Evaluation of a novel co‐designed and co‐delivered training package to de‐escalate violence and aggression in UK acute inpatient, PICU and forensic mental health settings

Journal article

Grundy, A., Papastravrou Brooks, C., Johnston, I., Cree, L., Callaghan, P. and Price, O. (2024). Evaluation of a novel co‐designed and co‐delivered training package to de‐escalate violence and aggression in UK acute inpatient, PICU and forensic mental health settings. Journal of psychiatric and mental health nursing. https://doi.org/10.1111/jpm.13074
AuthorsGrundy, A., Papastravrou Brooks, C., Johnston, I., Cree, L., Callaghan, P. and Price, O.
Abstract

Background
Evidence suggests a discrepancy between recommended and routine practice in de-escalation in mental health settings, suggesting a lack of impact of existing training.

Aim
To investigate the acceptability and perceived impact of a co-designed/delivered training intervention on a trauma-informed approach to de-escalation on mental health wards.

Methods
Trainees were invited to complete the Training Acceptability Rating Scale (TARS) post-training. Responses to the quantitative items were summarized using descriptive statistics, and open-text responses were coded using content analysis.

Results
Of 214 trainees, 211 completed the TARS. The trainees rated the training favourably (median overall TARS = 55/63), as acceptable (median 33/36) and impactful (median 23/27). There were five qualitative themes: modules of interest; multiple perspectives; modes of delivery; moulding to context; and modifying other elements.

Discussion
The EDITION training was found to be acceptable and impactful, with trainees particularly valuing the co-delivery model. Trainees suggested several ways in which the training could be improved, particularly around the need for further moulding of the intervention to the specific ward contexts/teams.

Implications for Practice
We recommend co-designing and co-delivering staff training to mental health professionals that tackles restrictive practices.

Relevance Statement
This research is relevant to lived experience practitioners who want to be involved in training mental health professionals around restrictive practices, demonstrating the value and importance of their voice. It is relevant to current providers of de-escalation training, and to staff receiving training, outlining a novel, but acceptable and impactful, form of training on a key area of mental health practice. It is relevant to anyone with an interest in reducing restrictive practice via co-delivered training.

Keywordsacute mental health, collaborative research, forensic psychiatry, in-patient issues, restraint
Year2024
JournalJournal of psychiatric and mental health nursing
PublisherWiley
ISSN1351-0126
Digital Object Identifier (DOI)https://doi.org/10.1111/jpm.13074
Web address (URL)https://onlinelibrary.wiley.com/doi/10.1111/jpm.13074
Publication dates
Online22 Jun 2024
Publication process dates
Accepted13 Jun 2024
Deposited02 Jul 2024
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Open
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