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Domestic abuse is much more common than we think
Research tells us that 1 in 5 women in Scotland will experience some form of domestic abuse in their lifetime. Domestic abuse also affects men.
No one who has been abused should feel that they are to blame for any reason.The person responsible for the abuse is the abuser.
What is emotional abuse?
Emotional abuse is one form of domestic abuse. It is also known as psychological or mental abuse.
It can include:
• putting you down
• making you feel bad about yourself
• calling you names
• making you think you’re crazy
• making you feel guilty
• blaming things that are going wrong or blaming you for the abuse
• embarrassing you
• using your past against you
• humiliating you
• not speaking to you
• avoiding you
• interfering with your phone or computer use, checking your mobile phone or Facebook
• stopping you seeing your friends or family
Other forms of abuse include:
Physical abuse: any form of harm to your body
Sexual abuse: demanding sex, refusing to – or not allowing you to – use contraception, making you engage in sexual acts you are not comfortable with, including sex against your will (rape)
Emotional abuse is part of a wider pattern of behaviour put in place by one partner to control the other. As a result, the abused person loses their freedom.
The wider range of abusive behaviour can include:
• Emotional, physical and/or sexual abuse (as described above)
• Intimidation: making you feel afraid by using looks, gestures, destroying property, abusing pets, yelling at you
• Cutting your social links: checking on who you are friends with, who you talk to on the phone or online, stopping you from going out or preventing people from visiting you, isolating you
• Denying the abuse: making light of it, saying it didn’t happen, making up a funny story from an episode of abuse. They may say it is your fault because your behaviour causes them to behave this way.
• Using financial abuse: preventing you from taking or keeping a job, forcing you to take a job and taking your money. Not allowing you to have a bank account, money or credit cards.
• Using threats: threatening to call social work, threatening to leave you or kill you or kill themselves, threatening to harm your family or friends if you don’t do what you are told
• Using children: making you think you’re a bad parent, threatening to take your children away, making it difficult for you to spend time with your children or not letting you see them.
Some of this behaviour on its own may not seem serious, but when it keeps happening, it can wear the abused person out, damage their self esteem, and make it hard for them to feel good about themselves or their life. The person living with abuse may feel that they have no control over their life or over part of their life because they have to live according to the abuser’s rules.
If you are experiencing abuse or know someone who is, there are a number of local and national organisations that are willing to help and that will believe you:
IN AN EMERGENCY, CONTACT THE POLICE ON 999
(Please ask for the Domestic Abuse Unit) 101
Crime Stoppers Scotland 0800 555 111 (to report crime anonymously including domestic abuse) www.crimestoppersscotland-uk.org/
Dumfriesshire and Stewartry 01387 263 052 - 07710 152 772 (24hr)
Wigtownshire 01776 703 104 (24hr)
South West Rape Crisis and Sexual Abuse Centre
01387 253 113 (9am to 9pm)
01776 889 331 (9am to 9pm)
Social Work Services
Please ask for the Duty Social Worker 030 33 33 3000
National Domestic Abuse Helpline
0800 027 1234 (24hr)
Rape Crisis Scotland National Helpline
Freephone 0808 801 0302 6pm – midnight
LGBT Scotland Domestic Abuse Project
A UK wide helpline for LGBT people experiencing domestic abuse 0300 999 5428
Mondays & Thursdays 2pm – 8pm
Tuesdays & Wednesdays 10am – 5pm
Trans session Tuesday 1 – 5pm
Men’s Advice Line
For men experiencing domestic abuse 0808 801 0327 (free from landlines and most mobiles)
Monday to Friday 10am – 1pm and 2pm – 5pm
For those worried about their abusive behaviour
0808 802 4040 (free from landlines and most mobiles)
Monday to Friday 10am – 1pm and 2pm – 5pm
A telephone translation service is available from each of the agencies listed here. If you have difficulties with English you will be put on hold whilst you are connected to an interpreter.
The help described here is available to you regardless of your age, nationality, disability, race, gender, religion and belief or sexuality, and whether or not you are married or have children.
“Developing Specialist Mental Health Services across Dumfries and Galloway”
What is the Specialist Mental Health Services?
This is a secondary specialist service that provides assessment and ongoing specialist care for individuals with severe and persistent mental disorders. It comprises of professionals from a range of disciplines who work together to deliver comprehensive care that addresses individual needs.
The service is largely community based and services are provided either in an individual’s home or in a homely setting. When admission to a Mental Health inpatient bed is required, this is provided at Midpark Hospital in Dumfries. The Community and Inpatient services works collaboratively to ensure seamless pathways of care between the community and inpatient settings.
Need for Change
It is estimated that mental illness affects more than a third of the population every year. The ageing population is growing, leading to an increase in the number of people with dementia.
