VRPE: A Combined Violence Reduction Program - Ashcombe Ward, Exams of Communication

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James White,

B6 SSN,

Ashcombe ward.

Violence Reduction &

Proactive Engagement

Jean Simpson

Ward Manager,

LSU cluster

• The combination of our various projects is new.
• This is the first time I've run this presentation.
• Please, feed back, ask questions as you wish. DRAFT

DRAFT

VRPE ;

“A combined programme that utilises ‘See Think Act’ as a

foundation then adds on complimentary parts of other

violence reduction projects. “

We chose to centre on See Think Act as it has

• A specific and large evidence base for secure services.
• It is a common language spoken between all secure services.
• It is supported by RCPsych.

• We have a number of evidence based projects that reduce violence and improve patient outcomes.
• Individually these work well, but work better together. Unless these projects are combined meaningfully, we risk duplication of effort and time. DRAFT

7 DRAFT UCL 18.

CL 9.

0 2 4 6 8 10 12 14 16 18 20 Aug-14 Sep-14^ Oct-14 Nov-14^ Dec-14^ Jan-15^ Feb-15 Mar-15^ Apr-15 May-15^ Jun-15^ Jul-15 Aug-15 Sep-15^ Oct-15 Nov-15^ Dec-15^ Jan-16^ Feb-16 Mar-16^ Apr-16 May-16^ Jun-16^ Jul-16 Aug-16 Sep-16^ Oct-16 Nov-16^ Dec-16^ Jan-17^ Feb-17 Mar-17^ Apr-17 May-17^ Jun-17^ Jul- No of incidents Month Ashcombe - Physical Aggression to 31 July 2017 (with process change from September 2016)

A guide to understanding the different elements of secure care, and knowing how to respond if something is wrong. RC psych 2015. DRAFT

DRAFT

• DASA
• Zoning
  • Intentional Rounding (IR)
  • Safewards
    • SBAR
    • Risk Management - Safety Cross - Ward map - Safewards

DRAFT A model of communication and interventions designed to reduce: Conflict : patient behaviours that threaten their safety or the safety of others (violence, suicide, self-harm, absconding etc. Containment: The things staff do to prevent those events from occurring or seek to minimize the harmful outcomes (e.g. PRN medication, special observation, seclusion, etc.)

• Do you have a project related to Violence reduction?
• Do you have something you think could help out patients move on in a meaningful way?
• Are you interested in taking a lead on your ward for VRPE? DRAFT

To achieve our outcome measures, our process measures will be:

• A month on month increase in the number of people that have had the VRPE training
• Each ward to have a functional and regularly Updated relational security resources.
• There will be a relational security group on site.
• Each ward will be able to identify non-negotiable and negotiable boundaries (those that a judgement can be made about)
• Subjectively, there will be an increase of staff and patients feeling more involved in relational security and boundaries.

Jean Simpson, Project lead James White, Deputy Project lead & MSU Admissons and assessment cluster lead LSU cluster MSU rehab cluster Departments cluster (EG OT psychology etc) Open Cluster Avon Lead Chichester Lead (^) Connelly Lead Owen Lead (^) Cofton lead Warren Lead Holcombe Lead Ashcombe lead

• How can we best implement VRPE as a project lead by ward staff?
• Any Barriers to implementation?
• Does anyone have a better name than VRPE?
• How do we involve patients?
• Any other ideas regarding the ward based interventions?