News and updates from today's Self Neglect and Adult Safeguarding conference
Chaired by Deborah Barnett T-ASC (Training, advice, solutions & consultancy), this national health and social care conference focuses on the difficult issue of self neglect and adult safeguarding. The conference provides an important opportunity for delegates to share experiences, raise issues and seek clarity through discussion with speakers and colleagues working in the same field.
Alison Brammer School of Law University of Keele opens the conference with an update on 'Adult Safeguarding & Self Neglect: Legal Update and Implications of the Care Act 2014'. Her presentation covers:
• what is self neglect and when should you intervene?
• the Care Act 2015 updated guidance: what has changed with regard to self neglect?
"we need to be clear about the Philosophy of the Care Act, not just the nuts & bolts
- most common form of abuse & neglect is where multiple forms of abuse & neglect are used
- are provisions in Environmental Health Law which may come into play with self neglect cases
- self neglect cases can be the most complex and difficult as practitioners but there is ample law to support"
The morning continues with an extended session from Deborah Barnett T-ASC (Training, advice, solutions & consultancy) with Eric Malkin Former DI Vulnerability Unit on 'Developing guidance for professionals when dealing with self-neglect and resistance to engage with services'. Their presentaton covers:
• learning the Lessons Inter Agency Review in respect of an adult who died having been admitted to hospital in a concerning state of neglect
• providing support, care or treatment needed to balance an adults’ right to self deter mination, with duties to manage risk and safeguarding those who are vulnerable
• should all self neglect be regarded as safeguarding?
• issues around carer self neglect
• pathways for adults refusing services and self neglect
• developing and implementing best practice guidance
"the Human Rights Act governs everything that we do in Safeguarding, it's very important in cases of self neglect
- the Human Rights Act describes conflicts and how to balance them
- What is a good assessment of self neglect cases, to me it is a strength based person centred approach
- remember there is no magic wand for self neglect"
Deborah qualified in 2000 with a Post Graduate Qualification in Applied Sociology Equality and Diversity. She is a qualified Social Worker and has worked across all aspects of adult services. Deborah has managed a variety of Social Work teams, has been a member of a number of Safeguarding Adults Boards and has been Safeguarding and Mental Capacity Act Lead within a Local Authority. In preparation for beginning her own business Deborah qualified as a teacher in 2012 and now runs a successful training and consultancy business.
An interest in self-neglect first developed when Deborah was working as a Social Worker within substance misuse and mental health services. In 2012 Deborah was asked to scrutinise a response to a fire death of someone who self-neglected. After looking at the findings of the Serious Case Review, Deborah worked with the Housing provider, Health, Fire Service, Environmental Health Services and the Local Authority to develop a more pro-active response to people who self-neglect. Deborah developed the first self-neglect toolkit to support practical work with people who self-neglect and launched the toolkit at the conference where it was well received.
Since the introduction of self-neglect within the Care Act, Deborah has written a number of published articles on self-neglect, has developed and published a webinar session with Community Care Inform and has been a presenter at a number of national conferences. Deborah regularly delivers multi-agency training on a variety of legal frameworks including, Care Act, Safeguarding, Mental Capacity Act, Domestic Abuse and Self-Neglect.
Eric Malkin's Biography:
Eric Malkin joined Durham Constabulary in 1984 and performed a number of roles, the majority of which were as an investigator in CID. In the later part of his police career he was the Detective Inspector for the North Area Vulnerability Unit and managed the response to Domestic Abuse, Adult Safeguarding and Child Protection for the north of the county. Eric established and chaired the first MARAC and set up the first dedicated Domestic Abuse and Adult Safeguarding units in the County. He was the police representative on the County Durham Safeguarding Adults Board (CDSAB) and attended each of the Boards sub-groups.
Eric retired from the police in 2009 and took up the position of Senior Development Officer for Adult Safeguarding with Durham County Council. Eric currently works as Adult Protection and Deprivation of Liberty Safeguards (DOLS) Manager working on behalf of Durham Local Authority and safeguarding adults Board, ensuring effective team responses for all adult safeguarding and DOLS in the county.
Future conferences of interest:
Domestic Violence and Adult Safeguarding
The New Care Models for Integrating Health and Social Care through EHCH, PACS & MCPs
Masterclass: The Use of Restrictive Interventions: The legal framework
Safeguarding Vulnerable Adults in Mental Health Services
27 January 2017