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KEY PROBLEM

Developing a Therapeutic Environment (A Reason to Stay) Presenter: Anna Love &John McClaren Hospital: Aphrodite Anna Love : Acute Inpatient Service Manager Tel : 03 9288 4673 , e-mail anna.love@svhm.org.au John McClaren Nurse Manager , Tel 03 92884403 , e-mail John.mcclaren@svhm.org.au.

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KEY PROBLEM

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  1. Developing a Therapeutic Environment (A Reason to Stay) Presenter: Anna Love &John McClaren Hospital: AphroditeAnna Love : Acute Inpatient Service Manager Tel : 03 9288 4673 , e-mail anna.love@svhm.org.auJohn McClaren Nurse Manager , Tel 03 92884403 , e-mail John.mcclaren@svhm.org.au

  2. KEY PROBLEM • Related Issues • Absconding from the Inpatient service • Pressure on Extra Care Unit (ECU) beds in the inpatient service. 3/22 6/44 • Interaction between the two pressures • Open Ward

  3. AIM OF THIS PROJECT • Development of ‘Group Program’ • Reducing numbers of AWOL • Culture of positive engagement • Providing support and Education

  4. KEY CHANGES IMPLEMENTED • Development of purpose built space • Relocation of existing day program activities to this area • Review of existing activities program to develop more groups and increase the number and diversity of staff involved • Introduction of Extra position; Nursing position working solely with the day program

  5. KEY CHANGES IMPLEMENTED • Emphasis on Risk Assessment • Development of AWOL policy in conjunction with Police with Categories of AWOL • Emphasis on Incident Reporting – cross reference with Police figures • Recording all AWOL’s in daily returns book – data availability (RAPID) • Police forms on G Drive • Stamps for files • log in/ out book for Patients • increased activities in ECU areas • Medical staff managing patients leave arrangements

  6. OUTCOMES SO FAR • Reduction in AWOL events . • Better reporting of AWOL events

  7. Absconding rates greater than 2 days

  8. OUTCOMES SO FAR

  9. Feelings of Wellbeing Expressing Feelings Thoughts / Emotions

  10. Being heard/listened to

  11. Comparing the current group program to previous programs… • “Last time I didn’t get into any activities, this time I did and really enjoyed every one. Thank-you very much” • “Better regarding presenting the information about groups” • “More challenging, new, and exciting”

  12. PROJECT EVALUATION • Group Attendance • AWOL Data • Patient Feedback Surveys • Feedback from visiting agencies / Community Visitors

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