Describe a story about MH Continuum
WORKBOOK PAGE 5 - MANUAL PAGE 18
Do case studies with small groups and feedback
Recovery - STEVE
Emphasise that people can and will recover and that we will do a section on this later.

ALGEE — the FIVE STEPS

Workbook p 2 Workbook p 3

10 mins 1105

📋 Cover ALGEE - IN MY OWN WORDS
Talk about whiteboard:

'Whats the Script?' for ALG — WORKBOOK PAGE 2
Signposting for EE — WORKBOOK PAGE 3

☕ Break — 1115–1130

3 — Self Harm

1130–1230 60 mins total ▾

Bad day coping

Slide 2

5 mins 1130

📋 ACTIVITY How do you deal with a bad day?
Put a plus or minus – identify what coping mechanisms are healthier?
Group Discussion and feedback
Any to add to "E.E"

Question

CAN WE RECOGNISE WE HAVE ALL DONE THINGS TO COPE THAT ARE POTENTIALLY HARMFUL?

Self Harm Facts and Info

Slides 3–7

5 mins 1135

📋 Talk Through Slides

Reasons for Self Harm

Slides 8 Manual p 63

10 mins 1140

Question

WE'VE THOUGHT ABOUT THE 'MACRO' REASONS - WHAT DO YOU THINK MIGHT BE THE REASONS AT AN INDIVIDUAL LEVEL?

📋 MANUAL 63
Group Discussion and use slide to check off

Unhelpful Responses

Slides 9–10

5 mins 1150

Say: When we think about unhelpful responses we might recognise things we've done in the past - thats ok we're here to learn.

Question

IF WE DISCOVER SOMEON IS SELF HARMING - WHAT MIGHT BE AN UNHELPFUL RESPONSE?

Check off with slides
Mention Attention Seeking in relation to Compassion fatigue

ALGEE for Self Harm

Slides 12–18 Manual pp 65–67 Manual pp 68–69

5 mins 1155

quickly talk through each letter MANUAL 65-67
Emphasise we'll learn by doing
HIGHLIGHT BLUE PAGES IN BOOK
MANUAL PAGE 68 & 69

Case Study

Slide 19 Workbook p 18 (Case Study 5) Manual pp 65–67

20 mins 1200

📋 Case Study 5 WORKBOOK PAGE 18
PLEASE READ THIS AND LET ME KNOW WHEN YOU ARE DONE
Highlight that this case study will focus on the A in ALGEE - the approach is a bit tricky.

Activity question

WILL GIVE YOU 5 MINUTES TO DISCUSS HOW YOU COULD START A DISCUSSION ABOUT THE CUTS?

📋 Come back and talk about being direct

Let's assume they say " I used to self harm. I'm ok right now but not having a good time and I'm worried."
What does ALGEE look like?
Work through and write out

📋 USE MANUAL PAGES 65 -67 -
MISS OUT THE SUICIDE QUESTION JUST NOW
Sum up and write up example

Sum Up

Slides 20–21

10 mins 1220

Conclude and have lunch - reminder to take seriously and self care.
ASK IF ANYONE HAS A 1-2 MINUTE SELF CARE EXERCISE?

🍽️ Lunch — 1230–1330

4 — Depression

1400–1515 75 mins total ▾

Intro and main signs

Slides 1–4

5 mins 1400

Mention that depression has a higher degree of understanding than some of the other conditions.
Summarise main signs and symptoms

The Black Dog

Slide 19 Workbook p 6

10 mins 1405

📋 WORKBOOK PAGE 6
Watch the Black Dog and use the checklist to spot symptoms
Blank space for anything extra

The Black Dog info

Slides 5–6

15 mins 1415

Unusually sad mood that doesn't go away – "he would surprise me with a visit"
Loss of enjoyment – Black dog glasses and dog sitting on kite
Lack of Energy and tiredness. Dog drags his face
Loss of confidence – feeling small at parties
Feeling guilty – covering him up – big dog at the door
Wanting to die – when you lose all joy in life you can begin to question what the point of it is
Difficulty concentrating – Reading and dog is in checking up his head
Moving more slowly – dog drags him back
Being Agitated – dog biting the hand and shouting

