Evaluating a visual communications tool to explore risk and safety with nurses and patients within an intellectual disability forensic service: A pilot study

Abstract

Background: Issues of risk and safety can be challenging to discuss with forensic patients 7 with an intellectual disability. Talking Mats is a visual communication tool that facilitates 8 therapeutic conversations. 9 Method: A pilot study, adopting an ethnographic approach, was used to evaluate Talking 10 Mats. Interviews and video observations were conducted with nurses and forensic patients 11 with an intellectual disability from two forensic wards in Scotland. 12 Results: Exploratory evidence suggests that Talking Mats offer a non-biased platform to 13 discuss potentially emotive issues around risk, safety, and wellbeing. Pre-existing notions of 14 Talking Mats, staff availability, and the context of COVID-19 acted as barriers to adopting 15 the visual communications tool. 16 Conclusion: There is value in further research regarding communication tools to facilitate 17 input on care planning and risk management for patients with an intellectual disability.