Davies Bronwen, Silver Jade, Josham Scarlett, Grist Emma, Jones Lewis, Francis Nicky, Truelove Cerys, Shindler Matthew, Jones Sian, Gwatkin Alice
Ty Lafant Assessment and Treatment Unit, Llanfrechfa Grange, UK.
Newport Community Learning Disability Team, Civic Centre, UK.
J Intellect Disabil. 2021 Sep;25(3):357-369. doi: 10.1177/1744629520901637. Epub 2020 Feb 12.
This study evaluates the implementation of Safewards on an assessment and treatment unit (ATU) for people with an intellectual disability. There are no previous studies evaluating this model in this context and previous research has focused largely on acute mental health services. The 'Patient-Staff Conflict Shift Report' was used at baseline for 1 month and 1 year later, after all the interventions had been implemented, to evaluate the impact of Safewards. Significant reductions were found in conflict and containment measures used within the service after the implementation of Safewards. Staff who led on the interventions were also asked to give feedback on their experiences, the challenges they faced and how they would like to move forward. Safewards was generally seen as a positive approach by the team. Limitations of this study are highlighted and suggestions for future research are made.
本研究评估了针对智障人士的评估与治疗单元（ATU）实施“安全保障措施（Safewards）”的情况。此前尚无研究在这种背景下评估该模式，且以往研究主要集中在急性精神卫生服务方面。在基线阶段以及所有干预措施实施1年后，使用了1个月的“医患冲突转移报告”来评估“安全保障措施”的影响。实施“安全保障措施”后，服务中使用的冲突和约束措施显著减少。负责干预措施的工作人员也被要求就他们的经验、面临的挑战以及未来的推进方向提供反馈。该团队普遍认为“安全保障措施”是一种积极的方法。本研究的局限性得到了强调，并为未来研究提出了建议。
