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Self-neglect A health perspective

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Page 1: Self-neglect - southamptonlscb.co.uksouthamptonlscb.co.uk/wp-content/uploads/2016/12/Self-neglect-and... · Self-neglect ‘Self neglect covers a wide range of behaviour neglecting

Self-neglect

A health perspective

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What we will cover

What is self-neglect

Why might people self-neglect

The impact on a person’s health

What to look out for

Scenarios

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Self-neglect

‘Self neglect covers a wide range of behaviour neglecting to care for one’s personal hygiene, health or surroundings and includes behaviour such as hoarding’

(Care and Support Guidance 2015)

‘the inability (intentional or non-intentional) to maintain a socially and culturally accepted standard of self-care; …with the potential for serious consequences to the health and well-being of the self-neglecters and perhaps even to their community.’

Gibbons (2006)

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Risk assessment…

• Circumstances in which they occur

• Historical information

• Current circumstances

• Communication

• Investigation

• Observation

• Persistence

Gathering Information

Analysis

Specific Risk Factors

Anticipate Possible Change

Southampton City Council (2013)

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Risk factors…

…how risky is it?

Risk events themselves can be analysed by

likelihood against impact

This can help service users and professionals

prioritise which risk events to focus on

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Risk factors…

…and interventions

Dynamic

Deep clean

Respite

Admit to Hospital

Mental Health Act

Residential care

Static/stable

Therapeutic interventions (e.g. CBT)Relationships & engagementLonger-term workAddress underlying causes

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Why might people self-

neglect?Pride / embarrassment

Culture or values of self-sufficiency

Attachment to place and possessions

Social Isolation

Mental Illness

Loss of carer

Functional decline

Frailty

Cognitive impairment

Lack of financial resources

The (undue) influence of others

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Health-related cause?

Depression

Obsessive Compulsive Disorder

Schizophrenia / Paraphrenia

Dementia

Diogenes syndrome

Dependence on others

Frailty

Learning disability

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Impact on health…

Pressure injuries

Depression

Malnutrition

Dehydration

Food poisoning

Infection

Diabetes management

Respiratory complications

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Case Scenarios

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A balance of rights…

Autonomy

Independence

Self-determination

Human Rights

Unwise decisions

‘My home is my castle’

Impact on health

Duty of Care

Family concerns

Impact on Community

Professional opinion

Empowerment

Making Safeguarding Personal

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Any Questions or Comments?


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