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Enhancing Fire Safety Through Mental Health Liaison: The Manchester Initiative

The Manchester Fire and Mental Health Liaison Project aims to address the alarming fact that over one-third of individuals who died in fires were known to mental health services. By integrating occupational therapy with fire safety, the project adopts a holistic approach that emphasizes the connections between mental health, fire risk, and environmental factors. Through partnership working with health trusts and fire services, the project facilitates risk assessments, home safety checks, and targeted interventions to reduce fire incidents, demonstrating significant success in preventing further tragedies.

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Enhancing Fire Safety Through Mental Health Liaison: The Manchester Initiative

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  1. The Manchester Fire and Mental Health Liaison ProjectWarren Pickstone Head Of Resilience and Planning

  2. Background to the project “Over 1/3 people who died in fire in Manchester were known to mental health services”

  3. Key elements of The Fire and Mental Health Liaison project

  4. Project Aims:-

  5. Why an Occupational Therapist? Need a holistic approach to fire safety that includes:

  6. Link between – Mental Health Fire Risk Fire and mental health link? Person, Environment and Occupation. Performance /Capacity Volition / Habituation Roles & Routines

  7. Need for partnership working? Health Trust • Specialist Skills • Learning points from incident reviews • Person Centred practice Fire Safety Choice & Dignity • Little fire safety awareness • Gaps in risk assessment

  8. Need for partnership working? Fire Service Good at fire risk and fire safety Free home fire safety checks Prevention, protection, response Choice & Dignity Fire safety Difficulty accessing ‘hard to reach’ Little understanding of mental health Risk driven not person centred

  9. Barriers faced by GM Fire & Rescue

  10. What does a Fire and Mental Health Liaison Officer do?

  11. The added value of Occupational Therapy

  12. Case study – Mrs X • Mrs X • 74 years, lives alone own home • 9 fires in 18 months • Falling asleep, food unattended • Alcohol • Depression • Bereavement • Loss of role • Volition • Smoke inhalation • Hospital admission • Referral made to Fire & Mental Health Liaison

  13. RiskAssessment • X • (Scales)

  14. Assessment and Intervention • Documentation of Risk • Joint Home Safety Check • Motivational Interviewing • Standardised Assessment • Occupational Goals • Environmental Adaptations • Referral to Community Alcohol Service • Engagement in Community Activity Outcome – no further fire incidents!

  15. The outcomes of our work? • X • (Scales) Interactions To reduce the likelihood (cooker timer etc) To reduce consequence (smoke alarms)

  16. Outcomes…. • Referral process and pathway • Sharing information protocol • Mental health awareness for fire service personnel • Fire safety awareness training for Occupational Therapy staff

  17. Why did it work?

  18. Unchartered areas of work for occupational therapy Creating capable teams approach: • Person (e.g. depression, poor concentration) • Environment (e.g. cluttered, housekeeping, friends) • Occupation (e.g. cooking, smoking) Holistic Approach Required

  19. Contact details Warren Pickstone pickstonew@manchesterfire.gov.uk

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