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Chapter 13 - Activity and Positive Engagement within a PICU

Published online by Cambridge University Press:  15 March 2024

By
Rebecca Davies ,
Robert Rathouse  and
Wendy Sherwood
Edited by
Roland Dix ,
Stephen Dye  and
Stephen M. Pereira
Roland Dix
Affiliation:
Gloucestershire Health and Care NHS Foundation Trust, Gloucester
Stephen Dye
Affiliation:
Norfolk and Suffolk Foundation Trust, Ipswich
Stephen M. Pereira
Affiliation:
Keats House, London
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Summary

Being able to do activities is an inherent human need and essential to health and well-being. This chapter relates this need to the altered experience of activity participation for people who are patients within a psychiatric intensive care unit (PICU). It explains the negative impact of impaired functioning, occupational deprivation and boredom and the converse positive effect of adequate meaningful activity provision for patients, staff and the service as a whole. It discusses how engaging patients in activity can prevent, reduce and help to manage violence and aggression. This is balanced by a discussion of how enabling positive engagement through use of activity requires careful assessment, which includes considering the environment, different aspects of functioning such as sensory processing and the risks associated with the activities described herein. The chapter provides information on a wide range of activities for individual and group-based programmes, including enabling activity participation in seclusion and using sensory interventions.

Keywords

positive engagementmeaningful activityactivity programmesviolenceaggressionsensory interventionsoccupational therapy
Type
Chapter
Information
Psychiatric Intensive Care , pp. 159 - 177
Publisher: Cambridge University Press
Print publication year: 2024

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References

Akther, S, Molyneaux, E, Stuart, R, Johnson, S, Simpson, A and Oram, S (2019) Patients’ Experiences of Assessment and Detention Under Mental Health Legislation: Systematic Review and Qualitative Meta-Synthesis. BJPsych Open 5 (3) E37.CrossRefGoogle ScholarPubMed
Alexandratos, K, Barnett, F and Thomas, Y (2011) The Impact of Exercise on the Mental Health and Quality of Life of People with Severe Mental Illness: A Critical Review. British Journal of Occupational Therapy 75 (2) 48–60.CrossRefGoogle Scholar
Antonysamy, A (2013) How Can We Reduce Violence and Aggression in Psychiatric Inpatient Units? BMJ Quality Improvement Reports 2: u201366.w834. DOI: https://10.1136/bmjquality.u201366.w834.CrossRefGoogle ScholarPubMed
Barlow, EM and Dickens, GL (2018) Systematic Review of Therapeutic Leave in Inpatient Mental Health Services. Archives of Psychiatric Nursing 32 (4) 638–49.CrossRefGoogle ScholarPubMed
Beer, MD, Paton, C and Pereira, SM (2008) Management of Acutely Disturbed Behaviour. In Beer, MD, Pereira, SM and Paton, C (eds.), Psychiatric Intensive Care, 2nd ed. Cambridge: Cambridge University Press. pp. 12–23.CrossRefGoogle Scholar
Birken, M and Bryant, W (2019) A Photovoice Study of User Experiences of an Occupational Therapy Department within an Acute Inpatient Mental Health Setting. British Journal of Occupational Therapy 82 (9) 532–43.CrossRefGoogle Scholar
Björkdahl, A, Perseius, K, Samuelsson, M and Lindberg, MH (2016) Sensory Rooms in Psychiatric Inpatient Care: Staff Experiences. International Journal of Mental Health Nursing 25 (5) 472–79. DOI: https://doi.org/10.1111/inm.12205.CrossRefGoogle ScholarPubMed
Brown, C and Dunn, W (2002) Adolescent/Adult Sensory Profile Manual. San Antonio, TX: Psychological Corporation.Google Scholar
