Dr Hayley Thomas Consultant Clinical Psychologist 7 year restraint reduction programme Multisite Community amp Inpatient Mental Health amp ID Multicomponent Systematic implementation of 6 core strategies ID: 1043806
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1. Lessons learntExperiences of implementing a restraint reduction programme Dr Hayley ThomasConsultant Clinical Psychologist
2. 7 year restraint reduction programmeMulti-site (Community & Inpatient; Mental Health & ID)Multi-componentSystematic implementation of 6 core strategiesSustained reduction in restraintClinician reflections on key factors related to efficacy
3. Restraint Reduction Programme
4. The ResultsSeven Year - All Restrictive Interventions (Frequency) – All Sites
5. 6 key themes emerged from thematic review of reflections:Resistance from othersCompliance vs buy-inThe importance of support and debriefUnderstanding Positive Behaviour SupportUnderstanding variance and data scienceGiving backThematic review
6. Lesson 1 - Expect Resistance
7. Lesson 2 - Compliance and buy in
8. Lesson 3 – Staff support and debrief
9. Lesson 4 – Explaining PBS
10. Lesson 5 – Understanding data
11. Lesson 6 – Give, give, give
12. ConclusionsPsychologists well placed to impact systemsRestraint reduction requires system changePsychologists alone cannot achieve these outcomesWork together - Find your alliesChange can be achieved
13. ReferencesAssociation of Clinical Psychologists (ACP). (2019). Reducing Restrictive Practice – the role and contribution of Clinical Psychology. https://acpuk.org.uk/reducing_restrictive_practice_clinical_psychology_role/ Banja, J. (2010). The normalization of deviance in healthcare delivery. Business Horizons, 53(2), 139-148. doi: 10.1016/j.bushor.2009.10.006Hider, A., Thomas, H. & Price, V. (Aug 2022). ‘Hard Yards’ – the experience of delivering a six year restraint reduction programme. The Bulletin of the Faculty for People with Intellectual Disabilities. Vol 20 (2).
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