1) can anyone help?

2) this is an indication to be HIGHLY wary of "high intensity network" also called SIM "serenity integrated monitoring" which is being rolled out across more & more of the NHS https://twitter.com/lizanelly1/status/1380148637301374980
The "high intensity network" or SIM model is led by a community mental health practitioner AND A COP. This approach has won shitloads of awards and it's part of the creeping behaviourist & criminalisation approach to mental health https://highintensitynetwork.org 
As someone who's been 136ed a few times and had a fair bit of ambulance contact, I live in fear of this becoming the approach taken to me. It's part of the reason I don't seek help when I need it. When I am suicidal, I am also afraid of dying at home for various reasons so often
end up in public spaces which has at times been the reason I've survived, because someone found me. If my fear of greater police involvement becomes bigger than my hatred of the idea of dying at home (imagining who would find me, what the cats would do) then I am more likely to
take action to end my life at home, where nobody will find me, and where I am much more likely to actually die.
the SIM / HIN website is... vague about precisely what the cop involved does. but pilot report, which the FAQ signposts to, says "Attendances at Emergency Departments for false, malicious or unnecessary reasons had reduced greatly and, in most cases, had completely stopped"
FALSE. MALICIOUS. OR UNNECESSARY REASONS.

how exactly does one attend a&e maliciously?
the whole programme was set up by a cop. not a clinician. the whole thing is set up to get cops more involved in our healthcare. even the pilot report which is signposted to for information on what police officers do in the programme is vague.
the case studies are all full of police officers coming in and "setting boundaries", punitive discharges, encouraging "appropriate" service use (code for exclusion & gatekeeping ime), "false allegations" made about healthcare & police staff (no info about how conclusion these
were false is reached); someone's history that "as a child she would deliberately have accidents to seek attention"; service users "firmly challenged and told of the consequences should behaviour x continue".
there are also a lot of mentions of service users being initially resistant to police involvement but "coming round" through their mh team "holding firm" - in other words, they didn't want the cops there, but it was their way or the highway so they were beaten into submission.
it stinks from top to bottom. after everything we've seen of the police in the last year we should be building services that can support people without the cops coming within a million miles of them.
imo as a researcher the pilot report, on the basis of which SIM seems to have been rolled out to ever increasing numbers of trusts, is methodologically questionable. the only actual feedback from service users is an interview with one of the clinicians key to implementing the
programme, the manager of the local crisis team. there is solid evidence that people give more positive evaluations of interventions when they are interviewed by practitioners involved - @DianaRose160 et al wrote about this re. ECT. all other service users are represented only
through "case reports" written by the sim team. they are all about "taking responsibility" and "setting boundaries" and rapidly gloss over the fact that most people seems o have hated the programme at first but given up resisting because they had no choice.
I do not have the strength to go through and critique the rest of the evidence presented in later reports rn, but since the pilot one is signposted from the current FAQ, it is still effectively being used to promote the programme.
[ self harm ]

Anyway I spent the night in hospital last night and when I called an ambulance (not something I do unless I am very afraid) they also sent the cops, bc I was lying on the bathroom floor trying not to pass out and consequently wasn't 100% sure where I had put the
implement I self harmed with, which meant they were presumably concerned that the two 6ft tall male paramedics they dispatched were going to be held at razor blade point by the haemorrhaging woman who couldn't stand up
which meant that I, in my pyjamas with no bra on, had four strange men in my hallway, two of whom were cops. it wasn't a great experience & I don't think it would've been improved by someone sitting me down afterwards and explaining I need to take responsibility for my recovery.
(they may have been less than 6ft tall, but given I was literally on the floor they certainly seemed tall)
anyway with that me and kel are going for a walk. acab.
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