Bryant, W, Cordingley, K, Sims, K, Dokal-Marandi, J, Pritcchard, H, Stannard, V, et al. (2016) Collaborative Research Exploring Mental Health Service User Perspectives on Acute Inpatient Occupational Therapy. British Journal of Occupational Therapy 79 (10) 607–13.CrossRefGoogle Scholar
Burki, T (2018) Increase in Detentions in the UK under the Mental Health Act. The Lancet Psychiatry 5 (11) 878.CrossRefGoogle ScholarPubMed
Butler, S, Adeduro, R, Davies, R, Nwankwo, O, White, N, Shaw, T, et al. (2020) Art and Mental Health in the Women’s Psychiatric Intensive Care Unit. Journal of Psychiatric Intensive Care 16 (1) 15-22(8)CrossRefGoogle Scholar
Carpenter, C, Jordan, S and Lawrence, J (2021) Application of the VdTMoCA to Occupational Therapy within a High Secure Mental Health Hospital. In Sherwood, W (ed.) (2021) Perspectives on the Vona du Toit Model of Creative Ability: Practice, Theory and Philosophy. Watford: International Creative Ability Network.Google Scholar
Carpenter-Song, E, Noel, VA, Acquilano, SC and Drake, RE (2018). Real World Technology Use Among People with Mental Illness: Qualitative Study. JMIR Mental Health 5 (4) e10652.CrossRefGoogle Scholar
Chevalier, A, Ntala, E, Fung, C, Priebe, S and Bird, VJ (2018) Exploring the Initial Experience of Hospitalisation to an Acute Psychiatric Ward. PLoS ONE 13 (9) e0203457. DOI: https://doi.org/10.1371/journal.pone.0203457.CrossRefGoogle Scholar
Champagne, T and Stromberg, N (2004) Sensory Approaches in Inpatient Psychiatric Settings: Innovative Alternatives to Seclusion and Restraint. Journal of Psychosocial Nursing & Mental Health Services 42 (9) 34–55.CrossRefGoogle ScholarPubMed
Chan, Z, Wu, CM and Yip, CH and Yau, KK (2012) Getting Through the Day: Exploring Patients’ Leisure Experiences in a Private Hospital. Journal of Clinical Nursing 21(21–22) 3257–67.CrossRefGoogle ScholarPubMed
Chaplin, R, McGeorge, M and Lelliott, P (2006) The National Audit of Violence: In-Patient Care for Adults of Working Age. Psychiatric Bulletin 30 (12) 444–6.CrossRefGoogle Scholar
Cole, F (2014a) Physical Activity for Mental Health and Wellbeing. In Bryant, W, Fieldhouse, J and Bannigan, K (eds.), Creek’s Occupational Therapy and Mental Health. Edinburgh: Elsevier. pp. 205–22.Google Scholar
Cole, MB (2014b) Client Centred Groups. In Bryant, W, Fieldhouse, J and Bannigan, K (eds.), Creek’s Occupational Therapy and Mental Health. Edinburgh: Elsevier. pp. 241–58.Google Scholar
College Centre for Quality Improvement (CCQI) (2017) Standards for Inpatient Mental Health Services.Google Scholar
Cook, S and Chambers, E (2009) What Helps and Hinders People with Psychotic Conditions Doing What They Want in Their Daily Lives?. British Journal of Occupational Therapy 72 (6) 238–48.CrossRefGoogle Scholar
Cook, S, Mundy, T, Killaspy, H (2016) Development of a Staff Training Intervention for Inpatient Mental Health Rehabilitation Units to Increase Service Users’ Engagement in Activities. British Journal of Occupational Therapy 79 (3) 144–52.CrossRefGoogle Scholar
Csikszentmihalyi, M (2013) Creativity: Flow and the Psychology of Discovery and Invention. New York: Harper Perennial.Google Scholar
Csipke, E, Papoulias, C, Vitoratou, S, Williams, P, Rose, D and Wykes, T (2016) Design in Mind: Eliciting Service User and Frontline Staff Perspectives on Psychiatric Ward Design through Participatory Methods. Journal of Mental Health 25 (2) 114–21.CrossRefGoogle ScholarPubMed
Curtis, S, Gesler, W, Fabian, K, Francis, S and Priebe, S (2007) Therapeutic Landscapes in Hospital Design: A Qualitative Assessment by Staff and Service Users of the Design of a New Mental Health Inpatient Unit. Environment and Planning C: Government and Policy 25 (4) 591–610.CrossRefGoogle Scholar
