Journal article

Evaluation of an alternative model for the management of clinical risk in an adult acute psychiatric inpatient unit

Allison Harrington, Hayley Darke, Gary Ennis, Suresh Sundram

International Journal of Mental Health Nursing | WILEY | Published : 2019


Despite their widespread use, typical visual observation practices are not evidence-based and adverse events - such as self-harm and absconding - still occur even under the most intense forms of observation. This study aimed to (i) develop and implement an engagement-focused systematized model of clinical risk management in an adult acute psychiatric inpatient unit; and (ii) prospectively evaluate its effect on rates of violence, self-harm, absconding, sexually inappropriate behaviour, and seclusion. A new model of engagement-focused clinical risk management was developed using a participatory action research framework and implemented in an adult acute psychiatric inpatient unit. Using a mir..

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Funding Acknowledgements

This project received funding for a project lead from North Western Mental Health. Additionally, over the last 5 years, Dr. Sundram has received consulting fees, advisory board fees, research support, speakers honoraria, or travel support from Janssen, Lundbeck, Otsuka, Pfizer, Roche, Servier; Australian Department of Home Affairs, Australian Human Rights Commission, and United Nations High Commissioner for Refugees. All other authors report no financial relationships with commercial interests.