Acute inpatient care in the UK. Part 2: managing risk
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Acute inpatient care in the UK. Part 2: managing risk

John Baker Senior lecturer, University of Manchester School of Nursing, Midwifery and Social Work
Ana Sanderson Works as senior mental health nurse in the mental health liaison team, Accident and Emergency Department of Manchester Royal Infirmary
Katharine Challen Nursing student, University of Manchester
Owen Price PhD student, University of Manchester

In the second of two articles, John Baker and colleagues provide an update on the interventions staff use to limit the potential harm to service users that can arise in such settings

Clients in acute mental health wards are at risk of weight gain associated with antipsychotic treatment, other adverse effects of medication, trauma associated with seclusion and restraint, and threats or assaults by others. Managing these risks is based on improving physical health, refining medication, reviewing ward culture and reducing incidents of conflict, violence, seclusion and restraint by behavioural interventions. Adequate training is essential, and research into outcomes is urgently needed.

Mental Health Practice. 18, 1, 21-27. doi: 10.7748/mhp.18.1.21.e884


Peer review

This article has been subject to double blind peer review

Conflict of interest

None declared

Received: 03 May 2013

Accepted: 04 December 2013

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