Preventing and Reducing Coercive Measures-An Evaluation of the Implementation of the Safewards Model in Two Locked Wards in Germany.
Johanna Baumgardt, Dorothea Jäckel, Heike Helber-Böhlen, Nicole Stiehm, Karin Morgenstern, Andre Voigt, Enrico Schöppe, Ann-Kathrin Mc Cutcheon, Edwin Emilio Velasquez Lecca, Michael Löhr, Michael Schulz, Andreas Bechdolf, Stefan Weinmann
Front Psychiatry | Published : 2019
Introduction: Aggression and violence are highly complex problems in acute psychiatry that often lead to the coercive interventions. The Safewards Model is an evidence-informed conflict-reduction strategy to prevent and reduce such incidents. The aim of this study was to evaluate the implementation of this model with regard to coercive interventions in inpatient care. Materials and Methods: We evaluated outcomes of the implementation of the Safewards Model in two locked psychiatric wards in Germany. Frequency and duration of coercive interventions applied during a period of 10 weeks before and 10 weeks after the implementation period were assessed through routine data. Fidelity to the Safewa..View full abstract