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Avoidable Harm
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3. fragmented services

and lack of joined-up working

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  • Failures in joint working between systems, agencies and teams.

  • Inter-agency adult safeguarding failures.

  • Inter-agency supported living failures. 

  • Health and social care funding disputes.

  • Lack of joint mental health and social care assessments.

  • Assessment responsibility being passed between services.

  • Service users having to choose between mental health and physical health social work support with risk that support is denied from both services.

  • Lack of social care support following hospital discharge.

  • Lack of consistency and continuity in support, with frequent changes in practitioner. 

  • Service users constantly having to repeat their story, risking re-traumatisation.

Systemic    |    Relational

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HARMS

RECOMMENDATIONS

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"The mental health services don't want me under their care...the council adult care said [they] don’t want anything to do with [me]. So, I'm left now without social care or without the mental health care.

So, has it harmed me? Yes…"

Please visit us on a desktop!

A model of service user experiences of avoidable harm in mental health social care, the impacts of harm caused and service user recommendations for ways to minimise harms.

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Principal Investigator: Dr Sarah Carr

Co-Investigator: Dr Angela Sweeney

Co-Investigator: Tina Coldham

Research Assistant: Georgie Hudson

Design & illustrations: Traumascapes

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This resource is based on independent research funded by

the National Institute for Health Research School for Social Care Research (NIHR SSCR). The views expressed are those of the authors and not necessarily those of the NIHR SSCR,the National Institute for Health Research or the Department

of Health and Social Care.

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