1 / 16

Positive and Safe for Service U sers and Staff :

Explore a team-led approach to reflective practices post incidents. Understand defusing vs. debriefing, pilot work in the Trust, and practical tool application. Promote safer environments for both service users and staff.

nildaj
Download Presentation

Positive and Safe for Service U sers and Staff :

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Positive and Safe for Service Users and Staff: Managing the clinical challenge through a team-led Post Incident Reflective approach. Dr Steve Donaldson - Highly Specialist Applied Clinical Psychologist Tony Carroll – Post-Incident Rapid Reflection Champion, Ayckbourn Unit

  2. Aims and Objectives.. • To share an approach to support teams to reflect following incidents. By the end of the workshop you will… • Have an awareness of the difference between defusing and debrief • Have an awareness of the pilot work undertaken in the Trust • Have had an opportunity to ‘have a go’ and use the tools • Have had time to reflect on how this approach might be applied to your work setting

  3. A brief history.. • Debrief has historically meant different things. • Usually led by a therapist/psychologist trained in this area • Time – significant limitation • However, there is a difference between debrief and defusing approaches • Models can help us understand the need • TIC, stress-vulnerability, theories from disaster work

  4. Decompression Model – 1 - 1½ Hours Introductions Setting the context And boundaries RE-ENTRY NORMALISATION FACTS TEACHING THOUGHTS FEELINGSAND SYMPTOMS

  5. Defusing.. • The term was introduced in 1983 (Mitchell & Everly) • Idea that a dangerous or difficult situation can be made ‘harmless’ • Evidence to suggest that larger debrief approach too close to event can cause harm – Trauma processing. • Goals • Rapid reduction of intense emotions • Normalising the experience • Empowerment and sense of mastery • Eliminate the need for debrief, enhance effectiveness of debrief

  6. National Context Positive & Safe • No deliberate use of Prone/face down restraint or pain compliance • Least restrictive/ last resort • Individualised behaviour support plans (PBS) • Board Level Support • Governance structures and policy development • Post incident analysis and debrief • Support plan Audit and internal data gathering • CQC compliance and assurance • Organisational restraint reduction plan

  7. Tewv’s Restrictive Intervention Reduction Plan • Using data to inform clinical practice • Supporting all clinical areas to adopt the Safewards model • Implementation of the Person centred Behaviour Support Framework across services • Providing support and review of incidents following displays of behaviours that challenge • Effective Use of Medication to support behaviours that challenge • Positive Approaches Training (PATT) • Safe and efficient us of Seclusion and calm down facilities

  8. Rapid reflection staff tool The tool should take no longer than 3 minutes. All staff involved should take part in the rapid reflection, with 1 member staff acting as the reflection facilitator • Are we all ok and safe? • Is there anything we would do differently next time? • What went well?

  9. Rapid Reflection Tool – Service Users • Are you feeling ok and Safe? • What can we do to help you feel safe? (Asked immediately following restrictive intervention) Questions to be asked within 24 hours (or as soon as possible/appropriate) • Do you understand why staff needed to use restrictive interventions? • What could we have done to support you better? • Is there anything you would do differently next time? Offer the opportunity to make a written account

  10. Rapid Reflection Pilot • 1 ward from Each Clinical Speciality • Pilot Period from January 1st – February 14th 2017 • Services reported between 3 -100 % Compliance • Positive Feedback for use of the staff tool • Limited use of Patient tool, further work to identify more effective use • Gradual introduction Trust wide from May 1st 2017

  11. Stepped Approach to Incident Management Critical Incident Is a Debrief required? YES Post-Incident Reflection Facilitated Debrief STAFF SUPPORT

  12. A Champions experience of applying post-incident reflections in practice Experience from practice

  13. Time to have a go…. • In small groups 3-4’s • Think of a mildly challenging event from your work experience – that you are safe to share • Pick one to work with • Use the Post-incident reflection tool • You have 3 minutes

  14. Timer…. • 3 minutes on the clock TIMESUP 1 Minute 2 Minutes

  15. Ideas of Scope and use in the Trust • Time to reflect on possible uses in practice. • How could this tool help you and your team • In-patients • Community • Supervision

  16. Conclusions and Final Thoughts

More Related