📋 What else?
Substance use/self medication · Lack of appetite · Loss of intimacy · Rumination · Isolation

📋 What helped? — WRITE ON E.E board
Professional Help · Genuine and authentic emotionally · Understanding it effects lot of people · Learned that there's lots of approaches · Learned to face it · Quiet your mind – exercise, meditation, in nature · Mood Journal · Reassurance – "Black dog days will pass"

Signs of Depression

Slides 7 & 8

5 mins 1430

Questions

IF WE THINK ABOUT THE EXPERIENCES WE HAVE HEAR ABOUT IN THE VIDEO AND ABOUT WIDER EXPERIENCE - WHAT MIGHT WE SEE?

WHAT MIGHT BE THE SIGNS SOMEONE IS EXPERIENCING DEPRESSION?

📋 talk through slides - Behaviours/Thinking and Physical symptoms.
Ask for more examples

GP Diagnosis

Slides 9 & 10

5 mins 1435

📋 This info is a good example of "G"

At the GP Doctors will cover these types of symptoms and take notes to decide next steps – and use a clinical/medical definition.
They will then look at treatment
It's good for us to know this to build confidence about getting someone to the docs

Risk Factors

Slides 11–14 Manual p 75

10 mins 1440

📋 Group discussion and report back

Question

WHAT DO WE THINK ARE RISK FACTORS FOR DEPRESSION? WHAT COULD BE HAPPENING IN A PERSONS ENVIRONMENT, LIFE, OR BEHAVIOUR THAT COULD PUT THEM AT RISK?

It's useful for us to recognise these - risk factors are experienced differently for each person
MANUAL 75
Highlight Drugs and Alcohol

ALGEE and Case Study

Slides 16–21 Manual pp 77–85 Workbook p 22 (Case Study 7) Manual pp 80–87 (EE)

25 mins 1450

📋 Read Through ALGEE - remind about MANUAL PAGES 77-85
CASE STUDY 7 PAGE 22 WORKBOOK
EE - MANUAL PAGES 80-87

☕ Break — 1445–1500

5 — Psychosis

1500–1630 90 mins total ▾

Psychosis Intro & Talk

Slides 2–16

15 mins 1500

Going to talk at you for a while
Cover some psychosis "basics" but will never get to the level of detail of a person's experience

Schizophrenia: Highlight recovery - Various degress of support needed
Bipolar: Draw Graph

ALGEE and 'A' for Psychosis

Slides 17–21

15 mins 1515

📋 Quick talk through ALGEE steps
Group discussion -

Questions

HOW MIGHT OUR APPROACH SECTION CHANGE?

WHAT IS DIFFERENT ABOUT OUR APPROACH AND COMMUNICATION?

Peter Video

Slide 22 Workbook p 7 Slides 23–29

30 mins 1530

📋 Watch Peter video
WORKBOOK PAGE 7
USE NOTES ON THE NEXT PAGE TO TALK THROUGH AFTERWARDS
COVER ALGEE SLIDES AS WE GO
Draw refusing help traffic lights

