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dc.contributor.authorFletcher, Justine
dc.contributor.authorHamilton, Bridget
dc.contributor.authorKinner, Stuart A
dc.contributor.authorBrophy, Lisa
dc.date.accessioned2020-01-21T04:55:33Z
dc.date.available2020-01-21T04:55:33Z
dc.date.issued2019
dc.identifier.issn1664-0640
dc.identifier.doi10.3389/fpsyt.2019.00462
dc.identifier.urihttp://hdl.handle.net/10072/390687
dc.description.abstractIntroduction: Mental health professionals working in acute inpatient mental health wards are involved in a complex interplay between an espoused commitment by government and organizational policy to be recovery-oriented and a persistent culture of risk management and tolerance of restrictive practices. This tension is overlain on their own professional drive to deliver person-centered care and the challenging environment of inpatient wards. Safewards is designed to reduce conflict and containment through the implementation of 10 interventions that serve to improve the relationship between staff and consumers. The aim of the current study was to understand the impact of Safewards from the perspectives of the staff. Methods: One hundred and three staff from 14 inpatient mental health wards completed a survey 12 months after the implementation of Safewards. Staff represented four service settings: adolescent, adult, and aged acute and secure extended care units. Results: Quantitative results from the survey indicate that staff believed there to be a reduction in physical and verbal aggression since the introduction of Safewards. Staff were more positive about being part of the ward and felt safer and more connected with consumers. Qualitative data highlight four key themes regarding the model and interventions: structured and relevant; conflict prevention and reducing restrictive practices; ward culture change; and promotes recovery principles. Discussion: This study found that from the perspective of staff, Safewards contributes to a reduction in conflict events and is an acceptable practice change intervention. Staff perspectives concur with those of consumers regarding an equalizing of staff consumer relationships and the promotion of more recovery-oriented care in acute inpatient mental health services.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherFrontiers Media
dc.relation.ispartofissueJULY
dc.relation.ispartofjournalFrontiers in Psychiatry
dc.relation.ispartofvolume10
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1701
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsPsychiatry
dc.subject.keywordsmental health service
dc.subject.keywordssafewards
dc.titleSafewards Impact in Inpatient Mental Health Units in Victoria, Australia: Staff Perspectives
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationFletcher, J; Hamilton, B; Kinner, SA; Brophy, L, Safewards Impact in Inpatient Mental Health Units in Victoria, Australia: Staff Perspectives, Frontiers in Psychiatry, 2019, 10 (JULY)
dcterms.dateAccepted2019-06-12
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2020-01-21T04:52:39Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2019 Fletcher, Hamilton, Kinner and Brophy. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
gro.hasfulltextFull Text
gro.griffith.authorKinner, Stuart A.


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