Collaborative Risk Management and Responsibility Contracts in Service User Care

1. Choice lifestyle & Responsibility Service user involvement and policy development Responsibility contracts

2. Risk assessment & management Policy - RAMP • Establish what areas of care delivery / items that have the potential to increase risk. • Principal; Procedural security managed in the most normal / least restrictive way possible. • Individualised additional risk management

3. Responsibility contracts • Not punitive - informative • Where risks are relevant to others on the ward. • Service user identified responsibilities • What I need to do ! • What the staff have to do ! • What will happen if it doesn’t happen

4. 6 - Responsibility contracts • Mobile phones • Room (key) access • Ceramic cup • Pornography • Computer / Laptop • Lighter access

8. Principals – Risk managed items • Jointly establish what the risks are pertaining to that item / care issue. • Jointly establish the least restrictive (normal) procedural security measures for that item –relevant to that ward. • Establish additional interventions for individuals where the normal procedures might not be sufficient.

9. Principals – Responsibility contracts • Clearly identify; • Staffs responsibility • Procedural security procedures • Service user individual responsibility • What has to be done • When it should be done • Consequences of not doing it • Not punitive • Review of contract • Learning from mistakes