The impact of a group intervention on ward climate and experienced safety in an inpatient setting

Abstract

There is an emphasis on the importance of ward climate on the experienced safety and therapeutic value of inpatient psychiatric services. However, there is limited research to understand the role of patient-to-patient aggression in ward climate discussions. The implementation of a group intervention to promote discussions about the relationship between feelings and behaviours, including those of others, was evaluated on a locked rehabilitation unit of 12 adult males with intellectual disabilities. Four staff were consulted, who reported that patients who attended the group regularly appeared to have improved in their use of coping skills, and peer relationships. Patient scores on the ESSEN Climate Evaluation Scale, however, were not significantly impacted by attendance at the group. The use of the group intervention may have potential to improve inpatient climate, and ultimately the overall therapeutic experience, however further research will be required to fully understand the impact of the group on the patient experience.Easy to read summary■The atmosphere on inpatient wards can affect how safe patients feel.■We ran a group to help men with intellectual disabilities talk about their emotions and behaviours on the ward.■Scores of how safe the men felt did not change but staff reported the group to be helpful.■Staff said the men got on better and used more coping skills.■We think the group can be helpful and would like to explore it further.