1. Bad influences, unhelpful friendships, new peer norms |
2. Imitating other patients |
3. Attitudes of staff/therapists, dysfunctional systems, lack of staff training to deal with such behaviour |
4. Early discharge/making decisions about discharge without consulting patient |
5. Not acknowledging risk factors that are important to the young person’s wellbeing |
6. Transition back into community/adult services. Not enough planning or coping strategies in place to help patient |
7. Unable to engage with staff members/being isolated increases bad feelings, disempowerment of family members |
1. Self-injury |
2. Suicide |
3. Disempowerment/distress/no responsibility towards self, no motivation to recover |
4. Violence from patients |
5. Unhelpful friendship with other young people on the unit |
6. Having a new network of friends that all have mental health problems |
7. Contagion: learning and emulating behaviours witnessed in other patients |
8. Risk to education |
9. Stigma on return to mainstream education |
10. Unmonitored visitors taking advantage of young people’s vulnerability (abuse) |
1. Losing ‘normal’ identity |
2. Not having the chance to achieve educationally |
3. Risk adverse culture leads to lack of progress and increased readmission |
4. Risk of losing connection to social group leads to a longer recovery time |