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health services to offer such interventions as part of routine follow up

care, but should be

rather able to

as a distinct service to be accessed signpost such services where need is

as required. indicated.

Staff

17.

It should be noted that children are also vulnerable to complicated

grief and for them evidence does support early intervention. A number of specialist interventions have been developed to support bereaved children

and details of services available locally should be held and maintained.

Staff in NHS Borders have developed a child bereavement service, undertaking training from a leading children’s bereavement charity and then recruiting volunteers and cascading the training

18.

Health boards should ensure that in major centres such as acute

hospitals, resources are readily available to support bereaved people, and

that a range of materials is made available to other localities.

19.

Where health boards are unable to deliver specialised bereavement

services they should initiate and develop partnerships with agencies which

can demonstrate that they standards. Referral pathways and health boards should agencies.

work to recognised and evidence based to such specialist services should be agreed accept responsibility for supporting such

20.

Evidence suggests that while some bereaved relatives and carers

may be reluctant to revisit the place where the person died, others may find comfort in doing so. An invitation to return for some kind of memorial event may sometimes be appreciated, and the provision of such events should be considered. Such events may include input on the process of grief as well as a time for remembering and sharing. Memorial events should reflect the diverse needs, experiences and beliefs of those who will attend and take part, and may therefore include both sacred and secular elements. Other types of follow-up such as phone calls and cards

should be considered where service can be sustained.

this

appears

appropriate

and

where

the

Shaping Bereavement Care 31

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