Goals

1. To maintain my safety by the use of appropriate interventions, observation and environment

For me to seek staff support with any questions or when I’m in distress
To prepare me for discharge

Interventions

To complete a FACE risk, the suicide risk interview and global assessment of suicide risk with me on admission
To complete a security plan with me
To agree with the admitting doctor and myself on an appropriate level of observation
To be a multi-disciplinary decision to re-grade from ‘within arm’s length’ or ‘within eyesight’ observation levels, if necessary
To encourage me to engage with staff, particularly when I’m in distress
To utilise cognitive approaches to challenge my negative thinking
To encourage me to spend time in communal area’s and minimise the time I spend self-isolating
To re-visit my suicide risk assessments regularly
To implement any other core care plans needed for my recovery

Things that I know help me are……

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

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

7 Use the available toolkit. The sufferer is the person best aware of what helps them, and what has helped them in the past. Ascertain and utilise this information when implementing the above interventions

8 Craft the step beyond. Work together with the sufferer 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.