Tag Archives: wellbeing

Reflections from the Royal College of Nursing PSI Alumni Conference 2025 – A Carer’s Perspective

Arriving and Opening Reflections

Walking into the RCN PSI Alumni Conference at Cowdray Hall on that crisp November morning, I felt a mix of pride, gratitude, and curiosity. It’s been many years since I first began speaking at RCN events like this, yet every time feels new because each gathering brings together nurses, carers, service users, and leaders who continue to shape the future of mental health care.

Before I continue to describe the event, let me sum up the Royal College of Nursing PSI programme. Basically the Psychosocial Interventions (PSI) programme is a nationally recognised training initiative designed to strengthen therapeutic skills of mental health professionals and embed recovery-focused, relationship-based care across services.

The PSI program is rooted in the principles of collaboration, reflection, co-production and empowerment, PSI equips practitioners with practical tools to support individuals experiencing mental distress, while also valuing the insight of carers and families.

I think what makes PSI stand out is its emphasis on seeing people beyond their diagnosis and fostering empathy, curiosity, and shared understanding between nurses, service users, and carers.

At the start of the conference and during it, I spoke to a few nurses over coffee, each reflecting on how PSI had shaped their practice one mental health nurse told me it had helped her “find her voice again.” For me, as a carer with lived experience, it was great to witness this sense of renewal. It reminded me why collaboration between professionals and lived experience communities is so essential.

Around 10 a.m., Catherine Gamble formally opened the event, setting a tone of gratitude and shared learning. Her introduction reminded us how much the alumni network had grown and how lived experience was now firmly part of the PSI culture.

As someone with lived experience of caring for my mum, who lived with schizophrenia, I approached the events not just as an observer but as someone deeply invested in the stories and struggles that bring us together as a triangle.

When I was invited to open the event and share my reflections as a carer, I knew I wanted to do more than talk about carers, I wanted to speak for them, and with them.


My Opening Talk – “The Nurses Who Walk With Us”

Standing at the podium, looking out at rows of passionate mental health nurses and lived experience, I began with gratitude. My words were simple but heartfelt:

“This is really about the nurses who walk with us, the ones who move beyond the labels, beyond the charts, and see the person, not the problem.”

I read a poem I had written to honour the compassion and resilience of those in the room a piece I called The Nurses Who Walk With Us.

The poem spoke about presence, about listening, and about the small acts of care that ripple into great change.

After my talk, I was moved by the warmth of the response. Many came up to share how my words mirrored their experiences or reminded them of why they came into nursing. That moment of connection that shared understanding set the tone for the day.


The Locksmiths Animation and Alumni Showcase

Following our opening session, Ellie Gordon and Stephen Jones launched the new animation “We Are the Locksmiths.” The film poetically portrayed mental health nurses as key-cutters shaping, adapting, and helping people find the right fit for recovery.

Watching it, I was struck by how accurately it captured the emotional labour of care, the balancing of vulnerability, patience, and professionalism

Next we had the Mentimeter session that morning, which was led by Professor Sally Hardy. She guided participants through reflective wellbeing questions using the interactive Mentimeter tool, encouraging everyone to think about how to sustain personal and professional wellbeing in mental health practice. Sally’s session wasn’t just about gathering feedback

Afterwards, the Alumni and Facilitators’ “Show and Tell Time” began. Groups from Sheffield NHS Trust, Sussex Mental Health Partnership, Lancashire Mental Health NHS trust, and Hereford NHS Trust sharing creative projects and reflections from their PSI practice. There were posters, poems, and community initiatives that had grown directly from the training. I wandered around the tables, speaking with participants who described how PSI had changed their teams. I think One mental health nurse told me, “We stopped seeing interventions as techniques and started seeing them as relationships.” It was inspiring


Workshop One – Working Together in Risk and Safety

After refreshments, we broke into workshops. I joined Workshop One: Lived Experience and Co-Production – Utilising Our Expertise, led by Hannah Cadogan and colleagues. It was energising to see lived experienced and mental health nurses working side by side.

I spoke about what co-production really means from a carer’s point of view. I shared my journey as someone who has cared for a family member living with schizophrenia and another with autism, and how those experiences taught me the importance of being included as an equal partner in care.

I explained that carers often hold a deep understanding of the person they support insights that can make a real difference if professionals take the time to listen and involve us from the start, not as an afterthought. Drawing on my work with Carers UK, the Carers Trust, and the Triangle of Care as many nurses from the mental health trusts were members of triangle of care programme., I spoke about how true co-production is built on trust, openness, and shared learning.

