Making PROGRESS to improve mental health care

New results show that a scheme to reduce physical restraint and force in mental health inpatient settings has improved care and patient experiences. The findings come from the PROMISE (PROactive Management of Integrated Services and Environments) project which aimed to change culture and reduce physical interventions in mental health settings, which can be extremely distressing to patients and staff. The study was developed in our host trust – Cambridgeshire and Peterborough NHS Foundation Trust (CPFT). The research was funded by CPFT and CLAHRC EoE.

PROMISE is supported by five actions – PROGRESS (Report, Reflect, Review, Rethink and Refresh) developed by front-line staff and patients to help make decisions based on individual care needs. The team reported a remarkable drop (58%) in incidents of face down restrains and all forms of physical interventions (35%), as well as high patient experience scores (87-98%) over three years.

Nationally, the Care Quality Commission (CQC) has highlighted how PROMISE has created a positive and therapeutic culture across mental health wards at CPFT and reduced the need for restrictive interventions. The scheme features in this CQC guide designed to help mental healthcare providers improve support for patients.

You can read the full press release on CPFT’s Website 

You can see an article from the study in the BMJ Open Quality Journal.(Reference: Lombardo CVan Bortel TWagner AP, et al. PROGRESS: the PROMISE governance framework to decrease coercion in mental healthcare 

For CLAHRC EoE bite-sized summaries of the PROMISE study, please click on the titles:

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