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Enhancing Therapeutic Environments to Reduce Inpatient Absconding

This project, presented by Anna Love and John McClaren, focuses on developing a therapeutic environment within acute inpatient services to reduce the incidence of patients absconding (AWOL). Key initiatives include the creation of a purpose-built space for group programs, increased activity diversity, and strengthened risk assessment procedures. The initiative has led to notable outcomes, such as reduced AWOL events, improved patient engagement, and positive feedback reflecting enhanced well-being and satisfaction with the program.

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Enhancing Therapeutic Environments to Reduce Inpatient Absconding

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  1. Developing a Therapeutic Environment (A Reason to Stay) Presenter: Anna Love &John McClaren Hospital: AphroditeAnna Love : Acute Inpatient Service Manager Tel : 03 9288 4673 , e-mail anna.love@svhm.org.auJohn McClaren Nurse Manager , Tel 03 92884403 , e-mail John.mcclaren@svhm.org.au

  2. KEY PROBLEM • Related Issues • Absconding from the Inpatient service • Pressure on Extra Care Unit (ECU) beds in the inpatient service. 3/22 6/44 • Interaction between the two pressures • Open Ward

  3. AIM OF THIS PROJECT • Development of ‘Group Program’ • Reducing numbers of AWOL • Culture of positive engagement • Providing support and Education

  4. KEY CHANGES IMPLEMENTED • Development of purpose built space • Relocation of existing day program activities to this area • Review of existing activities program to develop more groups and increase the number and diversity of staff involved • Introduction of Extra position; Nursing position working solely with the day program

  5. KEY CHANGES IMPLEMENTED • Emphasis on Risk Assessment • Development of AWOL policy in conjunction with Police with Categories of AWOL • Emphasis on Incident Reporting – cross reference with Police figures • Recording all AWOL’s in daily returns book – data availability (RAPID) • Police forms on G Drive • Stamps for files • log in/ out book for Patients • increased activities in ECU areas • Medical staff managing patients leave arrangements

  6. OUTCOMES SO FAR • Reduction in AWOL events . • Better reporting of AWOL events

  7. Absconding rates greater than 2 days

  8. OUTCOMES SO FAR

  9. Feelings of Wellbeing Expressing Feelings Thoughts / Emotions

  10. Being heard/listened to

  11. Comparing the current group program to previous programs… • “Last time I didn’t get into any activities, this time I did and really enjoyed every one. Thank-you very much” • “Better regarding presenting the information about groups” • “More challenging, new, and exciting”

  12. PROJECT EVALUATION • Group Attendance • AWOL Data • Patient Feedback Surveys • Feedback from visiting agencies / Community Visitors

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