Open-door policy (ODP) is a flexible framework for acute psychiatric hospital care that emphasises patients’ recovery and personal freedom to reduce coercion. Evidence is debated as RCT data is lacking. Researchers, managers, staff and service user representatives co-created a Nordic ODP and evaluation project, the...
The aim of this research was to describe inpatients’ ideas on how they would develop current violence risk assessment and management practices. The data collection took place in one PICU unit specialized in the treatment of patients with psychosis and violent behavior. A qualitative descriptive...
Background. On January 1st, 2020, the Dutch Compulsory Care Act (WvGGZ) replaced the Special Admissions Act (BOPZ). Whilst the old law only allowed compulsory treatment in hospital, the new law allows it both in inpatient and outpatient settings. Methods. We studied the seclusion and enforced...
The psychiatric High and Intensive Care (HIC) model is an innovative healthcare program in Belgium for inpatient treatment for severely disturbed psychiatric patients, focusing on intensive patient-centered integrated care with minimal coercive measures (van Mierlo et al., 2013). Our study is a multi-method approach of...
Previous research has shown progression in implementation of the High and Intensive Care (HIC) model and a decline of compulsory care by the level of implementation. Securing implementation has proven to be challenging, among others by national shortage of mental health care staff. Systematic evaluation...
Safewards is a model that aims at reducing conflict and containment on psychiatric wards. Fidelity of implementation is often assessed by using the Safewards Fidelity Checklist (SFC). However, SFC does not include the perspective of service users. The aim of this study was to investigate...
Little is known of how recovery can be utilized in the prevention and management of staff-directed aggression in community mental health settings. The paper presents results from two studies of competence development among staff in community mental health services partaking in education and training in...
The aim of this research was to assess the impact of assertive community treatment (ACT) team on length of stay in full time hospitalization units. We also evaluated the impact on days spent with coercion (seclusion and physical restraint) and emergency services use. We used...
A small sample of patients with severe eating disorders are at acute risk of adverse outcomes due to critical somatic condition. An intervention of last resort for these patients is forced tube-feeding. In the Netherlands, most patients that receive this highly complex en intrusive intervention...
Physiological signals (e.g., heart rate, skin conductance) that were traditionally studied in neuroscientific laboratory research are currently being used in numerous real-life studies using wearable technology. Physiological signals obtained with wearables seem to offer great potential for continuous monitoring and providing biofeedback in clinical practice and...