We discussed barriers time, fear, power differences but also solutions, like embedding co-production in supervision and reflective practice.

In this session, the discussion turned to how we can meaningfully involve carers and service users in planning safety not as tick-box exercises, but as genuine collaborations. I found myself reflecting on my own experiences of sitting in meetings where decisions were made about my mum rather than with us.

Hearing the nurses speak so openly about their challenges about time pressures, fear of getting it wrong, and the emotional toll of risk reminded me that we’re all human in this process. True co-production means sharing not only responsibility but also vulnerability.

One participant spoke about the importance of patience: “We’re not here to fix; we’re here to find a way in.” That line stayed with me. It echoed my own philosophy that care starts with listening, not solving.

By the end of the workshop, we agreed that co-produced safety isn’t about removing risk; it’s about building trust so we can face risk together.


Workshop Two – Co-Production and Carer Involvement

Lunch provided another opportunity for networking. The Mental Health Forum stand and MHP stall displayed resources on psychosocial practice.

I met others who had recently completed the course.

Conversations were open, curious, and full of mutual respect the kind of professional empathy that sustains hope in challenging work.

After lunch we heard from Professor Nicola Ranger, RCN General Secretary, who welcomed everyone back, commending the alumni for sustaining PSI’s legacy. Her words “you are the custodians of compassion” perfectly captured the spirit of the day.


The evaluation session of the RCN PSI Alumni Conference was presented in partnership with London South Bank University (LSBU), who have been key academic collaborators in examining the outcomes and long-term impact of the Psychosocial Interventions (PSI) programme. This section was introduced by Stephen Jones, and Professor Chris Flood, a leading figure in mental health nursing and research at LSBU.

Together, they outlined how LSBU’s evaluation seeks to capture not just the quantitative outcomes of PSI such as improved confidence and competence among practitioners but also the qualitative stories of change, growth, and compassion that the alumni community embodies.

There will be several teams at LSBU, but I was impressed on the make up of the Advisory and Supervisory Team provides academic oversight and strategic direction.

  • Professor Patrick Callaghan, Professor of Mental Health Science at LSBU, offers extensive expertise in psychosocial interventions and nursing research leadership.
  • Professor Chris Flood, a leading mental health and adult nurse researcher, specialises in health economics, survey design, and qualitative inquiry.
  • Professor Neil Brimblecombe, Professor of Mental Health and Learning Disability, contributes his expertise in workforce development, nurse prescribing, and policy analysis linking the PSI evaluation to broader NHS workforce strategies.
  • Professor Eddie Chaplin, an expert in intellectual disabilities and psychosocial interventions, supports the development of inclusive frameworks for peer support, guided self-help, and service co-production.

Afternoon workshop

In the afternoon, I attended Workshop Three: Working Together in Risk – Co-Production, Suicide and Personalised Safety. It was deeply emotional. We discussed how carers can be crucial in early warning and safety planning, but only if professionals create safe spaces for them to speak. The workshop was presented by Berkshire Healthcare NHS Foundation Trus

During the workshop, we took part in reflective exercises that encouraged us to consider what “shared safety” truly means. We were asked to think of times when communication broke down between families, patients and professionals, and how different outcomes might have been possible if trust and collaboration had been stronger.

Celebrating Archievements

Those who finished the RCN PSI programm were presented with a RCN PSI alumni badge, which i felt was a small but powerful symbol of commitment, compassion, and continued learning. For many, receiving that badge wasn’t just about completing a programme; it represented belonging to a network that values empathy, partnership, and the courage to keep improving mental health care together.

Reflections and Looking Ahead

As the day drew to a close, we took a quiet moment to reflect. Conferences like this are not just about learning they are about belonging. They remind me that, while the caring role can often feel isolating, there is a wider network of understanding and solidarity.

I missed out a lot more that took place at the alumni event, but watch out for more exciting news from the RCN in future.

To find out more about the RCN PSI Progamme, click link below.

https://www.rcn.org.uk/Professional-Development/Educational-programmes-and-services/Psychosocial-Intervention-Programme

Reflections from King’s Mental Health Fair 2025 – A Carer’s Perspective

By Carer Activist – Matthew McKenzie

Today, I had the privilege of being part of King’s College Hospital NHS Foundation Trust’s Mental Health Fair, held on Thursday 2nd October, in recognition of World Mental Health Day 2025.

The event brought together a wide range of organisations and community groups working tirelessly to support the mental health and wellbeing of patients, families, and carers.

