS: Dignity through Action

Activity 1 There is a worksheet in the Workshop Pack As a reminder there is a copy of the types of dignity slide. Activity 1 There is a worksheet in the Workshop Pack HASCAS: Dignity through Action

(A vulnerable older person) Activity 1 The Aged War Hero (A vulnerable older person) HASCAS: Dignity through Action

HASCAS: Dignity through Action

HASCAS: Dignity through Action