News and presentations from todays conference focusing on reducing and improving the use of restrictive interventions and practice: Managing acute disturbance, violence and aggression
Learning from Lived Experience
Sarah Rae Co-founder of PROMISE Expert-by-Experience
• learning from lived experience
• coproduction and lived experience leadership
• reducing restrictive practices: what needs to change
Sarah shared her experience of redesigning services and practice on mental health wards after witnessing restraints during her own admission. She shared qualitative findings from the Safety in Mental Health Settings project that she has been involved in. The findings highlighted the importance of staff taking a positive approach, following a survey of people with inpatient experience and focus groups of people with lived experience on an acute ward. The survey and focus groups looked at how safe they felt on the ward and ideas for improvement. Key recommendations from the findings were:
- a need for staff to be more visible and accessible
- improvement in communication and engagement between staff and patients
- a shift towards a more collaborative and compassionate culture
Sarah said the survey; "identified a pressing need for staff to be proactive and intervene early."
Sarah went on to discuss the PROMISE programme which focuses on proactive care delivery to reduce the use of restraint on wards. Values include; care, courage and co-production.
Minimising the use and risks of restrictive interventions
Dr Amar Shah National Improvement Lead for Mental Health
The Royal College of Psychiatrists
• taking a positive proactive approach to minimising the use of restrictive interventions
• which skills? Which interventions?
• risks to the organisation and risks to staff
• the impact of the pandemic on restrictive interventions
• improving communication, engagement and wellbeing
• the use of storytelling to improve practice and quality
• recommendations from Out of Sight, Who Cares, the CQC October 2020 review of restraint, seclusion and segregation
• learning from the National Reducing Restrictive Interventions Programme