January 21, 2020
No two days are ever the same in my job. I meet people from all walks of life but they have one thing in common – they really need help. Whether they have ended up in A&E having tried to take their own lives or we’ve been contacted by their families who recognise that their loved ones are struggling, our job is to assess what they need and put together a treatment plan.
I’m A Mental Health Nurse. This Is What It’s Like On The Frontline Of Our Strained Services
I work at Nottinghamshire Healthcare Trust in a team of 15 which includes nurses, a psychiatrist, practitioners with social care backgrounds and admin support. I’ve been doing my job for 20 years. I used to foster children with challenging behaviours but when I started my training as a nurse it was too difficult to combine the two. Once qualified I worked in adult services and then the opportunity to join the Child and Adolescent Mental Health Services team came up.
In July last year we began working with a TV company and allowed the cameras to follow us in our day-to-day work. We wanted to make the programme as we felt it was a way to take away any stigma or taboo about mental health. I think this is an opportunity to show it is nothing to be ashamed of and that talking about it is often the first step to getting help. The series, which starts on Tuesday 21 January on Channel 4, gives an accurate picture of the difficult decisions we make on a day-to-day basis. 
These include thinking about the risks and management for every individual. Does the young person need an inpatient admission or can they be treated intensively in the community within their own environment? We always take into account the least restrictive options in terms of supporting young people and their families and find that it is often more appropriate to work with them whilst they remain at home, with their families and friends around to support them in managing their own recovery.In the opening moments of the programme I can be seen telling a patient: 'Your goal is to kill yourself; my job is to keep you alive.'We also support the family – they can feel alone in their distress and that something will only be done when they’re at crisis point. They often tell us that they have been asking for help for a long time before they hit our service. In the opening moments of the programme I can be seen telling a patient: “Your goal is to kill yourself; my job is to keep you alive.”
The number of young people suffering with emotional distress due to the demands being placed upon them is increasing and services need to evolve to meet those needs. Youngsters are more aware of their mental health than ever before, and social media plays a massive part in this.
Sure Start Centres and school nurses have been axed and kids are under pressure to do well at school. I would really like to see children’s emotional health needs met – not just academic targets. Bullying is also a massive problem. To that end, we have recently set up a team of trailblazers who are going into schools in our area to talk to youngsters about how to look after themselves and be kind to each other.Related... Young Kids Are Ending Up In Hospital With Eating Disorders. Could This Be How We Stop It? No, ‘Blue Monday’ Is Not The Most Depressing Day Of The Year What People Get Wrong About Living With Both Anxiety And Depression As well as emotional distress we also work with young people who may have eating disorders, problems with their mood, or use drugs and alcohol in order to attempt to self-manage difficulties. They struggle to tolerate distress and a lot of what we do is to help teach young people how to become more resilient in managing life’s curveballs.
The CAMHS Crisis Team and Liaison service has seen an increase in referrals of young people who are self-harming, having suicidal thoughts sometimes with plans and intent to take their own lives, and there is a growing sense within society of romanticising self-harm. This extends worryingly to online forums and social media platforms, where sadly young people find common ground with their peers and a culture self-harm is fostered. 
We’ve always had teenagers with low mood but I think nowadays there are more who are acting out on the self-harm thoughts, more teenagers taking their own lives and I think there’s a lot more young people that actually know somebody who self-harms. One of the questions in the assessment forms is about ‘when did you first get the idea to self-harm?’ And very often you get an answer along the lines of “my friend does it”.We alone have seen nearly 5,000 more adults a year being referred to mental health services in Nottinghamshire than ten years agoSocial connectivity or the lack of it in our modern era has really changed the landscape of how young people cope, understand and manage their emotions and how they develop their identity. Interpersonal effectiveness has, in my view, been hampered by social media, virtual friends and an immediate need for gratification.
We alone have seen nearly 5,000 more adults a year being referred to mental health services in Nottinghamshire than ten years ago, and last year saw a 67% rise in young people self-harming. But our budgets have barely risen leading to resources being strained more than ever before.
I hope that this documentary showcases the great work that dedicated staff working within the NHS do. I also hope it shows more work is needed to ensure these services continue to be funded sufficiently.  I’m proud of my trust, the NHS, the people I work with, but most importantly I’m proud and privileged that young people and families allow our team into their lives at the most distressing and vulnerable time and trust us to support them until they no longer need us.  
