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The 10 Safewards Interventions
Know Each Other
Positive Words
Discharge Messages
Clear Mutual Expectations
Bad News Mitigation
Mutual Help Meeting
Calm Down Methods
Soft Words
Reassurance
Talk Down
SAFEWARDS
THE KEY AIMS OF
SAFEWARDS
1. Explain the relationship between conflict and containment
What contributes to Flashpoints
2. Identify opportunities where nurses can intervene
3. Generate ideas for change that have the potential to
reduce conflict and containment
1. The Patient Community
2. Patient Characteristics
3. Regulatory Framework
4. Staff Team
5. Physical Environment
6. Outside Hospital
CONFLICT AND CONTAINMENT
CONTAINMENT:
How Staff prevent harm
CONFLICT:
Potentially harmful
events
WHAT IS SAFEWARDS?
PRN medication
Coerced IM medication
Increased observations
Specialing
Seclusion
Physical restraint
“Time out”
Aggression
Rule Breaking
Substance Use
Absconding
Medication refusal
Self-harm
Suicide
Safewards is an evidence-based
model of care developed in the UK.
It focuses on minimizing episodes of
conflict and containment within mental
health settings by minimizing potential
triggers called “flashpoints”.
Safewards in Victoria
In 2013 the Victorian Government
committed $1million to fund a Safewards implementation and evaluation project
across the state.
18 inpatient units across 7 Area Mental Health services are participating in this project.
The Power of Words
Safewards at LRH
Safewards Education
The Safewards rollout at LRH commenced in December 2014,
with the official project commencing
in March 2015.
Implementation at LRH
Since the project commenced
MHPDU staff have delivered
50+ education sessions on all
10 Safewards interventions
to clinical staff.
Flynn and SECU are the units
involved in the project.
Staff training and engagement
- Daily education sessions
- Regular project updates
- 20+ Intervention champions
- 2/52 Committee meetings
- 2/12 Newsletter
- Strong leadership
- Community of Practice meetings
Consumer Engagement