Why carers need to be at the heart of mental health conversations

As someone who has cared for a loved one experiencing mental health challenges, I know firsthand the importance of recognising and supporting carers through the groups i run.

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Surviving the Holiday Season as an Unpaid Carer: Tips for Self-Care and Support

Welcome to another blog post by Carer Activist Matthew McKenzie. This blog and video is from my lived experience caring for a close relative and also supporting my brothers.

To watch the video lecture, please click below.

The holiday season is a time filled with joy, celebration, and connection. However, for unpaid carers, it can also be a period laden with stress, isolation, and heightened responsibilities.

Continue reading

World Occupational Therapy Day 2024 – Occupational Therapy for All

Welcome back to another blog post by carer activist Matthew McKenzie. I raise awareness of unpaid carers, mental health and cancer caregivers.

As of 27th of October. It is World Occupational Therapy Day. You can watch my video on promoting the awareness day below.

Celebrating World Occupational Therapy Day 2024: Promoting Independence and Building Resilient Communities

Introduction

The global community comes together to celebrate World Occupational Therapy (OT) Day. This annual event is not just a date on the calendar; it is an opportunity to shine a spotlight on the incredible contributions of occupational therapists (OTs) worldwide. The theme for 2024, “Occupational Therapy for All,” emphasizes the role of OTs in enhancing personal autonomy and fostering community well-being.

The Significance of Occupational Therapy

Occupational Therapy Goals

Occupational therapy is a holistic practice that focuses on helping individuals achieve their daily goals and maintain independence. Whether it’s enabling an elderly person to continue living safely at home, assisting a child with developmental challenges, or supporting someone with disabilities, OTs play a pivotal role in promoting well-being and independence.

The services provided by occupational therapists are essential for a wide range of people, including:

  • The Elderly: Older adults often face physical, cognitive, and emotional challenges that can impede their ability to perform daily activities. OTs help them adapt their environments and tasks to maintain independence.
  • Children with Developmental Needs: For children with conditions like autism or cerebral palsy, OTs assist in developing crucial skills needed for school and everyday life.
  • Individuals with Disabilities: People facing physical or cognitive impairments receive tailored strategies from OTs to navigate their lives more effectively.

Mental Health and Occupational Therapy

Emotional and Social Support

Mental health advocacy is a significant aspect of occupational therapy. OTs assist clients in developing coping strategies, enhancing social skills, and managing emotional regulation. Through tailored interventions, they help individuals overcome barriers that affect their mental health and overall quality of life.

Community-Based Rehabilitation (CBR)

Local Outreach

One of the most impactful areas of occupational therapy is Community-Based Rehabilitation (CBR). Many OTs work within local communities, especially in low-resource areas, to provide critical services. These professionals address the unique needs of their communities, offering support that might otherwise be unavailable.

Celebrating World OT Day

Global Events and Activities

World OT Day is marked by a variety of events, workshops, and online activities around the globe. These celebrations provide an excellent opportunity for therapists, students, and healthcare providers to engage with the profession and learn more about its significant impact.

Public Awareness Campaigns

Public awareness campaigns are a vital component of the celebration. Various organizations launch initiatives to explain what occupational therapy is and how it benefits individuals facing physical, cognitive, or emotional challenges. These campaigns often feature:

  • Seminars and Webinars: These events offer OTs a chance to enhance their skills and share best practices.
  • Workshops: Hands-on workshops provide practical experience and learning opportunities for both current and future occupational therapists.

Engaging the Community

Social Media Campaigns

Social media plays a crucial role in spreading awareness about World OT Day. Hashtags like #WorldOTDay2024 and #OccupationalTherapyForAll encourage professionals, clients, and advocates to share stories and insights about the impact of occupational therapy. These online movements help build a global community united by a common goal – to promote and celebrate occupational therapy.

The Role of the World Federation of Occupational Therapists (WFOT)

Global Advocacy and Resources

The World Federation of Occupational Therapists (WFOT) serves as the global voice for the profession. The WFOT provides resources, toolkits, and guidelines to help practitioners worldwide celebrate World OT Day effectively. Through their efforts, the WFOT ensures that the message of occupational therapy reaches a broad audience, fostering a deeper understanding and appreciation of the field.

Conclusion

World Occupational Therapy Day 2024 is all about celebrating the transformative impact of occupational therapy. From promoting personal independence to building resilient communities, OTs make a significant difference in the lives of individuals and the broader society. As we mark this special day, let’s recognize and appreciate the vital contributions of occupational therapists and continue to advocate for the important work they do. Don’t forget to share your OT stories with the hashtag #WorldOTDay2024.

