Evaluating the impact of an electronic application of the Dynamic Appraisal of Situational Aggression with an embedded Aggression Prevention Protocol on aggression and restrictive interventions on a forensic mental health unit

2019 ◽  
Vol 28 (5) ◽  
pp. 1186-1197 ◽  
Author(s):  
Tessa Maguire ◽  
Michael Daffern ◽  
Steven J. Bowe ◽  
Brian McKenna
Psychiatriki ◽  
2020 ◽  
Vol 30 (4) ◽  
pp. 281-290 ◽  
Author(s):  
G Konstantakopoulos ◽  
K. Pikouli ◽  
D Ploumpidis ◽  
E Bougonikolou ◽  
K Kouyanou ◽  
...  

2017 ◽  
Vol 19 (4) ◽  
pp. 258-268
Author(s):  
Rebecca Hargate ◽  
Sharon Howden ◽  
Emma Tarpey ◽  
Tammi Walker

Purpose The purpose of this paper is to explore the experiences of both staff and patients in a medium-secure mental health unit of the self-harm and/or suicidal behaviour of others. Suicide and self-harm is highly prevalent in forensic settings and evidence suggests that experiencing other people’s self-harm and suicidal behaviour can lead to negative outcomes, both for staff and patients. This is particularly important in hospitals where patients are highly dependent on staff for support. Design/methodology/approach Semi-structured interviews were conducted with five staff members and six patients in a medium-secure male mental health unit in the North of England. Data were analysed following interpretative phenomenological analysis guidelines. Findings Three dominant themes were identified during analysis: the impact of suicide and self-harm; the role of others; and the importance of understanding and experience. Various impacts were discussed including desensitization, negative emotions and the desire to help. Other people played an important role in protecting against negative impacts, with shared experiences and peer support reported as the biggest benefits. Experiences of self-harm and suicide were found to increase understanding resulting in more positive attitudes. Additionally, the importance of training and education was highlighted. Originality/value This paper provides an insight into the experiences of staff and patients in medium-secure male mental health unit, which has benefits to practitioners when considering support mechanisms.


Photographies ◽  
2011 ◽  
Vol 4 (2) ◽  
pp. 229-260 ◽  
Author(s):  
Clark P. Heard ◽  
Allan Tetzlaff ◽  
Dan O'Brien ◽  
Rick Borecki ◽  
Client ‘A’ (anonymized) ◽  
...  

2003 ◽  
Vol 37 (2) ◽  
pp. 204-211 ◽  
Author(s):  
Susana Gavidia-Payne ◽  
Lyn Littlefield ◽  
Mats Hallgren ◽  
Peter Jenkins ◽  
Neil Coventry

Objective: To assess the impact of inpatient intervention, provided by a child mental health unit in Victoria, Australia, on a number of key child and family variables. Method: Pre-post test design with a four-month follow up was applied to assess changes across time. Twenty-nine parents, 42 teachers, and 37 referrers provided reports on a series of child, parent, and family functioning measures. Results: Significant improvements in child behaviour and functioning, parenting competency and efficacy, parenting practices, and reduced parental depression were observed over time. Changes in family functioning scores were not significant; however, univariate analysis indicated improvements in two individual subscales. Conclusions: There is a lack of studies of the outcome of inpatient interventions of children in psychiatric settings. However, as shown in the present study, improvements in functioning can be detected and obtained with short-term interventions that focus on both children and families. Methodological shortcomings (i.e. absence of comparison groups) and lack of specificity in intervention variables, however, are difficulties yet to be overcome in evaluation research of inpatient treatment.


Psychiatriki ◽  
2019 ◽  
Vol 30 (2) ◽  
pp. 97-107
Author(s):  
Κ. Pikouli ◽  
G. Konstantakopoulos ◽  
P. Kalampaka Spilioti ◽  
E. Fytrolaki ◽  
D. Ploumpidis ◽  
...  

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i1-i8
Author(s):  
B Babu ◽  
A Khalid ◽  
S Sadiq ◽  
J Essem ◽  
E Ruiz-Mendoza

Abstract Introduction Older people admitted to mental health facilities may be at increased risk of deterioration in the physical co-morbidities and increased rates of mortality when admitted in acute medical settings. Our model of care focuses on intervening in the physical aspect of patients admitted in the mental health unit addressing their comorbidities and polypharmacy and offering staff support during the admission process. Our Older Mental Health Unit is based in the district hospital with a total of 22 beds for people over 65 years old distributed in two areas: dementia with behavioral and psychological symptoms (BPS) and functional disorders. Methods Allocated geriatrician once a week to attend MDT and medical ward rounds. 5 working days telephone consultations for advice and supporting trainees in teaching and research. We measure the impact of our intervention comparing the data predating our intervention comparing 20 patients in each period 2016 and 2018. Results Mean age increased from 74.3 to 77.8 in a two year period with an average of 3.5 medical co-morbidities. Reduction in polypharmacy from 7.15 to 5.5 number of medication, 58% reduction in the number of hospital transfers and 90% reduction in specialty referrals. Conclusions Structured Geriatric Liaison Services in Mental Health in inpatient facilities are shown to be effective in reducing acute hospital and outpatient clinic attendances minimising the challenges of management of these patients in non-mental health facilities.


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