The CSIPNPSA Prevention and Management of Aggression and Violence Project - PowerPoint PPT Presentation
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The CSIPNPSA Prevention and Management of Aggression and Violence Project
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Legal and Code of Practice Issues. Legal ... Use of CCTV. Definitive Guidance. Definitive Guidance. Updated to reflect changes and new information since 2004 ... – PowerPoint PPT presentation
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Title: The CSIPNPSA Prevention and Management of Aggression and Violence Project
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The CSIP/NPSA Prevention and Management of
Aggression and Violence Project
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Current Issues
- Legal and Code of Practice Issues
- Definitive Guidance
- Police Liaison
- Accreditation and Regulation
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Legal and Code of Practice Issues
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Legal and Code of Practice Issues
- Locked Doors
- Seclusion (definitions long term)
- Bournewood
- Mental Capacity
- Observation and Engagement
- Use of CCTV
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Definitive Guidance
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Definitive Guidance
- Updated to reflect changes and new information
since 2004 - Published with a traffic light audit system
- Linked to the national Accreditation and
regulation scheme - Sexual safety
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- SEXUAL VIOLENCE ABUSE MH Service Context
- significant impact of violence abuse on the
mental ( physical) well being of
victims/survivors (50 or more women within MH
system are surviving child sexual abuse) - level of awareness low generally among mental
health professionals - women (and men) who have been sexually
victimised do not, in the main, receive the care
support they need - inappropriate sexual behaviour rarely
adequately addressed
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- Revictimisation / Lack of Safety
- particularly in mixed-sex settings in the form
of coercion, - intimidation, physical violence or sexual
violence and - abuse perpetrated by
- - predominantly men service users
- - visitors
- - intruders
- - members of staff
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- Addressing the sexually violent behaviour
- - explore potential for sexual violence in
risk assessments/ - - risk management plans
- - if evident/prevalent, address within
CPA/treatment - programme/ward management
- - adopt zero-tolerance on a par with physical
violence
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Police Liaison
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Public Place
Private premises
Offences
Help
Psychiatric setting
Police station
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Sobering Thought
- Figures from 2005/06 showed that of the 28
individuals who died in or following police
contact, 2 were detained under Section 136 of the
Mental Health Act 1983 and 4 had some form of
mental health needs - An IPCC study estimated 11,500 people detained
under 136 in 2005/6 for 10 hours on average - 11 of 24 shootings by the police between 1998
2001 involved someone with mental health needs (4
times more likely to be killed by police)
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Complex Needs of the Mentally Disordered Offender
- Substance use
- physical health problems
- homelessness or accommodation difficulties
- debts, financial exclusion and poverty
- lack of basic skills, low educational attainment
and unemployment - relationship needs
- These difficulties are often compounded by a lack
of co-ordination among services.
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Care Services Improvement Partnership (CSIP) and
ACPO joint initiative
- Police care on the Streets
- Partnership Liaison
- The Training and Competencies of staff
- Assessments and Screening
- Information Sharing
- Section 135/136
- Places of safety
- Conveyancing
- Healthcare of Detainees in Police Stations
- Mental Health Hospitals
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Developing a National Approach to Training in the
Prevention and Management of aggression and
Violence
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Evidence baseHSE Evaluation of training
- Contextualised in organisational structure
- Theoretical basis
- Legal and ethical framework
- Teaching physical interventions alone not
effective - Standards for trainers
- Service specific
- Subject to ongoing evaluation
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Desired Outcomes
- Improved reporting
- Staff confidence enhanced
- Positive feedback from service users
- Training provision updated
- Links established with other agencies
- All restraint use reported
- Incidents of aggression and violence reduced
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Accreditation and Regulation
- PI Trainers Professional Code of Practice drafted
- Portfolio of evidence and CPD framework for P.I.
Trainers drafted - Developed assessment criteria for physical skills
training - Legal
- Ethical
- Biomechanical
- Safety service user and staff
- Acceptability
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Accreditation and Regulation
- Multi-Badging
- Staged Approach
- ACCREDITED COURSES
- Written Submission
- Field Assessment by Panel
- View of Organisational Readiness
- Requirement of Registered Trainers
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Accreditation and Regulation
- ACCREDITED ORGANISATIONS
- Clinical Negligence Scheme for Trusts Level 2
- Implementation of Policies and Procedures
- Commitment
- Health and Safety
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Accreditation and Regulation
- REGULATING TRAINERS
- Accredited Trainers Course
- Clinical and teaching qualification
- Code of Conduct
- Professional portfolio (hours of
teaching/practice) - Live Register
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A National System for Accreditation and Regulation
- Meeting with DH in Summer 2007 led to revised
proposal within financial framework - HSE SMS NPSA CSIP consultation
- Proposals currently with the Treasury for final
financial agreement - April 2008 launch
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