De-escalating conflict in adult inpatient mental health settings: development of evidence-based training

Abstract. Background: The prevalence of tobacco smoking among people with severe mental illness (SMI) substantially exceeds smoking rates in the general population and has been identified as the largest contributor to health inequalities in this group. Historically deeply embedded in the culture of mental health treatment environments, smoking until very recently was the norm in inpatient settings and still prevails in many settings internationally. In England however, mental health Trusts are currently implementing recent national guidance, according to which mental health settings will become entirely smokefree, with no exemptions, providing comprehensive evidence-based support to patients for smoking cessation and smoking abstinence during the inpatient stay. Aim: The aim of this article is to summarise the rationale for and the debate surrounding smokefree mental health inpatient settings, and to review and discuss the evidence on challenges, opportunities and impact of smokefree policy implementation in these settings, with a focus on the English debate and experience to date.

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Clarity, confidence and complexity: Learning from mental health nurses' experiences of events involving physiological deterioration of consumers in acute inpatient mental health settings

Journal of Clinical Nursing ◽

10.1111/jocn.15126 ◽

2020 ◽

Vol 29 (7-8) ◽

pp. 1102-1114 ◽

Cited By ~ 1

Author(s):

Scott Brunero ◽

Bronwyn Everett ◽

Lucie M. Ramjan ◽

Yenna Salamonson ◽

Kelly Steel ◽

...

Keyword(s):

Mental Health ◽

Mental Health Nurses ◽

Inpatient Mental Health ◽

Mental Health Settings

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Immediate Staff Debriefing Following Seclusion or Restraint Use in Inpatient Mental Health Settings: A Scoping Review

Clinical Nursing Research ◽

10.1177/1054773818791085 ◽

2018 ◽

Vol 29 (7) ◽

pp. 479-495 ◽

Cited By ~ 1

Author(s):

Remar A. Mangaoil ◽

Kristin Cleverley ◽

Elizabeth Peter

Keyword(s):

Mental Health ◽

Scoping Review ◽

Critical Reflection ◽

The Core ◽

Inpatient Mental Health ◽

Restraint Use ◽

Mental Health Settings ◽

Core Components ◽

Training Modules ◽

And Training

The aim of this scoping review is to synthesize the academic and gray literature on the use of immediate staff debriefing following seclusion or restraint events in inpatient mental health settings. Multiple electronic databases were searched to identify literature on the topic of immediate staff debriefing. The analysis identified several core components of immediate staff debriefing: terminology, type, critical reflection, iterative process, training, documentation, and monitoring. While these components were regarded as vital to the implementation of debriefing, they remain inconsistently described in the literature. Immediate staff debriefing is an important intervention not only to prevent future episodes of seclusion and restraint use, but as a forum for staff to support each other emotionally and psychologically after a potentially distressing event. The core components identified in this review should be incorporated into the organization’s policies, practice guidelines, and training modules to ensure consistent conceptualization and implementation of the debriefing process.

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