	Sarah (Good)	Diana (not good)
A	Approach ·goes together ·Possibly a bit risk to go in ·Stays outside ·Talks him outside "why don't we go and sit out" ·Uses familiar memories and connections to Sarah "we're your friends we wouldn't bring you outside if it wasn't safe!" ·Memory of the dog ·Looks for recognitions "we care about you" OFFERS AGENCY AND OPTIONS Assess – "you seem a bit upset"	POSITIVE APPROACH – goes to friend Tries to go in the house!
L	Sits down - Tries to get EVERYONE to sit down Thinking about Levels Nods Asks what he's looking at with no judgement. Repeats back to him – 'So you are saying' "Peter's just scared and upset" "You seem really scared – can you tell us whats going on?" Asks for clarity – "Ok So you've stopped taking your medication"	Stands up "Aliens, I don't think so!" "Yeah I'm a cop" – SARCASM "Sarah hes insane!" "Peters acting really strange" "GOD BE Logical" "will you listen to yourself" POSITIVE "your really scared aren't you?"
G	"we're just trying to understand – can you tell us whats going on?" So you feel like you are being watched all the time – that must be really scary"	"Sarah and I want to help" They will protect you from the aliens I'll sneak back and call them
E	"I'd like to call the crisis team" "Why don't you trust them?" They will try and understand what's going on? Options: Get someone out Go to hospital Crisis teams What do you think we should do? IF we don't run with one of the options I'll have to call the police – which of the other options do you want to go with? Call them here and listen?

Case Study 12

Slide 22 Workbook p 32

10 mins 1600

📋 WORKBOOK PAGE 32 - do this together as a group, focus on the refusing help conversation.

What do we do? Call social work or similair services for advice.
Be clear that you are worried he might be distressed.
Try to speak to him again outside
CONCLUDE

Conclude

20 mins 1610

Take questions
Cover traffic light system
Tell family story.
Outline of tomorrow:
Suicide, Substance Use, Listening Skills, Anxiety
Self Care
Happiness hour

Day Two

Day 2 — Introductions

0930–1000 30 mins total ▾

Tools Knowledge Feelings

15 mins 0930

📋 Tools Knowledge Feelings

Happiness Hours

Slides 4–6

5 mins 0945

📋 Happiness Hours

Any Questions or additions from Day 1

Slides 7–8

10 mins 0950

📋 Any Questions or additions from Day 1

6 — Suicide

1000–1130 90 mins total ▾

Introduction and Ripple

Slide 1

5 mins 1000

SAFETY WARNING

Opt out – Keeping yourself safe
Feelings of guilt, looking back can happen – not useful in the long run but understandable
Death by suicide (792)
Attempted suicide x3 (2376)
Thoughts of suicide x 10 (23760)
Knowing someone who falls into these categories x 40 (950,400)

Talking about suicide Activity

Slides 3 & 4

10 mins 1005

📋 Group discussion -

Questions

WHY DON'T WE TALK ABOUT SUICIDE?

WHY SHOULD WE TALK ABOUT SUICIDE?

Suicide Stats

Slides 5–8

5 mins 1015

📋 Show statistics and offer any group observations

Directly affected by 1 suicide – 135 people,
'Suicide bereaved, Long Term' 'Suicide Bereaved, Short Term' 'suicide affected' 'suicide exposed'
Suicide was recognised as a serious community health problem by the Scottish Government in 2002.

SUICIDE PREVENTION IS EVERYONE's BUSINESS – SO WHAT CAN WE DO?

Acting to Prevent Suicide

Slides 9 & 10

5 mins 1020

📋 Cover the slide points and ALGEE reminder
Give example stories of where people have acted.

Guy at the river
Machek at Drury
Geosciences Guy on course

Indicators & invitations

Slide 13 Manual p 44

10 mins 1025

Question

KNOWING THAT ANYONE COULD BE THINKING ABOUT SUICIDE – WHAT MIGHT WE NOTICE?

WARNING ABOUT GUILT

📋 Write a list of indicators & invitations in groups
MANUAL PAGE 44

How and when to ask

Slides 14–21 Manual p 46 Manual p 51

10 mins 1035

Work through the question & slides and how to 'build' it.
How to respond to yes MANUAL 46
REFERENCE QUESTION AND CPR ON WHITEBOARD
Current Plan/ Previous exposure/ Resources for safety
LISTENING – cover the importance of listening before trying to solve

Questions

WHERE DO WE DIRECT THEM FOR HELP? MANUAL 51

WHAT IF IT'S A NO?

