Adrian, Social Worker and Approved Mental Health Professional (AMHP)

Living with both autism and dyslexia, I quickly understood that things were not equal for everyone. One vivid memory from when I was 11 and living in Kenya stands out. I was at a shopping arcade with my parents, gazing into a toy shop window. A group of Black African young people stood beside me. The shopkeeper moved them aside and ushered me into the shop, assuming perhaps because I was white that I was wealthy and likely to buy something.

At the time, I didn’t fully understand what had happened, but I felt uncomfortable. I asked my mentors (family and teachers) why this occurred. I now understand this as an example of the mechanics of racism: assumptions based on race and perceived privilege.

This experience, among others, influenced my path into social care. I began as a Support Worker for adults with learning difficulties and later trained as a Social Worker. When I qualified, I had to choose between working with adults or children. I was drawn to adults, particularly those facing substance misuse or mental health challenges. A lecture on the role of the Approved Mental Health Professional (AMHP) described as the “last person to argue for the individual not to go to hospital” solidified my decision.

• Organise the assessment.
• Manage logistics: accessing the property, arranging transport.
• Evaluate risks: to the individual, others, and psychological risks.
• Consider family dynamics and whether to consult them.
• Assess current information and its reliability.
• Understand the impact on the family.
• Check for pets that may need care.
• Determine if a warrant is required.

Training as an AMHP requires deep reflection on the impact your role has on individuals. You hold significant power and must build trust with both the person and the agencies involved.

1. Don’t be overwhelmed: take time to consider options.
2. Balance the social model vs. medical model.
3. Legislation is your friend.
4. You become the voice of the individual through the information you gather.
5. You’re reaching out to someone in crisis and offering a solution.
6. Be aware of competing agendas.

• Apply all core social work skills, use communication, empathy, assessment, advocacy, and safeguarding to support individuals effectively.

• Be recognised as a legal expert in mental health legislation.
  Understand and apply the Mental Health Act and related legislation confidently and accurately.

• Take time to question and assess thoroughly, avoid rushing decisions; gather comprehensive information and consider all perspectives.

• Show confidence and flexibility. Adapt to changing situations and maintain professional assurance in complex environments.

• Be person-centred by focusing on the individual's needs, preferences, and rights, ensuring their voice is central to decision-making.

• Maintain practical self-care. Prepare for long or unpredictable days or nights with essentials like a phone charger, food, and drink to stay focused and resilient.

1.3: The importance of active participation in development and well-being.

2.1: Health, social care, and childcare provision in Wales to promote support and well-being.

4: Working in health, social care, and childcare.

1. How can personal experiences of inequality shape a career in social care?
2. What are the key responsibilities of an AMHP in Wales?
3. Why is it important for an AMHP to balance the social and medical models of care?
4. What legal frameworks support the role of an AMHP?
5. How can AMHPs ensure they remain person-centred in high-pressure situations?
6. What practical self-care strategies can support AMHPs in their role?