Davies, R, Murphy, K and Sethi, F (2020) Sensory Room in a Psychiatric Intensive Care Unit. Journal of Psychiatric Intensive Care 16 (1) 23–28(6).CrossRefGoogle Scholar
De las Heras, C, Geist, R, Kielhofner, G, (2007) Volitional Questionnaire. Chicago, IL: MOHO Clearing House.Google Scholar
De las Heras, C, Llerena, V and Kielhofner, G (2019) The Remotivation Process Version 2. Chicago, IL: MOHO Clearing House.Google Scholar
Deci, EL and Ryan, RM (1985) Intrinsic Motivation and Self-Determination in Human Behavior. New York: Plenum Press.CrossRefGoogle Scholar
Deci, EL and Ryan, RM (2000) The ‘What’ and ‘Why’ of Goal Pursuits: Human Needs and the Self-Determination of Behavior. Psychological Inquiry 11 (4) 227–68.CrossRefGoogle Scholar
Deci, EL and Ryan, RM (2008) Self-Determination Theory: A Macrotheory of Human Motivation, Development, and Health. Canadian Psychology 49 (3) 182–85.CrossRefGoogle Scholar
Department of Health (2001) Mental Health Policy Implementation Guide. London: Department of Health.Google Scholar
Department of Health (2011) Environmental Design Guide: Medium Secure Services. London: Department of Health.Google Scholar
Department of Health (2015) The Mental Health Act 1983. London: Department of Health. www.gov.uk/government/publications/code-of-practice-mental-health-act–1983.Google Scholar
Department of Health and Social Care (2015) New Mental Health Act Code of Practice. London: Department of Health. www.gov.uk/government/news/new-mental-health-act-code-of-practice.Google Scholar
Dickens, GL, Tabvuma, T and Frost, SA (2020) Safewards: Changes in Conflict, Containment, and Violence Prevention Climate during Implementation. International Journal of Mental Health Nursing 29 (6) 1230–40.CrossRefGoogle ScholarPubMed
Durocher, E, Gibson, B and Rappolt, S (2013) Occupational Justice: A Conceptual Review. Journal of Occupational Science 21 (4) 418–30.Google Scholar
Eastwood, JD, Frischen, A, Fenske, MJ and Smilek, D (2012) The Unengaged Mind: Defining Boredom in Terms of Attention. Perspectives on Psychological Science 7 (5) 482–95.CrossRefGoogle ScholarPubMed
Elhai, JD, Dvorak, R, Levine, JC and Hall, B (2017) Problematic Smartphone Use: A Conceptual Overview and Systematic Review of Relations with Anxiety and Depression Psychopathology. Journal of Affective Disorders 207: 251–59.CrossRefGoogle ScholarPubMed
Feighan, M and Roberts, AE (2017) The Value of Cycling as a Meaningful and Therapeutic Occupation. British Journal of Occupational Therapy 80 (5) 319–26.CrossRefGoogle Scholar
Fitzgerald, M (2016) The Potential Role of the Occupational Therapist in Acute Psychiatric Services: A Comparative Evaluation. International Journal of Therapy and Rehabilitation 23 (11) 514–18.CrossRefGoogle Scholar
Foye, U, Li, Y, Birken, M, Parle, K and Simpson, A (2020) Activities on Acute Mental Health Inpatient Wards: A Narrative Synthesis of the Service Users’ Perspective. Journal of Psychiatric Mental Health Nursing 27: 482–93.CrossRefGoogle ScholarPubMed
Froggett, L and Little, R (2012) Dance as a Complex Intervention in an Acute Mental Health Setting: A Place ‘In-Between’. British Journal of Occupational Therapy 75 (2) 93–9.CrossRefGoogle Scholar
Goldberg, Y, Eastwood, J, LaGuardia, J and Danckert, J (2011) Boredom: An Emotional Experience Distinct from Apathy, Anhedonia, or Depression. Journal of Social and Clinical Psychology 30 (6) 647–66.CrossRefGoogle Scholar
Gradisar, M, Wolfson, AR, Harvey, AG, Hale, L, Rosenberg, R and Czeisler, C (2013) The Sleep and Technology Use of Americans: Findings from the National Sleep Foundation’s 2011 Sleep in America Poll. Journal of Clinical Sleep Medicine 9 (12) 1291–9.CrossRefGoogle ScholarPubMed