Integrated Health and Social Care is developing across Scotland, with a focus on prevention, anticipation, supportive self management and ensuring people remain in or get back into their home or homely setting as close to their community as soon as appropriate.
Community and Inpatient services need to respond to the changing needs of the population, developing clinical expertise, increasing support to carers, providing a range of contemporary treatment and services, and doing this in a responsible, flexible way designed around the needs of service users and carers.
Mental Health Developments
The Mental Health Change Programme will build upon services that have been developing for a number of years including the following:
- 24/7 CATS (Crisis Assessment and Treatment Services)
- Psychiatric Liaison Services
- IDEAS Team (Interventions for Dementia, Education, Assessment and Support)
- Home Based Memory Rehabilitation Service
- Improving access to the service for people with a Learning Disability
- Increasing support to carers
- Improving Access to Dementia Services for younger people
- Developing Centre of Excellence in Dementia Care in Midpark Hospital
• The Mental Health Service will continue to develop a person centered, strengths based model of care that meets the needs of service users.
• The Mental Health Service will provide a range of services in community settings that ensures timely support is available to service users and their carers.
• When admission to hospital is required, services will aim to make this as time limited as possible.
• A successful service model relies on strengthening partnership working closely with other statutory, third and independent organisations, which recognises and supports the vital role of carers.
Facts and Figures
• Mental Illness affects one in three of the population.
• Individuals can and do recover from mental illness or live well with even the more severe and longer term illnesses.
• For many years, mental health care has moved away from inpatient treatment to care in community settings, with a significant reduction in Scotland’s Inpatient beds.
• As a consequence of improved healthcare and better lifestyles, people are living for longer.
• The number of people with dementia is expected to double between 2011 and 2031.
For any further information please contact:
Mental Health Management Team on 01387 244007
or email at: dumf-uhb.MentalHealth@nhs.net
What is tuberculosis?
Tuberculosis (TB) is an infectious disease that usually affects the lungs, although it can affect other parts of the body too. TB is not a common disease but, over the last 20 years, the number of cases has been rising. Between 400 and 500 new cases of TB are diagnosed in Scotland every year. This is approximately one person in every 10,000 of the population. TB is usually completely curable with a course of special antibiotics.
How is TB spread and am I likely to get infected?
TB is usually spread when people with infectious TB in their lungs or throat cough
or sneeze. However, it usually takes close and lengthy contact with an infectious person to catch the disease. Not everyone with TB in their lungs is infectious. Once they are taking the right treatment, most people who are infectious become non-infectious after about two weeks.
Are some people more at risk than others?
Yes. Anyone can catch TB, but you are more at risk if you:
• live with someone who has infectious TB or have been in lengthy close contact with them
• are living in unhealthy or overcrowded conditions, are homeless or sleeping rough
• may have been exposed to TB when you were young, when TB was more common in this country
• are dependent on drugs or alcohol
• have spent a long time in a country with a high rate of TB, such as south-east Asia, sub-Saharan Africa and some countries in eastern Europe
•have been in prison
•have parents or grandparents who come from a country which has a high rate of TB
• are unable to fight infection due to illness (e.g. HIV infection) or treatment
• do not eat enough to stay healthy
How will I know if I’ve got TB?
The most common symptoms of TB include:
• a persistent moist cough that lasts for several weeks
• losing weight for no obvious reason
• fever and unusual sweats at night
• a general and unusual sense of tiredness and being unwell
• coughing up blood.
All of these symptoms may also be signs of other illnesses, but if you think you or
someone else has TB you should talk to your GP or call the NHS inform helpline on 0800 22 44 88 (textphone 18001 0800 22 44 88; the helpline also provides an interpreting service).
If a health professional suspects you have TB, you will be offered a check-up at a special TB clinic.
If I have TB, can I be cured?
Yes. TB is treated with special antibiotics. You will usually begin to feel better about two to four weeks after starting the antibiotics. The antibiotics have to be taken for at least six months in order to cure the disease. If you stop taking the antibiotics before six months, the TB may become more serious and much more difficult to treat. You may pass on this more serious form of the infection to your family and friends. If TB is not treated properly, it may lead to death.
How can TB be prevented?
The most important and effective way to prevent TB spreading is to diagnose people with the disease as soon as possible and make sure they have a full course of correct treatment. That is why it is so important to be aware of the symptoms.
Can you catch TB on the bus or train?
This is unlikely because you usually need to be in close contact with an infected person or persons for a long time to catch TB. Using public transport and going about your normal daily business does not put you at risk of getting TB.
Can you catch TB at school?
If a child in school were found to have TB then a risk assessment would be carried out and appropriate screening would be organised to make sure no one else is infected and to identify the source of infection.
