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Physical interventions training and organisational management in mental health: an integrated approach to promote patient safety

Published online by Cambridge University Press:  13 June 2011

Andreen Ward ,
Stephen Keeley  and
Jerry Warr
Andreen Ward
Affiliation:
Senior Tutor in Physical Intervention, St Ann's Hospital, Poole, Dorset, UK
Stephen Keeley
Affiliation:
Ward Manager, St Ann's Hospital, Poole, Dorset, UK
Jerry Warr*
Affiliation:
Reader in Practice Development, School of Health and Social Care, Bournemouth University, UK
*
Correspondence to: Dr Jerry Warr, Royal London House, Christchurch Road, Bournemouth, BH1 3LT. E-mail: [email protected]
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Abstract

Physical interventions, including restraint, are a necessary but controversial component of mental health care. This paper outlines developments in one trust to prioritise this area and take an integrated, whole trust approach. The paper discusses ‘physical interventions’, describes the organisational approach to support the development and outlines the training package developed to promote safe and effective practice. In addition the approach is reviewed using team members' views within the National Patient Safety Agency's seven steps to patient safety. Data on incidences of interventions prior to and following the approach are presented and conclusions and recommendations to further guide practice are proposed.

Keywords

Physical interventionsrestraintmental healthpatient safety
Type
Original Research Article
Information
Journal of Psychiatric Intensive Care , Volume 8 , Issue 1 , April 2012 , pp. 25 - 34
Copyright
Copyright © NAPICU 2011

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References

Barker, P. and Buchanan-Barker, P. (2005) The Tidal Model: A Guide for Mental Health Professionals. London and New York: Brunner-Routledge.Google Scholar
Bowers, L., Brennan, G., Flood, C., Lipang, M. and Oladapo, P. (2006) Preliminary outcomes of a trial to reduce conflict and containment on acute psychiatric wards. Journal of Psychiatric and Mental Health Nursing. 13(2): 165–172.CrossRefGoogle ScholarPubMed
Counsel and Care UK (2002) Showing restraint: challenging the use of restraint in care homes. London: Counsel and Care UK.Google Scholar
Department of Health (2008) Mental Health Act 1983 Code of Practice. London: DoH.Google Scholar
Duxbury, J. and Wright, K. (2011) Should nurses restrain violent and aggressive patients? Nursing Times.net. 107(9): 1–7.Google ScholarPubMed
Forster, P.L., Cavness, C., Phelps, M.A. (2004) Staff training decreases the use of seclusion and restraint in an acute psychiatric hospital. Archives of Psychiatric Nursing. 13(5): 269–271.CrossRefGoogle Scholar
Hellerstein, D.J., Staub, A.B. and Lequesne, E. (2007) Decreasing the use of restraint and seclusion among psychiatric inpatients. Journal of Psychiatric Practice. 13(5): 308–317.CrossRefGoogle ScholarPubMed
Hucksorn, K.A. (2006) Re-designing state mental health policy to prevent the use of seclusion and restraint. Administration and Policy in Mental Health Services Research. 33(4): 482–491.CrossRefGoogle Scholar
Mind (2005) De-escalation, physical intervention and ethnicity. Diverse Minds Conference: London 11th November 2005.Google Scholar
National Institute for Clinical Excellence (2005) Violence. The short-term management of disturbed/ violent behaviour in psychiatric in-patient settings and emergency departments. London: NICE.Google Scholar
National Patient Safety Agency (2008) Seven Steps to Patient Safety in Mental Health. London: NPSAGoogle Scholar
Royal College of Nursing (2008) Let's talk about restraint, rights, risks and responsibility. London: RCNGoogle Scholar
Kenny, C. (2004) Can mental health nursing ever give up the option of restraint? Community Care. 1553: 14–15.Google Scholar
Welsh Assembly (2005) Framework for restrictive physical intervention policy and practice. Cardiff: Welsh AssemblyGoogle Scholar