Langzeitevaluation der Implementierung des Safewards-Modells
                    – Ergebnisse einer Follow-Up-Erhebung unter Patient*innen und
                    Mitarbeitenden der Akutpsychiatrie

Al-Wandi, Mohammed S I; Baumgardt, Johanna; Jäckel, Dorothea; Helber-Böhlen, Heike; Voigt, Andre; Cutcheon, Ann-Kathrin Mc; Schöppe, Enrico; Lecca, Edwin Emilio Velasquez; Löhr, Michael; Schulz, Michael; Weinmann, Stefan; Bechdolf, Andreas

doi:10.1055/a-1961-1486

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…This initial cluster RCT of Safewards in the UK recorded a 15% reduction in conflict in the intervention wards, but the methodology has attracted some criticism [113]. The reviews considered here do not have much further evidence on the effectiveness (as opposed to implementation) of Safewards, which may be due to it only becoming available for evaluation relatively recently (more than a decade after Six Core Strategies was first published) but recent trials with some promising findings have been conducted in Australia and Germany [114,115].…”

Section: Safewardsmentioning

confidence: 96%

Zero Tolerance for Coercion? Historical, Cultural and Organisational Contexts for Effective Implementation of Coercion-Free Mental Health Services around the World

Whittington,

Aluh,

Caldas-de-Almeida

2023

Healthcare

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Coercion of service users/patients when receiving care and treatment has been a serious dilemma for mental health services since at least the 18th century, and the debate about how best to minimise or even eradicate compulsion remains intense. Coercion is now, once again and rightly, at the top of the international policy agenda and the COST Action ‘FOSTREN’ is one example of a renewed commitment by service user advocates, practitioners and researchers to move forward in seriously addressing this problem. The focus of service improvement efforts has moved from pure innovation to practical implementation of effective interventions based on an understanding of the historical, cultural and political realities in which mental health services operate. These realities and their impact on the potential for change vary between countries across Europe and beyond. This article provides a novel overview by focusing on the historical, cultural and political contexts which relate to successful implementation primarily in Europe, North America and Australasia so that policy and practice in these and other regions can be adopted with an awareness of these potentially relevant factors. It also outlines some key aspects of current knowledge about the leading coercion-reduction interventions which might be considered when redesigning mental health services.

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Section: Safewardsmentioning

confidence: 96%

Zero Tolerance for Coercion? Historical, Cultural and Organisational Contexts for Effective Implementation of Coercion-Free Mental Health Services around the World

Whittington,

Aluh,

Caldas-de-Almeida

2023

Healthcare

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Umsetzung der DGPPN-S3-Leitlinie zur Prävention von Gewalt und Zwang: Prä-post-Analyse der randomisierten kontrollierten PreVCo-Studie

Hirsch,

Baumgardt,

Bechdolf

et al. 2024

Psychiatr Prax

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Zusammenfassung Ziel der Studie In der vorliegenden Arbeit wird untersucht, inwieweit eine strukturierte Implementierung der Leitlinie zur Vermeidung von Zwang zu einer Verbesserung leitlinienkonformen Arbeitens und der Reduktion von Zwang in der klinischen Arbeit führt. Methodik Die vorliegende Arbeit ist eine Sekundäranalyse der Daten der PreVCo-Studie, welche deutschlandweit auf 55 psychiatrischen Stationen durchgeführt wurde. Ergebnisse Die Anzahl der Zwangsmaßnahmen ging im Beobachtungszeitraum signifikant zurück. Der Grad der Umsetzung der Leitlinien stieg signifikant an. Dies konnte ohne Zunahme von aggressiven Übergriffen erreicht werden. Schlussfolgerung Die strukturierte Implementierung leitliniengerechten Arbeitens ist im Routinebetrieb auf psychiatrischen Stationen möglich.

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Langzeitevaluation der Implementierung des Safewards-Modells – Ergebnisse einer Follow-Up-Erhebung unter Patient*innen und Mitarbeitenden der Akutpsychiatrie

Cited by 2 publications

References 14 publications

Zero Tolerance for Coercion? Historical, Cultural and Organisational Contexts for Effective Implementation of Coercion-Free Mental Health Services around the World

Zero Tolerance for Coercion? Historical, Cultural and Organisational Contexts for Effective Implementation of Coercion-Free Mental Health Services around the World

Umsetzung der DGPPN-S3-Leitlinie zur Prävention von Gewalt und Zwang: Prä-post-Analyse der randomisierten kontrollierten PreVCo-Studie

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