📋 CLOSING THE CONVERSATION (CHECK IN)

Practice Conversation

Slides 22–24

20 mins 1045

📋 In pairs — Role 1 is the Talker, Role 2 is the Asker.

The Talker shares some problems they've been having.
The Asker listens, then asks the suicide question.
The Talker answers yes or no.
Swap roles.

Debrief questions

HOW DID IT FEEL TO HEAR YES? AND NO?

HOW DID IT FEEL TO BE LISTENED TO?

Case Study

Slide 25 Manual p 10 (Case Study 1)

20 mins 1105

📋 CASE STUDY 1 MANUAL PAGE 10

Conclude

5 mins 1125

📋 Self Care and Other Programmes

☕ Break — 1130–1145

7 — Listening Skills

1145–1230 45 mins total ▾

Introductions & warm Up Games

Slide 1

10 mins 1145

Circle Games - Crossing the Circle/Zip/Zap/Boing
OR Passing the message down the line

NonVerbal Skills Recap

Slide 2

5 mins 1155

📋 Ask for non-verbal skills that come from the games.
Cover on slide

Listening without judgement

Slides 3–5

3 mins 1200

📋 Talk through slides 3/4/5
Emphasise that:

This is not therapy
We are there to let the person express
We work hard to do our best

What rips your knitting?

Slide 6

10 mins 1203

📋 Tell Story about towels.
Allow 2 mins for learners to talk about 'trivial' things that wind them up.
Bring it back to demonstrating how this affects our ability to listen.
Read out any of the situations on the next page and ask Q's:

The person you are listening to tells you that they are considering leaving their partner and children. One of your parents left when you were a child and you know first-hand how badly this will affect the children
The person tells you that he has been drinking heavily, then hitting his wife when he gets home. When he is sober he regrets his actions
The person says life is not worth living and that he'd be better off dead. You know he has a good job with a high salary, a wife that loves him, an expensive car and a beautiful home. On the other hand, you are on a low wage, doing a job that is boring, and your partner left you recently

Questions

WHAT WOULD YOUR USUAL REACTION BE TO EACH OF THESE SITUATIONS?

HOW MIGHT YOUR RESPONSE BE DIFFERENT IF YOU WERE IN A FIRST AID SITUATION?

HOW WILL YOU DEAL WITH YOUR FEELINGS OR REACTIONS AT THE TIME?

WHAT WILL YOU DO AFTER THE CONVERSATION

Recap Verbal Skills

Slide 7

5 mins 1213

📋 Ask out loud about verbal skills and recap

Check Out Feelings

Slide 8

10 mins 1218

📋 Each group tells a story. The others ask one of the example questions or a version of it on the slide.
DEMO THIS

After the Event & self Care

Slide 9

2 mins 1228

📋 Cover Slide. Ask for any self care additions, add to E.E
Stress that we've now really focused on the ALG in ALGEE

8 — Substance Use

1230–1300 30 mins total ▾

What are Drugs?

Slides 2–3

3 mins 1230

📋 Go through aims
THIS IS NOT A DRUGS ARE BAD LECTURE - FOCUS ON THE IMPACT OF SUBSTANCE ABUSE ON MENTAL HEALTH

Opening question

WHAT ARE DRUGS?

Problematic Substance use might not be just focused on illegal substances – alcohol, Painkillers etc.

Nuggets Video

Slide 4

10 mins 1233

📋 This film looks at dependency and cycles of self medication.

Post-video questions

WHAT DO YOU THINK ARE THE MESSAGES?

WHAT'S THE IMPACT ON THE LITTLE CREATURE?

Something that starts as fun can get people stuck
IT would be silly to ignore the enjoyment aspect of these situations
It looks like it got very lonely
The effects slow down and stop working
Serious problems and destructive cycles can follow

📋 WHATS MISSING FROM THAT VIDEO IS ANY SITUATIONAL CONTEXT AS TO WHY the wee pellet is needed – what s it relieving?