Haley, L and McKay, EL (2004) Baking Gives You Confidence: Users’ Views in Engaging in the Occupation of Baking. British Journal of Occupational Therapy 67 (3) 125–8.CrossRefGoogle Scholar
Hall, TL, Mullen, A, Plummer, J, et al. (2019) Sound Practice: Exploring the Benefits of Establishing a Music Group on an Acute Mental Health Inpatient Unit. International Journal of Mental Health Nursing 28 (3) 697–705.CrossRefGoogle Scholar
Harvey, S, Øverland, S, Hatch, S, Wessely, S, Mykletun, A and Hotopf, M (2018) Exercise and the Prevention of Depression: Results of the HUNT Cohort Study. American Journal of Psychiatry 175 (1) 28–36.CrossRefGoogle Scholar
Hasselkus, BR (2002) The Meaning of Everyday Occupation. Thorofare, NJ: Slack Incorporated.Google Scholar
Hitch, D (2009) Experiences of Engagement in Occupations and Assertive Outreach Services. British Journal of Occupational Therapy 72 (11) 482–90.CrossRefGoogle Scholar
Hitch, D, Pepin, G and Stagnitti, K (2013) Engagement in Activities and Occupations by People Who Have Experienced Psychosis: A Metasynthesis of Lived Experience. British Journal of Occupational Therapy 76 (2) 77–86.CrossRefGoogle Scholar
Hooper, B and Wood, W (2019) The Philosophy of Occupational Therapy: A Framework for Practice. In Schell, BAB and Gillen, G (eds.), Willard and Spackman’s Occupational Therapy, 13th ed. Philadelphia: Lippincott Williams & Wilkins. pp. 43–55.Google Scholar
Hutcheson, C, Ferguson, H and Nish, G (2010). Promoting Mental Wellbeing through Activity in a Mental Health Hospital. British Journal of Occupational Therapy 73 (3) 121–28.CrossRefGoogle Scholar
Janner, M and Delaney, KR (2012) Safety Issues on British Mental Health Wards. Journal of the American Psychiatric Nurses Association 18 (2) 104–11.CrossRefGoogle ScholarPubMed
Jeffries, L (2021) Seclusion: The End of the Road for Occupational Therapy or a New Route with the Vona du Toit Model of Creative Ability? In Sherwood, W (ed.), Perspectives on the Vona du Toit Model of Creative Ability: Practice, Theory and Philosophy. Watford: International Creative Ability Network.Google Scholar
Kazi, F, Flood, B and Hooton, S (2008) Therapeutic Activities within Psychiatric Intensive Care and Low Secure Units. In Beer, MD, Pereira, SM and Paton, C (eds.), Psychiatric Intensive Care, 2nd ed. Cambridge: Cambridge University Press. pp. 149–60.Google Scholar
Keles, B, McCrae, N and Grealish, A (2020) A Systematic Review: The Influence of Social Media on Depression, Anxiety and Psychological Distress in Adolescents. International Journal of Adolescence and Youth 25 (1) 79–93.CrossRefGoogle Scholar
Kelly, M, Lamont, S and Brunero, S (2010) An Occupational Perspective of the Recovery Journey in Mental Health. British Journal of Occupational Therapy 73 (3) 129–35.CrossRefGoogle Scholar
Kennedy, J and Fortune, T (2014) Women’s Experiences of Being on an Acute Psychiatric Unit. British Journal of Occupational Therapy 77 (6) 296–303.CrossRefGoogle Scholar
Kontio, R, Anttila, M, Lantta, T, Kauppi, K, Joffe, G and Välimäkial, M (2014) Toward a Safer Working Environment on Psychiatric Wards: Service Users’ Delayed Perspectives of Aggression and Violence-Related Situations and Development Ideas. Perspectives in Psychiatric Care 50 (4) 271–79.CrossRefGoogle Scholar
Lamanna, D, Ninkovic, D, Vijayaratnam, V, et al. (2016) Aggression in Psychiatric Hospitalisations: A Qualitative Study of Patient and Provider Perspectives. Journal of Mental Health 25 (6) 536–42.CrossRefGoogle ScholarPubMed
Larocci, G and McDonald, J (2006) Sensory Integration and the Perceptual Experience of Persons with Autism. Journal of Autism and Developmental Disorders 36 (1) 77–90.Google Scholar
