Agenda item

First Step Project

A representative of First Step Leicester will attend the meeting to highlight the work of the First Step project.   

Minutes:

The current CEO and her newly appointed successor of the First Step Project gave a verbal update on the First Step Project:

 

  • The project supported male survivors of rape and sexual abuse from ages 13 and over in the Leicester, Leicestershire and Rutland area. The project also offered online support via Teams and Zoom to men outside of LLR as it was highlighted that there were only 7 male survivors centres in the UK. They were a small organisation who had 16 Counsellors and 5 part-time staff.
  • Up to 26 weeks of counselling was offered, with clients who ranged from young adults up to people in their seventies. In many cases, it was the first time these men had spoken about their experiences which often happened during childhood. They also offered up to 12 weeks of therapeutic emotional support for men who for whatever reason, were unable to take up the counselling. Another service offered was support and counselling for secondary survivors of sexual abuse, such as family and friends of survivors. A further support group was offered to former clients who have been through the First Step Project, so they could talk with other survivors and keep in contact with the project. They also offered 12 weeks of Counselling to prisoners at HMP Stocken in Rutland, support was also offered at Leicester prison. However, this offer was withdrawn as it became no longer safe for the counsellor to go into that environment due to prison staff shortages at Leicester Prison.
  •  The challenges which the First Step Project was facing were detailed. It was explained that the charity was receiving multiple inappropriate referrals from the primary care sector which was affecting the charity and members of the public. There were numerous cases of men being signposted to the First Step Project from the Primary Care Sector who in some cases, had attempted suicide in the previous 24 hours. While it was acknowledged that the Primary Care Sector was facing a lot of pressures and that the First Step Project would be happy to help where they can, it was commented that inappropriate referrals were doing more harm than good. The charity did not have the capacity to support men in such a vulnerable condition.   

 

Comments:

  • Members raised questions about the referrals being received by the charity from the Primary Care Sector and whether they thought this was a knee jerk reaction from the health service. In response, it was commented by the CEOs that it appeared to be a tick box exercise by the triage team of the Mental Health Crisis unit. It appeared that they simply checked if a patient had a history of sexual abuse and then signposted them to the charity without assessing if that was appropriate. As mentioned in the presentation, they were contacted by men who in the previous 24 hours had attempted suicide and had been in contact with the Bradgate Unit. It became so frequent an occurrence that the charity developed a prepared statement which was put onto their website and detailed the criteria for an appropriate referral. The Managing Director of Leicestershire Partnership Trust (LPT) advised that she would speak with the Mental Health Crisis Team and discuss the situation. She would also collect the contact details for the CEO of First Step and liaise with them about how they can resolve the situation. 
  • Members were interested to find out what was the gap in the statutory care services, such as Children’s and Adult Social Care, that the charity was filling. It was explained that First Step only dealt with clients who were sexually abused and that because of this niche, their waiting lists were minimal. This topic prompted further discussion about the voluntary and charity sector and their interactions with the Primary Care Sector. It was commented on that the situation of First Step was not unusual and that more communication and transparency was needed between both parties. The chair discussed with the Chief Executive of Voluntary Action Leicester about drafting a report on the voluntary sector which would explore the area in detail.
  • The Director of Adult Social Care & Commissioning as well as The Associate Director for Integration & Transformation, advised that they were unaware of the existence of the First Step Project. The members noted that they would like to develop a dialogue and links between themselves and the charity, so that they were able to utilise the service and refer the correct clients to the charity. The CEOs of First Step advised that they were not surprised that many of the members were unaware of their existence as male sexual abuse carried a lot of stigma.
  • The chair raised again the situation of prisons in Leicester and that the charity was forced to stop their support for inmates due to safety concerns. The chair also commented on the lack of coverage of mental health on the Board and asked for officers to prepare a report on the topic.  


AGREED:  

  1. The Board noted the presentation.
  2. The Managing Director of LPT to speak to the Mental Health Crisis Unit and liaise with First Step Project to help improve the current referral situation.
  3. The Chief Executive of Voluntary Action Leicester to liaise with Public Health about a potential report looking deeper into the voluntary sector.  
  4. Chair requested a specific mental health focused agenda, specifically on the demand in the system.
  5. The ICB and LCC Adult Social Care would make contact with First step.