compassionate support · dbi level 1. compassionate, caring response, empathic conversation &...
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Distress Brief Intervention (DBI): Working beyond front-line boundaries to build Connected;
Compassionate; Support for People Presenting in & Compassionate Support
#dbi_scot
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2
Before the beginning (Pre – DBI)………………………….
www.dbi.scot
• Great deal to build on.• National Commitment:
Suicide Prevention and Mental Health Strategy.
• Two year national engagement programme and review of evidence (2013-2015).
• Scottish Government announce DBI (Nov 16 –March 21).
• c
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Person presents to ‘Level 1’ frontline service in distress
Frontline services 3rd sector
DBI Level 1Compassionate, caring response, empathic conversation & assessment with offer to immediately refer to Level 2 DBI service based in local community
Eligible, person
declines referral
Eligible, person accepts referral
DBI Level 2Contact made <24hrs after referral, with offer of up to 14 consecutive days of compassionate, person-centred practical support, self-management planning, information, signposting
Adults (16+) with an emotional pain for which they sought, or were referred for, help and which does not require (further) emergency service response.
Immediate referral to local DBI Level 2 service
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Aberdeen
BordersInverness
Lanarkshire
Police
SAS
Primary Care
A&E
DBI
The Elements are Aligned
www.dbi.scot
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DBI: Evaluability
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Observations & Experiences
www.dbi.scot
• Over 5,000 referrals • All received a contact attempt within 24hrs of referral.• 57% Female. • 86% engaged in at least one supportive contact. • 73% of referrals where from the five most deprived deciles. • 21% self-reported being under the influence of alcohol/ substances at
point of referral.• Levels of distress reduced over all.• Transforming cross-sectoral working.• Highly valued by front lines services and people who receive support.• High levels of compassion experience.• Those receiving DBI, report feeling more able to manage both
immediate and future distress.• Reducing suicidal behaviour and in turn saving lives.
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The Story Continues.............
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Part 1: Extension to 16 & 17 year olds
Part 2: Scoping DBI for 15 years and younger
Part 3: DBI Associate Programme
DBI Expansion: Building on Strong Foundations
www.dbi.scot
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“It is the long history ofhumankind that those wholearned to collaborate andimprovise most effectivelyhave prevailed”.
~ Charles Darwin
www.dbi.scot
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23/12/2019 12
DBI: None of Us Are As Smart As All of Us
www.dbi.scot
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Stories From the Frontline
www.dbi.scot