A5088050495- Healthcare Decision-Making and Restraints
- Psychiatric care and mental health services
- Mental Health Treatment and Access
- Workplace Violence and Bullying
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Mental Health and Patient Involvement
- Emergency and Acute Care Studies
- Schizophrenia research and treatment
- Mental Health and Psychiatry
- Child Abuse and Trauma
- Patient-Provider Communication in Healthcare
- Psychotherapy Techniques and Applications
- Primary Care and Health Outcomes
- Elder Abuse and Neglect
- Family Caregiving in Mental Illness
- Obsessive-Compulsive Spectrum Disorders
- Health Policy Implementation Science
- Autism Spectrum Disorder Research
- Health Systems, Economic Evaluations, Quality of Life
- Fire effects on ecosystems
- Child and Adolescent Psychosocial and Emotional Development
- Homelessness and Social Issues
- Palliative Care and End-of-Life Issues
- Meta-analysis and systematic reviews
- Fire dynamics and safety research
University of Manchester
2015-2025
Manchester Academic Health Science Centre
2012-2025
Greater Manchester Mental Health NHS Foundation Trust
2017-2024
King's College London
2022
University of Wollongong
2019-2021
Landstuhl Regional Medical Center
2007
Accessible summary What is known on the subject? Mental health nursing in UK and other countries faces an acute workforce crisis. Safe staffing levels are called for, some jurisdictions have been legislated for. The evidence base linking patient outcomes limited. Staffing implicated adverse experiences of service users staff within mental ward settings, they might contribute to violence aggression application restrictive practices, such as physical restraint but there limited research...
Analysis of a multicomponent intervention intended to reduce levels conflict and containment in inpatient mental health settings
Abstract Workplace violence is a significant problem for health service personnel, with National Health Service (NHS) workers subject to 68 683 physical assaults between 2013 and 2014. Almost 70% of occur in the mental sector, although serious, non‐fatal injury rare, individual economic impact can be substantial. In present study, we analysed mandatory incident reports from national database examine whether there were identifiable precursors incidents leading staff injury, characteristics...
Abstract Aim Investigate patient perspectives on barriers and enablers to the use effectiveness of de‐escalation techniques for aggression in mental health settings. Background De‐escalation are recommended first‐line intervention management settings internationally, yet higher risk restrictive practices persists. This indicates not used at optimum frequency and/or there important factors limiting their effect. Design Descriptive qualitative research using semi‐structured interviews...
Aggression and violence are widespread in UK Mental Health Trusts, accompanied by negative psychological physiological consequences for both staff other patients. Patients who younger, male, have a history of substance use psychosis diagnoses more likely to display aggression; however, patient factors not solely responsible violence, there complex circumstances that lead aggression. Indeed, patient-staff interactions sizeable portion aggression on inpatient units, thus they cannot be viewed...
It is notoriously challenging to deliver psychosocial interventions on acute mental health wards. This paper presents an ethnographic observational study which captured how ward and staff processes impacted the delivery of a intervention called TULIPS (Talk, Understand Listen for Inpatient Settings). Although focused one specific intervention, findings have implications other within settings. We carried out participant observation across 6 case studies wards all participating in arm cluster...
Psychological therapies are recommended for people with serious mental health problems. However, access is limited, particularly in inpatient settings. The Talk, Understand and Listen InPatient Settings (TULIPS) study a large multi-centre cluster-randomised controlled trial which aimed to evaluate stepped psychological intervention model increase inpatients. This paper presents findings from the embedded process evaluation focusing on contextual factors influencing delivery. Thirty-two staff...
Background The Obsessive–Compulsive Treatment Efficacy randomised controlled Trial emerged from a research recommendation in National Institute for Health and Care Excellence obsessive–compulsive disorder (OCD) guidelines, which specified the need to evaluate cognitive–behavioural therapy (CBT) treatment intensity formats. Objectives To determine clinical effectiveness cost-effectiveness of two low-intensity CBT interventions [supported computerised (cCBT) guided self-help]: (1) compared...
Abstract Coercive practices, such as physical restraint, are used globally to respond violent, aggressive and other behaviours displayed by mental health service users. 1 A number of approaches have been designed aid staff working within services minimise the use restraint restrictive practices. One approach, ‘REsTRAIN Yourself’ (RYS) initiative, has evaluated in UK. Rapid ethnography was explore aspects organisational culture behaviour exhibited teams 14 acute admission wards North West...
Violent and aggressive incidents are common within mental health settings often managed using high-risk physical interventions such as restraint seclusion. De-escalation is a first-line technique to manage conflict behaviours prevent violence aggression. There limited research into the use of de-escalation in high-secure settings. This study investigated staff, patient carer perspectives on barriers facilitators for behaviours.Semi-structured individual interviews (n = 12) focus groups 3)...
There is good evidence that psychological interventions improve patient well-being and independent living, but patients on acute mental health wards often do not have access to evidence-based therapies which are strongly advised by NICE guidance for severe problems. The overall aim of this programme work increase inpatient wards. Stage one the (which complete) aimed identify barriers facilitators delivering therapy in these settings through a large qualitative study. key output stage was an...
Obsessive-compulsive disorder (OCD) is prevalent and without adequate treatment usually follows a chronic course. "High-intensity" cognitive-behaviour therapy (CBT) from specialist therapist current "best practice." However, access difficult because of limited numbers therapists the disabling effects OCD symptoms. There potential role for "low-intensity" interventions as part stepped care model. Low-intensity (written or web-based materials with support) can be provided remotely, which has...
Abstract International efforts to minimize coercive practices include the US Six Core Strategies© (6 CS ). This innovative approach has limited evidence of its effectiveness, with few robustly designed studies, and not been formally implemented or evaluated in UK . An adapted version 6 , which we called ‘ RE s TRAIN Yourself’ ( RY ), was devised suit context using mixed methods. aimed reduce use physical restraint mental health inpatient ward settings through training practice development...
Background Psychological therapy is core component of mental healthcare. However, many people with severe illnesses do not receive therapy, particularly in acute health settings. Aims This study identifies barriers to delivering and accessing psychological therapies settings, the first recommend how services can increase access from perspectives different stakeholders (staff, patients carers). Method Sixty participants experiences wards (26 staff, 22 12 carers) were interviewed about...