Evaluation of safewards in forensic mental health
Owen Price Lecturer in the School of Nursing, Midwifery and Social Work, University of Manchester
Paul Burbery Advanced practitioner, Greater Manchester West Mental Health NHS Foundation Trust
Michael Doyle Honorary senior lecturer, University of Manchester
Analysis of a multicomponent intervention intended to reduce levels of conflict and containment in inpatient mental health settings
Background Safewards is a multicomponent, evidence-based conflict and containment reduction intervention that has demonstrated effectiveness in general acute mental health settings.
Aim To evaluate the effect of Safewards in six wards of a regional medium secure forensic unit.
Methods A service evaluation was adopted incorporating a non-randomised controlled design to analyse the effects of Safewards on conflict and containment between and within wards. Adherence to the interventions was measured and informal feedback sessions with staff were conducted to explore views on the acceptability of the interventions.
Results Both between and within-ward analysis found no statistically significant benefit of Safewards. However, adherence to the interventions was poor due to prevailing operational priorities, including heightened acuity in the research sites, demands on staffing resources, criticism of the process of implementation and staff attitudinal barriers.
Conclusion The effect of Safewards in this setting cannot be determined without greater staff acceptance and adherence to the interventions. The success of Safewards will be sensitive to prevailing operational and environmental conditions. On reflection, staff should have been prepared more extensively to ensure they understood the rationale for the interventions more clearly.
Mental Health Practice.
19, 8, 14-21.
This article has been subject to double-blind review and has been checked using antiplagiarism software
Conflict of interest
Received: 07 August 2015
Accepted: 29 October 2015
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