Steph Langley is a child and adolescent mental health nurse, and features in Losing It: Our Mental Health Emergency, which starts on Tuesday 21 January at 10pm on Channel 4
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Oscar-winning documentary filmmaker Sharmeed Obaid-Chinoy is directing an upcoming Star Wars movie that brings back Daisy Ridley in the role of Rey. Obaid-Chinoy will become the first woman to direct a Star Wars film, dating back to the franchise's origins in the 1970s. Speaking about this, Obaid-Chinoy told CNN that she is "very thrilled" to make the movie and create something that is "very special.""We're in 2024 now, and I think it's about time we had a woman come forward to shape the story in a galaxy far, far away," she said.Obaid-Chinoy won Best Documentary, Short Subjects Academy Awards for Saving Face (2012) and A Girl in the River: The Price of Forgiveness (2015).In 2020, Lucasfilm boss Kathleen Kennedy told the BBC that a woman would eventually direct a Star Wars movie, saying that would "absolutely" happen, "without question." Victoria Mahoney was a second unit director on The Rise of Skywalker, but a woman has never claimed a top directing credit on a Star Wars movie.On the TV side of things, The Mandalorian has featured a number of female directors, including Deborah Chow and Bryce Dallas Howard. Chow went on to direct the Obi-Wan TV series, too.Another high-profile franchise that has never had a female director is James Bond. Producer Barbara Broccoli and Skyfall director Sam Mendes have both said they want to see a woman direct a future 007 film.As for Obaid-Chinoy's Star Wars movie, little is known about it apart from the fact that Ridley will come back to play Rey. It is expected that this film will be the first of the three new Star Wars films to come to theaters, possibly releasing in December 2025.According to a report, Peaky Blinders creator Steven Knight is writing the Rey movie, taking over for Damon Lindelof and Justin Britt-Gibson.
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The NBA named Clare Akamanzi – an accomplished business executive and international trade and investment lawyer – as CEO of NBA Africa. Akamanzi will start her position on Jan. 23, 2024, and report to NBA Deputy Commissioner and Chief Operating Officer Mark Tatum. In this role, Akamanzi will oversee the NBA’s business and basketball development efforts in Africa and will be responsible for continuing to grow the popularity of basketball, the NBA and the Basketball Africa League (BAL) across the continent, including through grassroots basketball development, media distribution, corporate partnerships, and social responsibility initiatives that improve the livelihoods of African youth and families. For the last six and a half years, Akamanzi was CEO of Rwanda Development Board (RDB), where she spearheaded Rwanda’s economic development by enabling private sector growth. Under Akamanzi’s leadership, RDB implemented several business policy reforms and initiatives that led to significant investment and development for the country, including through partnerships with the BAL, Arsenal FC, Paris Saint-Germain FC, FC Bayern Munich and TIME Magazine, among others. “Clare’s business acumen, international experience and familiarity with basketball and the NBA make her the ideal executive to lead our business in Africa,” says Tatum. “NBA Africa and the Basketball Africa League are well-positioned for continued growth, and under Clare’s leadership we believe these initiatives will transform economies, communities and lives across the continent.” “I’ve seen firsthand how sports can positively impact businesses, families and communities in Africa, and the NBA and the BAL are a perfect example of that,” says Akamanzi. “The NBA has done an incredible job growing basketball and the economy around it across the continent, and I’m excited about the enormous opportunities ahead to build on that momentum.” Previously, Akamanzi was Chief Operating Officer of RDB and Head of Strategy and Policy Unit, Office of the President of the Republic of Rwanda. She has extensive international trade, business and diplomatic experience, having previously worked for the Rwandan Government at the World Trade Organization in Geneva, Switzerland and at the Rwandan Embassy in London, England. Akamanzi has worked or studied in seven different countries and holds an honorary LLD from Concordia University in Montreal, Canada, in recognition of her work in Rwanda. She earned a master’s degree in public administration from Harvard University’s Kennedy School of Government in Cambridge, Massachusetts, where she was the recipient of three prestigious awards for academic excellence and distinguished contribution to the community: the Lucius N. Littauer Fellows Award, the Raymond & Josephine Vernon Award and the Robert Kennedy Public Service Award. In addition, Akamanzi holds a Master of Laws degree in international trade and investments from the University of Pretoria in South Africa, and a Bachelor of Laws degree from Makerere University in Kampala, Uganda. Akamanzi has served on several company boards, including the World Health Organization (WHO) Foundation, ECOBANK and Aviation, Travel and Logistics (ATL) company. She was recognized by Forbes as one of Africa’s Top 50 Powerful Women in 2020.
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