Observation

This section contains evidence and practice on observation and therapeutic engagement.

Planning  Aylanah's photostream  http://www.flickr.com/photos/aylanah/40223105/

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Title: Observing and Engaging - Part of City 128 study
Published: July 2007
Summary: Following two years of data collection, the City 128 research report on the use of special observation to reduce self-harm on acute psychiatric wards has been released. Len Bowers and Alan Simpson discuss the findings and suggest that intermittent observation is effective,as long as it is accompanied by patient activity sessions and adequate numbers of qualified nursing staff.

To read the full study report follow this link:
http://www.sdo.lshtm.ac.uk/sdo612003.html

To read the commissioning brief follow this link:
http://www.sdo.lshtm.ac.uk/ files /researchcall/61-brief.pdf

To red the lay summary follow this link:
http://www.sdo.lshtm.ac.uk/ files /project/61-lay-summary.pdf

To read the scientific summary follow this link:
http://www.sdo.lshtm.ac.uk/ files /project/61-sci-summary.pdf

To read the final report follow this link:
http://www.sdo.lshtm.ac.uk/ files /project/61-final-report.pdf

To read the press release follow this link:
http://www.city.ac.uk/news/ archive/2007/05_may/14052007_2.html

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Title: Observation policy
Published: January 2004
Summary: Observation policy. All patients being cared for in clinical areas are observed by the staff. The purpose of observation is generally to monitor the patients’ mental state, behaviour and whereabouts.
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Title: Observation & engagement
Published: July 2001
Summary:
A discussion paper in which the authors draw upon a variety of perspectives, including that of a psychiatrist and a service user, to argue that the practice of formal observation is ineffective and may actually contribute to the poor state of UK acute psychiatric in patient units, in terms of direct patient care, clinical decision making and appropriate risk management.
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Title: Safe and supportive observation of patients at risk
Published: June 1999
Summary:
Practice guidance for observation of patients at risk. Including risk assessment, challenges, responsibility, levels of observation, recording decisions, when observation goes wrong, training.
List of official qualified write-in candidates  joebeone's photostream	  http://www.flickr.com/photos/joebeone/292546944/
Title: Runaway patients
Summary:
Len Bowers reports on some innovative research which offers useful insights into why patients abscond and discusses how absconding rates might be cut.
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Title: Study on Observations
Summary: The aim of this study was to examine the relationship between special observation and self-harm within the context of other conflict behaviours, other containment methods, patient factors, service environment, physical environment and staff factors.

 

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