Leamy, M, Bird, V, Le Boutillier, C, Williams, J and Slade, M (2011) A Conceptual Framework for Personal Recovery in Mental Health: Systematic Review and Narrative Synthesis. British Journal of Psychiatry 199 (6) 445–52.CrossRefGoogle ScholarPubMed
Lim, KH, Morris, J and Craik, C (2007) Inpatients’ Perspectives of Occupational Therapy in Acute Mental Health. Australian Occupational Therapy Journal 54 (1) 22–32.CrossRefGoogle Scholar
Lloyd, C, King, R and Machingura, T (2014) An Investigation into the Effectiveness of Sensory Modulation in Reducing Seclusion within an Acute Mental Health Unit. Advances in Mental Health 12 (2) 93–100.CrossRefGoogle Scholar
Lloyd, C and Williams, PL (2010) Occupational Therapy in the Modern Acute Mental Health Setting: A Review of Current Practice. International Journal of Therapy and Rehabilitation 17 (9) 436–42.CrossRefGoogle Scholar
Lubner, D and Hinterberger, T (2017) Reviewing the Effectiveness of Music Interventions in Treating Depression. Frontiers in Psychology 8: 1109.CrossRefGoogle Scholar
MacKay, I, Paterson, B and Cassells, C (2005) Constant or Special Observations of Inpatients Presenting a Risk of Aggression or Violence: Nurses’ Perception of the Rules of Engagement. Journal of Psychiatric and Mental Health Nursing 12 (4) 464–71.CrossRefGoogle ScholarPubMed
Maguire, T, Young, R and Martin, T (2011) Seclusion Reduction in a Forensic Mental Health Setting. Journal of Psychiatric and Mental Health Nursing 19 (2) 97–106.CrossRefGoogle Scholar
Marshall, CA, McIntosh, E, Sohrabi, A and Ami, A (2020) Boredom in Inpatient Mental Healthcare Settings: A Scoping Review. British Journal of Occupational Therapy 83 (1) 41–51.CrossRefGoogle Scholar
Molin, J, Graneheim, UH and Lindgren, BM (2016) Quality of Interactions Influences Everyday Life in Psychiatric Inpatient Care – Patients’ Perspectives. International Journal of Qualitative Studies on Health and Well-Being 11: 29897.CrossRefGoogle ScholarPubMed
Murphy, L (2021) Implementing the VdTMoCA on an Inpatient Mental Health Rehabilitation Ward for Clients with Complex Needs. In Sherwood, W (ed.), Perspectives on the Vona du Toit Model of Creative Ability: Practice, Theory and Philosophy. Watford: International Creative Ability Network.Google Scholar
National Association of Psychiatric Intensive Care and Low Secure Units (NAPICU) (2014) National Minimum Standards for Psychiatric Intensive Care in General Adult Services.Google Scholar
National Association of Psychiatric Intensive Care and Low Secure Units (NAPICU) (2016) Guidance for Commissioners of Psychiatric Intensive Care Units (PICU). (online) https://napicu.org.uk/wp-content/uploads/2016/04/Commissioning_Guidance_Apr16.pdf.Google Scholar
National Institute for Health and Care Excellence (NICE) (2011) Service User Experience in Adult Mental Health: Improving the Experience of Care for People Using Adult NHS Mental Health Services.Google Scholar
National Institute for Health and Care Excellence (NICE) (2014) Psychosis and Schizophrenia in Adults: Prevention and Management (NICE clinical guideline 178). (online) www.nice.org.uk/guidancecg178.Google Scholar
National Institute for Health and Care Excellence (NICE) (2015) Violence and Aggression: Short-Term Management in Mental Health, Health and Community Settings (NICE clinical guideline 10). (online) www.nice.org.uk/guidanceng10.Google Scholar
National Institute for Health and Care Excellence (NICE) (2019) Service User Experience in Adult Mental Health Services. (online) www.nice.org.uk/guidance/cg136.Google Scholar
Novak, T, Scanlan, J, McCaul, D, MacDonald, N and Clarke, T (2012) Pilot Study of a Sensory Room in an Acute Inpatient Psychiatric Unit. Australasian Psychiatry 20 (5) 401–6.CrossRefGoogle Scholar