Navigating Feelings of Guilt as a Cancer Caregiver: Essential Tips

Here I present some practical ways to manage guilt for those who are caring for someone with cancer. From accepting emotions to joining support groups, empower yourself to handle challenges with compassion and resilience.

If you wish to watch the video version of this blog (3 minutes) then click below.

Navigating Guilt as a Cancer Caregiver

Caring for someone with cancer is a role laden with emotional challenges, and feelings of guilt are often a frequent companion on this journey. Whether it’s self-imposed pressure to be perfect or the overwhelming desire to alleviate your loved one’s suffering, guilt can overshadow the invaluable service you are providing. Here, I present some strategies to help you manage and navigate these difficult emotions, ensuring you maintain your well-being along with providing care.

Acceptance: Guilt is Normal

The first step in managing guilt is accepting that it is a completely normal emotion for caregivers. Understanding that you are not alone in feeling this way can make a significant difference. Accepting your emotions rather than suppressing or ignoring them is crucial for a healthier caregiving experience.

Open Up: Share Your Feelings

Finding someone to talk to can be incredibly therapeutic. This confidant could be a friend, family member, or even someone within a support group. Sharing your emotions not only lightens the burden but also offers you different perspectives and support.

Professional Help: Speak to a Therapist

Consulting with a therapist who specializes in caregiver issues can provide you with invaluable coping strategies. This professional guidance offers a safe space to express your feelings without judgment and equips you with tools to handle your emotions better.

Focus on What You Can Control

Guilt often arises from feeling powerless over the situation. Shifting your focus towards aspects of caregiving that you can control helps in mitigating these feelings. Concentrate on the quality of care you provide instead of focusing on the uncontrollable aspects of the illness.

Be Kind to Yourself

Treat yourself with the same compassion and kindness you would offer a friend in a similar situation. Recognize your humanity; you can’t be perfect, and that’s completely okay. Acknowledge your efforts and small victories rather than focusing solely on your perceived shortcomings.

Set Achievable Goals

Setting realistic and achievable goals for your caregiving duties can significantly reduce feelings of inadequacy. Break tasks into manageable steps and celebrate each accomplishment, no matter how small. This can bolster your confidence and lessen the weight of guilt.

Prioritize Self-Care

Self-care is not selfish; it is a crucial aspect of caregiving. Make time for yourself, whether it involves engaging in a hobby, exercising, or simply resting. Recharging your mental and physical batteries will make you a more effective caregiver.

Educate Yourself About the cared for’s Condition

Gaining a deeper understanding of your loved one’s medical condition can enhance your competence and reduce feelings of guilt. Knowledge empowers you to provide better care and allows you to feel more confident in your caregiving decisions.

Celebrate Small Victories

Take time to reflect on the positive impact you have on your loved one’s life. Celebrating small victories and moments of joy can serve as a reminder of the important role you play. These moments can counterbalance feelings of guilt and provide emotional upliftment.

Join a Support Group

Support groups are invaluable. Connecting with others who are experiencing similar situations provides a sense of belonging and validation. Sharing experiences and realizations can offer immense relief and new strategies to cope with guilt.

Express Yourself Through Writing

Writing down your feelings can serve as an excellent outlet to process and understand your emotional state better. Journaling allows you to articulate your thoughts and feelings, reducing the burden of carrying them around unspoken.

Know Your Limits and Communicate Them

Understanding and respecting your own limits is crucial for sustainable caregiving. Clearly communicate your boundaries to those involved in the caregiving process. This protects your energy and ensures you don’t overextend yourself, which can exacerbate feelings of guilt.

Learn from Mistakes

No one is perfect, and mistakes are part of the caregiving journey. Instead of being overly critical of yourself, view mistakes as learning opportunities. Allow yourself to grow from these experiences rather than letting them compound your guilt.

By integrating these strategies into your caregiving routine, you can work through feelings of guilt and find a more balanced emotional state. Remember, you are doing an incredible job. Caring for yourself is just as important as caring for your loved one. Stay strong, and give yourself grace along this challenging yet rewarding journey.

Quotes to cope with sadness and grief

Welcome to my site raising awareness of those who care for someone with long term illness.

Caring for someone going through either mental health conditions or cancer can be a special role, but also challenging. Caring for someone close or a close friend can be an emotional rollarcoster. As carers there are times when we just cannot be in command of our own emotions.

