Name:______________                         Care Plan Number: 12

 

Care Plan: Self Harm (deliberate and repetitive)

 

 

Goals

 

 

  1. To reduce the frequency of my deliberate self-harm
  2. For me to learn, understand and utilise alternative coping strategies

 

 

Things that I know help me are…..

 

 

  1. To give me any required physical care following an act of self-harm, regardless of whether I accept any psychiatric intervention
  2. To ensure adequate pain relief is prescribed and offered to me
  3. To work with me to identify and implement an appropriate level of observation, including the use of the Intensive Care Area as necessary, to maintain my safety
  4. To assess me for suicide risk as necessary
  5. To work with me to identify any factors that increase the risk of my self-harming
  6. To discuss with my RMO and myself as to whether a referral to Psychology would be appropriate for my recovery

 

 

Things that I know help me are…..

 

  1.  

 

  1.  

 

  1.  

 

In implementing the above interventions, utilise the 10 commitments of the Tidal Model, particularly:

6 Be transparent. Work together with the person to help them understand what is being done and why, in order to build their confidence

7 Use the available toolkit. The person is more aware of what helps them than the helper. Help them to examine ‘their story’ and use what has helped them in the past.

8 Craft the step beyond. Work together with the person to determine a joint appreciation of what needs to be done ‘now’.

 

Utilize the three ‘domains’ in implementing and evaluating the above interventions. (See over page for information on the domains).

 

The Three Domains

 

The Tidal Model focuses on the process by which the person was, metaphorically, 'washed ashore', 'risks drowning' or is otherwise 'marooned' by their life problems. The process of care is based on an integration of understanding of the person's present and future needs across the three domains of personhood.

 

The World domain - or lived-experience - is the centrepiece for an in-depth, collaborative, and holistic, exploration of the person's need for understanding. From this emerges an appreciation of what needs to be done - by the person and others - to address current problems of living, and to move towards a more complete experience of mental health.

 

The Self domain represents the location for the person's need for emotional and physical security. In the context of people in great mental distress, this often represents the heart of the necessary 'care plan', since without emotional and physical security, it is impossible to begin to address the subtleties of the lived-experience within the World domain.  

 

The Others domain represents the person's existing and potential relations with the social world - family, friends, community and culture. This domain also includes the person's relationship with the professional support agencies that might offer help in times of crisis. 

 

This triangulation emphasises the reciprocity of the three domains; one is no more important than the other, but synergistically generates the concept of the 'unique individual' who is like no other person.