For further information on TB call the NHS inform helpline on 0800 22 44 88
(textphone 18001 0800 22 44 88; the helpline also provides an interpreting service), or contact your GP.
There is more information about TB and BCG at www.immunisationscotland.org.uk
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Ta publikacja jest dostępna online na stronie www.healthscotland.com
lub pod numerem telefonu 0131 536 5500, gdzie można także zgłaszać wszelkie zapytania.
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0131 پر ٹیلی فون کریں۔ 536 5500
This resource is available in Urdu, Chinese and Polish, and in an Easy Read format.
NHS Health Scotland is happy to consider requests for other languages and formats.
Please contact 0131 536 5500 or email
DEALING WITH DEMENTIA
Crawford Little – Regional Involvement Officer for the Dementia Friendly Communities Project in Dumfries and Galloway.
The Dumfries and Galloway Multicultural Association is working with User and Carer Involvement in Dumfries & Galloway to ensure that people affected by dementia from ethnic minorities are getting the treatment and support they need and are entitled to.
An older relative or friend may be getting more forgetful, or struggling with everyday tasks. It shouldn’t be ignored. They could be experiencing the early symptoms of dementia.
Today in the UK, nearly one million people are living with dementia. It typically affects men and women over the age of 65, but can also affect younger people. We do not know yet exactly what causes dementia. However, we can say that as a general principle, dementia develops when cells in the parts of your brain involved with mental ability become damaged. Damage to these cells can be caused by:
• diseases and infections that affect the brain, such as Alzheimer`s disease or meningitis
• pressure on the brain, for example a brain tumour
• lack of blood and oxygen supply to the brain, for example due to a stroke
• or a head injury.
Symptoms can include memory loss and difficulties with thinking, problem-solving or language. These changes are often small to start with. But for someone with dementia, over time they will become severe enough to affect daily life.
Each person will experience dementia in their own way, and the various types of dementia affect people differently, especially in the early stages. They may have problems with:
• recalling recent events
• keeping track of the day or date
• knowing where they are
• finding the right word, or following a conversation
• solving problems and making decisions
• concentrating or planning
• carrying out a sequence of tasks, such as cooking a meal
• and judging distances – perhaps on stairs.
They may have changes in their mood – becoming frustrated, irritable, withdrawn, anxious, easily upset or unusually sad. As the dementia progresses, they may develop unusual behaviours such as repetitive questioning, pacing, restlessness or agitation. Changes in sleep pattern and appetite are also common.
In the later stages, they may have physical symptoms such as muscle weakness or weight loss, and will need more and more support to carry out everyday tasks. Some cultures and religions encourage families to look after their older relatives, without outside help – but dementia can become too severe for a family to cope with on their own.
An early diagnosis will allow all involved to make important arrangements for the future. Information, advice and support are available for the person and their carers (family and/or friends) to help them maintain their independence and live well for years after their diagnosis.
Assessment and Diagnosis
Becoming forgetful does not necessarily mean a person has dementia. It can also be a sign of stress, depression or certain physical illnesses. However, anyone who is worried about themselves or a relative should discuss their concerns with their General Practitioner. Typically, the GP will make an initial assessment and, if necessary, refer the person to a specialist service for a more detailed assessment.
If the cause is dementia, a diagnosis has many benefits. It provides someone with an explanation for their symptoms, gives access to treatment, advice and support, and allows them to prepare for the future and plan ahead. Knowing the type of dementia may allow appropriate treatments to be offered.
The vast majority of causes of dementia cannot be cured. However, there is a lot that can be done to enable someone with dementia to live well with the condition. Support for the person and their carer after a diagnosis should give them a chance to talk things over with a specialist, ask questions about the diagnosis, and prepare for the future. Information should be given on where to get help if needed in the future, and how to stay physically and mentally well. For example, cognitive rehabilitation can enable an individual to retain mental skills and raise their confidence.
There are drugs that can help to improve the symptoms of dementia or that, in some cases, may stop them progressing for a while. However, health professionals will generally advise that a non-drug approach is tried first before prescribing medication.
There is also lots that can be done at home to help someone with dementia remain independent and live well with memory loss. Activities that help to keep the mind active are popular. It is vital that people with dementia stay as active as they can – physically, mentally and socially. Everyone needs meaningful activities that they enjoy doing, and that maintain confidence and self-esteem.
If you would like to know more about the Dementia Friendly Communities Project in Dumfries & Galloway, or have concerns about yourself, a relative, or a member of your community and want to discuss the matter confidentially, contact Crawford Little:
Crawford Little, Regional Involvement Officer, Dementia Friendly Communities Project, User and Carer Involvement, Office 1, Kindar House, The Crichton, Bankend Road, Dumfries, DG1 4ZZ
Telephone: 01387 255330 Email: email@example.com www.userandcarer.co.uk