Trauma-Informed Care and PTMF reduce self-harm, seclusion, and restraint in acute inpatient psychiatric setting

This article by Richard Sears has been published by Mad in the UK. It begins:

“A recent study published in Frontiers in Psychology suggests that adopting a Trauma-Informed Care (TIC) approach in inpatient psychiatric settings can significantly reduce self-harm and the use of seclusion and restraint.

The researchers, led by clinical psychologist Faye Nikopaschos, credit this reduction to weekly staff training on psychological stabilization and the use of the Power Threat Meaning Framework (PTMF). PTMF provides an alternative to the prevalent disease/diagnosis-centred approach in inpatient settings by focusing on the service users’ lived experiences.

Nikopaschos and her team state:

‘Findings suggest that PTMF Team Formulation and Psychological Stabilisation training can contribute to significant reductions in self-harm and restrictive interventions (seclusion and restraint) on adult mental health wards.

The study aimed to assess the impact of TIC, applied through PTMF and staff psychological stabilization training, in an inpatient psychiatric facility. The team measured and compared the frequency of self-harm, seclusion, and restraint in a National Health Service adult acute inpatient mental health unit in London, both before and after the implementation of TIC. The data was gathered from two wards, starting with 23 and 22 service users and reducing to 18 in each over the study’s duration …”

You can read more from here.

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