Trauma-Informed Care and PTMF Reduce Self-Harm, Seclusion, and Restraint in Acute Inpatient Psychiatric Setting [madinamerica.com]

Former Member 6/15/2312:32 PM

^{Illustration of the PTMF framework by psychologist Juliet Young (@Juliet_Young1)}

By Richard Sears, Mad in America, June 13, 2023

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-centered 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.”

[Please click here to read more.]

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Robert OlcottMember

@Mike Flaningam posted:
Mad in America is my new most favorite website (not including PACEs Conn, of course). I love this article and several that I saw on my brief review of their homepage. I'm a seasoned (old) primary care doc, and it feels so right to get away from the disease/diagnosis-centered approach we docs, as well as therapists (I assume) are trained on. The DSM was a nice attempt to try to make sense of helping people's bothersome emotions, but it needs to go now "
I was fortunate to have worked at our (New Hampshire) state hospital's Only "Patient-Governed Ward" which had a {national service) Family Physician rather than a Psychiatrist. ... if there's a need for 'historic reference' to 'upgrade' the DSM

6/17/231:49 PM

Mike FlaningamMember

Mad in America is my new most favorite website (not including PACEs Conn, of course). I love this article and several that I saw on my brief review of their homepage. I'm a seasoned (old) primary care doc, and it feels so right to get away from the disease/diagnosis-centered approach we docs, as well as therapists (I assume) are trained on. The DSM was a nice attempt to try to make sense of helping people's bothersome emotions, but it needs to go now.

6/16/239:34 AM

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“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.”

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