Due to these challenges, you will experience decline in the person’s mental and physical health. This is distressing to experience and deal with. Every so often I release videos to help those focus on combating these difficult emotions. Even if for a short while.

Feel free to watch my video below.

If you are caring for someone. Remember to look after yourself.

Interview with Jaycee La Bouche – Carer Activism series

Welcome back to the third in the series of carer activist interviews by Matthew McKenzie. These videos help not only bring awareness to what unpaid carers can do when helping others, but can also allow carers to learn about carer empowerment.

For this interview I spoke to Jaycee La Bouch fellow supporter of Carers UK and founder of Zen Laughter yoga therapy. Jaycee is not only a carer, but also finds ways to support other carers through the power of mental wellbeing. Every time I meet Jaycee, she always has a smile on her face.

Unpaid carers can go through many challenges that it can be so easy for them to neglect their own mental health and wellbeing. Watch the video of the challenges Jaycee went through and how she found the power to help others.

Wellbeing skills for Carers, Families & Friends – Kingston

For carers over in the London borough of Kingston. There are sessions aimed at unpaid carers which are informal and friendly. The sessions give practical ideas and tips, based on the latest scientific research to increase resilience, improve wellbeing and manage stress and anxiety levels better.

Please see poster below for more information or contact communitylearningkae@kingston.gov.uk

There is also a link below and the scan code

https://bit.ly/KAE-CLcrc2223

New poems by Matthew McKenzie

Here are two more poems from my upcoming book “The Poetry book of mental health caring”.

The first poem focuses on wellbeing for carers who are caring for someone suffering mental illness. To be fair it does not actually have to be mental illness, but the main point is the person is thrown into becoming a carer.

The next poem is more psychological. The poem called “The Mirror” asks the carer to reflection on their identity, especially when the carer is judgemental about themselves. I certainly was very judgemental about trying to provide unpaid care and at times I still am critical.

A community that cares is a good one

Welcome to my latest blog. As a reminder my blog posts focus on mental health carers, what I mean about that is highlighting the caring experiences of those caring for someone with mental ill health or mental health needs. This latest blog post is about community, because when all is said and done for health and social care, it is how the outcomes impact the community.

Some would say to test good quality wellbeing and a caring community, you can literally pick an area in town and stand there to observe. If you see run down apartments, no one talking to each other, anti-social behaviour, lots of noise and people seeming unwell, then this is a prime example of a community in trouble. When we notice such things, it does not take long to think to ourselves who is responsible for all of this?

I am not saying that all communities are like this, but it is worthwhile to experience what I am mentioning. Of course don’t do this at night especially if the community is known for trouble. Perhaps you might be thinking to yourself, why is Matthew raising this in his blogsite? What has all this got to do with caring?

Well as you can see by my blog title “A community that cares is a good one”. The thing I am trying to point out is because we focus on caring being a personal and private experience. We make the mistake that caring only exists in small confined spaces. We also tend to think that caring can only be applied to those who are unwell and once that person has recovered, then caring can stop. This again does not take into context the importance of caring.

Caring in itself can be applied to so many things, not just the person in themselves, but to caring about the environment, caring about ourselves as in our own wellbeing, caring for the importance of education and caring for community. Make no mistake I am not saying to care about everything, since we do not care for racism, isolation, blaming others or being a general nuisance to others. It is what we care for that counts.

I am fully aware that caring for others, especially those close to us is not a forgone conclusion, since there are many challenges that needs to be worked upon, especially with the new Health and Care Bill 2021 (see my online carers newsletter for more detail). I urge those who are caring, carer reps and the general public to take interest in such bills because it will affect us all.

Going back to the idea of caring in itself, we must take note that a caring community cherishes the importance of not only strengthening caring for others but in caring overall, where a society brings caring about those close to us towards caring for the good of all of us. This is not a simple tasks and almost seems like a utopia because we all have different aims and agendas and I expect those to clash as people do not often see eye to eye, but not all communities are alike, if we find a bad community, then it cannot be the case ALL communities are bad as some are better off, we cannot also think that it is just down to money and resources, because there are people out there working very hard to bring out the best in their own communities.

What is wrong in wanting to live in a community that will reduce isolation, improve health and wellbeing, easier access to social care, less noise, pollution and anti-social behaviour? All these wants and desires being out the best in ourselves and makes us happier in the long run, but we need to understand this cannot be done without the emphasis on care or our mental wellbeing is at risk.

In the end, we are all responsible.