Drugs & mental health

Slides 5–8

2 mins 1243

Dual Diagnosis – talk about getting caught between services
Talk through the slides
"Problematic' drug use – general shift in society away from terms like misuse and drug addict to problematic use.

Why Drugs & Dependency Cycles

Slides 9–11

3 mins 1245

Question

WHY MIGHT PEOPLE TAKE DRUGS?

Discuss answers out loud
Highlight Self Medication
Draw dependency cycle

Impact of dependency

Slides 12–13

3 mins 1248

📋 READ FIRST SLIDE BEFORE DISCUSSION
Groups Discuss Impact and share back
SLIDE 13 for answers

Types of Drugs

Slide 14 Manual pp 32–33

3 mins 1251

📋 Pop Quiz Style -
Highlight the effects might help when people are feeling a certain way or diagnosis MANUAL 32/33

Depressants

A group of drugs which have a 'depressing' effect on the central nervous system (CNS). They can 'slow down' signals between the body and brain.

Depressants include alcohol and benzodiazepines.

Opioids (e.g. heroin) are painkillers that also have depressant effects.

Effects can include decreased heartrate and breathing, decreased alertness, slowed response time, poor concentration, loss of memory, lowered inhibitions, relaxation, euphoria and confidence.

In high doses, effects include unconsciousness, coma and death.

Stimulants

Drugs which have a 'stimulating' effect on the central nervous system (CNS). They 'speed up' signals between the body and the brain.

Stimulants include: caffeine, nicotine, ecstasy (MDMA), amphetamines and cocaine.

Effects include euphoria, confidence, wakefulness, sexual arousal, increased heartrate, supressed appetite and lowered inhibitions.

High doses or regular doses of stimulants can cause suicidal ideation and psychosis (exacerbated by long periods of sleeplessness).

Cannabis

Cannabis contains THC (tetrahydrocannabinol), a psychoactive compound.

Cannabis use appears to be associated with mental health problems when a person is vulnerable.

Evidence that cannabis causes schizophrenia is not clear, but there is clear evidence that cannabis can worsen the symptoms of schizophrenia, or impact recovery leading to a return of symptoms.

Higher levels of THC in cannabis products is associated with poorer mental health outcomes. THC levels in the illicit market are consistently high.

Since 2018, cannabis has been prescribed in the UK for a number of conditions including anxiety and depression.

Alcohol

Slides 19–21

3 mins 1254

📋 As the most common legal drug its worth talking about

Question

WHAT IS A UNIT AS A DRINK?

Recovery & Signposting

Slides 22–24 Manual p 37

3 mins 1257

📋 EMPHASISE MESSAGE OF RECOVERY
SIGNPOSTING SLIDE MANUAL 37
ADD TO WHITEBOARD WALL

🍽️ Lunch — 1300–1400

9 — Anxiety

1400–1530 90 mins total ▾

Intros and Pre-Start

Slide 1

15 mins 1400

Stigma Language Exercise from Workbook OR
MH Quiz Exercise - Activity 3 on paper

Anxiety Basics

Slides 2–6

10 mins 1415

Opening question

TALK TO ME ABOUT THE GUY ON THE SLIDE

Highlight that feelings of anxiety are normal
show SLIDES 2 & 3

Question

WHAT DO WE KNOW ABOUT FIGHT OR FLIGHT?

Get some answers
Add Freeze
Show Slides 5 & 6

Symptoms of Anxiety Activity

Slides 7–12

20 mins 1425

📋 Each Group does 'Quickfire' list of:
Physical, psychological, behavioural, quick coping skills
Recognise the natural pressure of the activity
Check off symptoms against slides

Anxiety Disorders

Slides 12–14 Manual pp 91–93 Manual pp 95–97

5 mins 1445

Talk through
Types of Anxiety Disorder - MANUAL PAGES 91 - 93 for more information on those.
It's useful for us to understand the conditions if we know someone is dealing with it.
NOT UP TO US TO DIAGNOSE
MANUAL PAGES 95-97 "how to help a person with"

Panick Attacks Film

Slide 15

20 mins 1450

📋 FILM about panic attacks - show first 4 mins or 7 minutes.
Key Q's

Questions

HOW MIGHT HAVING PANIC ATTACKS AFFECT SOMEONE'S LIFE?

