Safeguarding Students: Two key questions

Sara Burns, co-creator of Triangle and the Outcomes Star, explains how she learnt more than she set out to at the Safeguarding Students conference in Manchester

I had two main questions when I registered for the Safeguarding Students conference: what aspects may be relevant in a Star for university students with mental health issues and is My Mind Star – published earlier this year – a good fit? Those questions faded into the back of my mind by lunchtime and further in the afternoon.

Throughout the morning, one speaker after another talked about the factors behind the sharp increase in mental health problems for young people and difficulty accessing the right services. 100 student suicides a year are the tip of the iceberg[1]. Like most of the people in the room (confirmed by a show of hands) I was listening as a parent as well as a professional and despite already knowing much of what was said, it was impossible not to find the presentations poignant and disturbing. My son and daughter are now young adults and I have witnessed one negotiate university and the other struggle without access to the right mental health support. I imagine there were many other parents in the room with similar experiences; one speaker talked about the loss of his son to suicide.

In the afternoon we heard about the student mental health crisis as a symptom of much wider problems within universities and society; the takeaway phrases for me were ‘persecutory perfectionism’ and ‘university as an anxiety machine’ – how ‘anxiety at university is inherent in a neoliberal Higher Education sector that distorts the student experience into a value-for-money exercise’. We also heard about the emphasis on metrics and performance in a marketized environment. Student speakers throughout the day stressed the pressure to perform, to be perfect, to succeed – that ‘failure is not an option’.

Answering my questions

After 15 years of developing versions of the Outcomes Star I’m still fascinated by the process and my mind is so used to engaging in this way that it even though my original questions were far from front of mind, I still answered them. I concluded that My Mind Star is a good enough fit to be worth piloting in a student welfare and support service, but there are key differences, such as money and the roles of family and peers, which we would include if we produced a tailored variant.

I didn’t get a strong sense of need or fit for the Star within student support, but that may be my lack of knowledge. The Outcomes Stars are most helpful within one to one, holistic support over months or years, which some students may need and receive but support appears to vary a lot. However, if you support university students with mental health, do look at My Mind Star and contact me if you think it – or a variant for students – might support your work; I’d love to find out more.

To talk to Sara Burns and share your thoughts, call 020 7272 8765 or email info@triangleconsulting.co.uk.


[1] Safeguarding Students Conference 2019, Manchester

Reflections: Hospice UK’s annual conference

Sara Burns, co-founder and director of Triangle and one of the authors of the Outcomes Stars reflects on her attendance at Hospice UK’s annual conference in Liverpool.

We recently launched the Preparation Star – developed to empower patients to share what is important to them when approaching end of life. We were invited by Hospice UK to exhibit a poster at their two-day annual conference, to demonstrate the development and design behind the publication of this new Outcomes Star.  

Conversations had at the conference

Smiling retired senior man sitting on sofa with female home carer at care home

I spent a large proportion of my time talking to delegates and learning more about them, their work and experiences. End of life is a conversation that many people struggle with or avoid altogether, so it was refreshing to meet people at the conference who were open to talking about this topic in a straightforward, confident and relaxed way.    

I shared detail on the Preparation Star and the background as to how it became to be: I was personally pleased when North London Hospice approached us three years ago to develop a Star for end of life. The Department of Health and Social Care’s guidance, based on research, recommends and stresses the importance of a conversation about end of life. Outcomes Stars enable and support good conversations – which support better outcomes – and I felt honoured to be developing a version for what is often the most difficult conversation there is.

86% of people helped by hospices receive ‘hospice at home’1

I had previously thought of a hospice as a safe and relatively pleasant place where people went to die, until learning of this fact. I explained this to conference delegates and that most hospice support is now provided in day centres and the community. This is where the Preparation Star is best used as a tool to enable patients to talk about their wishes and develop a plan with 6-12 months still to live, maybe longer, and provide services with a measure of patient well-being outcomes. I also explained to delegates that it was clear from our pilot that the Preparation Star isn’t suitable for hospice inpatient services – most patients were too close to end of life to use the Star.

Wider conversations about Outcomes StarTM

I met people who already knew the Outcomes Star from previous roles, including in homelessness and family support, and were excited to see one designed for end of life. Others new to the concept could easily recognise it as a visually engaging way to support a conversation and for managers to get some much-needed information on service outcomes. Although I saw some other excellent tools to start a conversation, the Star fills a gap in focusing a conversation to give a picture of how things are, to support planning, and measure outcomes.

How to find out more about the Preparation Star:
You can download a preview version of the Preparation Star and explore the nine areas covered in conversation. To talk to Sara Burns or another member of the Triangle team, call 020 7272 8765 or email info@triangleconsulting.co.uk.

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1 Hospice UK conference presentation