Nygard, L and Rosenborg, L (2016) How Attention to Everyday Technology Could Contribute to Modern Occupational Therapy: A Focus Group Study. British Journal of Occupational Therapy 79 (8) 467–74.CrossRefGoogle Scholar
Panova, T and Carbonell, X (2018) Is Smartphone Addiction Really an Addiction?. Journal of Behavioural Addictions 7 (2) 252–9.CrossRefGoogle ScholarPubMed
Parkinson, S, Forsyth, K, Kielhofner, G (2006) User’s Manual for the Model of Human Occupation Screening Tool (MOHOST) (version 2.0). (online) http://moho.uic.edu/pdf/MohostManual.pdf.CrossRefGoogle Scholar
Pentland, D, Kantartzis, S, Clausen, MG and Witemyre, K (2018) Occupational Therapy and Complexity: Defining and Describing Practice. (online) www.rcot.co.uk/sites/default/files/OT%20and%20complexity.pdf.Google Scholar
Pereira, S and Woollaston, K (2007) Therapeutic Engagement in Acute Psychiatric Inpatient Services. Journal of Psychiatry Intensive Care 3 (1) 3–11.CrossRefGoogle Scholar
Poon, M, Siu, A and Ming, SY (2010) Outcome Analysis of Occupational Therapy Programme for Persons with Early Psychosis. Work 37 (1) 65–70.CrossRefGoogle ScholarPubMed
Reisman, JE and Hanschu, B (1992) Sensory Integration Inventory — Revised for Individuals with Developmental Disabilities. Hugo, MN: PDP Press.Google Scholar
Robinson, L, Littrell, SH and Littrell, K (1999) Managing Aggression in Schizophrenia. Journal of the American Psychiatric Nurses Association 5 (2) 9–16.CrossRefGoogle Scholar
Royal College of Psychiatrists (2011) Do the Right Thing: How to Judge a Good Ward. Ten Standards for Adult In-Patient Mental Healthcare. OP79. London: Royal College of Psychiatrists.Google Scholar
Royal College of Psychiatrists (2019) Standards for Inpatient Mental Health Services, 3rd ed. (online) www.rcpsych.ac.uk/docs/default-source/improving-care/ccqi/ccqi-resources/rcpsych_standards_in_2019_lr.pdf?sfvrsn=edd5f8d5_2.Google Scholar
Ruddock, HK, Brunstrom, JM, Vartanian, LR, et al. (2019) A Systematic Review and Meta-Analysis of the Social Facilitation of Eating. American Journal of Clinical Nutrition 110 (4) 842–61.CrossRefGoogle ScholarPubMed
Safewards (2021) Calm Down Methods. www.safewards.net/interventions/calm-down-methods.Google Scholar
Schel, S, Bouman, Y and Bulten, B (2015) Quality of Life in Long-Term Forensic Psychiatric Care: Comparison of Self-Report and Proxy Assessments. Archives of Psychiatric Nursing 29 (3) 162–7.CrossRefGoogle ScholarPubMed
Shepherd, M and Lavender, T (1999) Putting Aggression into Context: An Investigation into Contextual Factors Influencing the Rate of Aggressive Incidents in a Psychiatric Hospital. Journal of Mental Health 8 (2) 158–70.Google Scholar
Sims, KL (2014) The Acute Setting. In Bryant, W, Fieldhouse, J and Bannigan, K. (eds.), Creek’s Occupational Therapy and Mental Health, 5th ed. London: Churchill Livingstone. pp. 346–58.Google Scholar
Sivak, K (2012) Implementation of Comfort Rooms: To Reduce Seclusion, Restraint Use, and Acting-Out Behaviors. Journal of Psychosocial Nursing and Mental Health Services 50 (2) 24–34.CrossRefGoogle ScholarPubMed
Stickney, MI, Miltenberger, RG and Wolff, G (1999) A Descriptive Analysis of Factors Contributing to Binge Eating. Journal of Behavior Therapy and Experimental Psychiatry 30 (3) 177–89.CrossRefGoogle ScholarPubMed
Sumsion, T and Law, M (2006) A Review of Evidence on the Conceptual Elements Informing Client-Centred Practice. Canadian Journal of Occupational Therapy 73 (3) 153–62.CrossRefGoogle ScholarPubMed
Sustere, E and Tarpey, E (2019) Least Restrictive Practice: Its Role in Patient Independence and Recovery. The Journal of Forensic Psychiatry & Psychology 30 (5) 1–16.CrossRefGoogle Scholar