AND THOSE AROUND THEM?

HOW MIGHT THEY BE PERCEIVED?

First Aid for Panic Attacks

Slides 16–18

10 mins 1510

📋 Show Symptoms and discuss.
HIghlight Medical Issues
ASK OUT LOUD:

Question

WHAT DO YOU THINK MIGHT BE DIFFERENT ON THE APPROACH, ASSESS, ASSIST PART?

📋 SLIDES 17 & 18 for ANSWERS

Doctor Slide & Recovery

Slides 10–20

5 mins 1520

Talk through 2 slides.
WE ARE MOVING TOWARDS A DISCUSSION ABOUT the G.E.E. part and adding to that

CBT

Slide 20 Manual pp 135–136

5 mins 1525

Question

WHAT DO WE KNOW ABOUT CBT?

Draw Model
MANUAL PAGES 135 & 136
Advantages - practical, situation focused, can do online
Disadvantages - not dealing with underlying challenges/trauma etc
ADD TO E.E. Board

☕ Break — 1530–1545

9 (cont.) — Anxiety Case Studies

1555–1615 ▾

Case Studies

Slide 22 Workbook p 24 (Case Study 8) Workbook p 28 (Case Study 10)

15 mins 1530

📋 Do Case Studies
WORKBOOK PAGE 24 CASE STUDY 8
PAGE 28 CASE STUDY 10
USE PEER REVIEW FORMAT

Recap ALGEE and Conclude

Slides 23–29

5 mins 1545

Use ALGEE to cover anything from Case Studies
Conclude

10 — Recovery

1545–1630 45 mins total ▾

Introduction

Slides 1 & 2

5 mins 1545

Introduce First 2 Slides.
Message of recovery and hope important for MHFAiders
Can be complex and non linear
Not just about 'clinical' improvement or recovery
Think back to attitudes yesterday, ideas of positive communities, role models, triangle etc etc.

Group Activity

Slides 3–9 Manual pp 26–29

20 mins 1550

📋 Open Research Using MANUAL 26-29
Online resources carefully

Group 1 – What is Recovery?
Group 2 – What Helps Recover?
Group 3 – Who Helps Recovery?
5-10 mins and then report back to the room
SLIDES 4-9 for answers

SMHFA & Recovery

Slide 10

5 mins 1610

remember these basic ideas on the slide

Conclude

Slide 22

15 mins 1615

Put up Final Slide and congratulate
10 mins for Evaluation
Use Feels FM?!

📋 Post its removed from Hopes, fears, concerns
Digital Feedback
QR Code
We Feel/We Will

Colour Key

▾

Facilitator dialogue

Facilitator notes

Socratic questions

Activity (learner-led)

Slide / workbook refs

Intro / SMHFA

Attitudes

Substance Use

Self Harm

Depression

Psychosis

Suicide

Listening Skills

Anxiety

Recovery

SMHFA Course Plan Chris Grant

Day One — Overview

Day Two — Overview

⚙️ Setup & Prep

🚗 Packing List — Night Before

Physical Materials

Tech

Good to Have

Setup Timeline

Pre-Workshop Checklist

Full Materials List

Stationery

Printed Items

Wall & Display

Tech

Pre — Introductions

1 — Introduction

2 — Attitudes to Mental Health

4 Groups

3 Groups

3 — Self Harm

4 — Depression

5 — Psychosis

Day 2 — Introductions

6 — Suicide

7 — Listening Skills

8 — Substance Use

Depressants

Stimulants

Cannabis

9 — Anxiety

9 (cont.) — Anxiety Case Studies

10 — Recovery

Colour Key