How corrupted cultures lead to abuse of restraint interventions
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How corrupted cultures lead to abuse of restraint interventions

Brodie Paterson Senior lecturer, School of Nursing, Midwifery and Health, University of Stirling
Darren Wilkinson Research nurse mental health/learning disability, Lynbank Hospital, Dunfermline
David Leadbetter Director, CALM Training, Menstrie Business Centre, Mentrie, Clackmannanshire
Patrick Bradley Senior teaching fellow, University of Stirling
Vaughan Bowie Adjunct fellow, University of Western Sydney
Alan Martin Senior training and development manager, CALM Training

If services are to be made safer for staff and the people in their care, managers must recognise the risk factors that can turn an organisation toxic, say Brodie Paterson and colleagues

The challenges of caring can cause severe stress to all concerned in ways that must be recognised, acknowledged and managed. This is important to prevent stressors, particularly the vicious circle of controlling aggression by aggression, becoming chronic. If this happens an organisation can become dysfunctional and ultimately toxic to those who work in it and those it seeks to support.

In a corrupted culture, the needs of the service user become secondary to the needs of staff, who have become demoralised without adequate training and support. Leadership is seen as critical in the reduction of coercive interventions, but effective staff training can bring about positive changes.

Learning Disability Practice. 14, 7,24-28. doi: 10.7748/ldp2011.

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