Sutton, D and Nicholson, E (2011) Sensory Modulation in Acute Mental Health Wards: A Qualitative Study of Staff and Service User Perspectives. New Zealand: The National Centre of Mental Health Research, Information and Workforce Development (Te Pou).Google Scholar
Sutton, D, Wilson, M, Van Kessel, K and Vaderpyl, J (2013) Optimizing Arousal to Manage Aggression: A Pilot Study of Sensory Modulation. International Journal of Mental Health Nursing 22 (6) 500–11.CrossRefGoogle ScholarPubMed
Swan, T (2019) Understanding Peoples Experiences of Seclusion. Lancashire Care Foundation Trust.Google Scholar
Taube-Schiff, M, Carroll, A and Flogen, S (2016) The Development of a Modification of Behavioural Activation as a Solution to Reduce Patient Boredom in a PICU: Overcoming Patient and Staff Challenges. Journal of Psychiatric Intensive Care 12 (2) 63–8.CrossRefGoogle Scholar
Taylor, T (2016) Kielhofner’s Model of Human Occupation: Theory and Application, 5th ed. Philadelphia: Lippincott, Williams and Wilkins.Google Scholar
Trygstad, L, Buccheri, R, Dowling, G, Zind, R, White, K, Griffin, JJ, et al. (2002) Behavioural Management of Persistent Auditory Hallucinations in Schizophrenia: Outcomes from a 10-Week Course. Journal of the American Psychiatric Nurses Association 8 (3) 84–91.CrossRefGoogle Scholar
Tully, J, McSweeney, L, Harfield, K, Castle, C and Das, M (2016) Innovation and Pragmatism Required to Reduce Seclusion Practices. CNS Spectrums, 21 (6) 424–9.CrossRefGoogle ScholarPubMed
Van der Reyden, D, Casteleijn, D, Sherwood, W and De Witt, P (eds.) (2019) The Vona du Toit Model of Creative Ability: Origins, Constructs, Principles and Application in Occupational Therapy. Pretoria: Vona and Marie du Toit Foundation.Google Scholar
van der Reyden, D and Sherwood, W (2019) The Vona du Toit Model of Creative Ability: Core Constructs and Concepts. In Van der Reyden, D, Casteleijn, D, Sherwood, W and De Witt, P (eds.), The Vona du Toit Model of Creative Ability: Origins, Constructs, Principles and Application in Occupational Therapy. Pretoria: Vona and Marie du Toit Foundation. pp. 58–105.Google Scholar
Walker, B (2021) Therapeutic Steps in Low Secure Services through an Occupational Therapy Pathway: A Ten-Week Process of Discovery and Development. In Sherwood, W (ed.), Perspectives on the Vona du Toit Model of Creative Ability: Practice, Theory and Philosophy. Watford: International Creative Ability Network.Google Scholar
Walters, JH, Sherwood, W and Mason, H (2014) Creative Activities. In Bryant, W and Fieldhouse, J (eds.), Creek’s Occupational Therapy and Mental Health, 5th ed. Oxford: Churchill Livingston.Google Scholar
Whiteford, G (2010) When People Cannot Participate: Occupational Deprivation. In Christiansen, CH and Townsend, EA (eds.), Introduction to Occupation: The Art and Science of Living, 2nd ed. Upper Saddle Creek, NJ: Prentice Hall. pp. 303–28.Google Scholar
Wiglesworth, S and Farnworth, L (2016) An Exploration of the Use of a Sensory Room in a Forensic Mental Health Setting: Staff and Patient Perspectives. Occupational Therapy International 23(3) 255–64.CrossRefGoogle Scholar
Wilson, C, Rouse, L, Rae, S and Kar Ray, M (2018) Mental Health Inpatients’ and Staff Members’ Suggestions for Reducing Physical Restraint: A Qualitative Study. Journal of Psychiatric and Mental Health Nursing 25 (3) 188–200.CrossRefGoogle ScholarPubMed
Wood, L and Alsawy, S (2016) Patient Experiences of Psychiatric Inpatient Care: A Systematic Review of Qualitative Evidence. Journal of Psychiatric Intensive Care 12 (1) 35–43.CrossRefGoogle Scholar
Wright, R and Sugarman, L (2009) Occupational Therapy and Life Course Development. Chichester: Wiley-Blackwell.Google Scholar

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