The impact of sensory modulation in acute mental health units: an organisational case study analysis

G. Azuela, Daniel Sutton, Kirsten Van Kessel
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Abstract

Purpose Sensory modulation intervention involves using calming and grounding sensory stimuli to support coping with distress and intense emotions. Evaluating the impact of sensory modulation is challenging in inpatient settings due to the numerous variables influencing outcomes in ward environments. This study aims to determine the impact of sensory modulation across all organisational levels including service users, staff confidence and attitudes, ward climate and seclusion events. Design/methodology/approach Organisational case studies were conducted in two Aotearoa New Zealand inpatient mental health services, using qualitative and quantitative data to explore the effects of a sensory modulation programme. Findings Results showed that sensory modulation enhanced staff knowledge and confidence in fostering therapeutic relationships and reducing restrictive practices, positively impacted ward climate and provided service users with sensory strategies to use in everyday life. Practical implications The findings captured the complexity of implementation and impact of sensory modulation programmes at individual, group and organisational levels. It is important to recognise the influencing factors and impact of sensory modulation across all levels of service delivery. Originality/value Organisational case study methodology offered a unique approach to evaluating the impact of sensory modulation within inpatient mental health services. Data analysis suggests that in addition to managing acute service user distress, sensory modulation impacts broader staff, team and service level outcomes.
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感官调节对急诊精神科的影响:组织案例研究分析
目的感官调节干预包括使用镇静和接地的感官刺激来帮助患者应对痛苦和强烈的情绪。由于影响病房环境结果的变量众多,评估感官调节在住院环境中的影响具有挑战性。本研究旨在确定感官调节在所有组织层面上的影响,包括服务使用者、员工的信心和态度、病房氛围和隔离事件。研究结果表明,感官调节增强了员工在促进治疗关系和减少限制性做法方面的知识和信心,对病房氛围产生了积极影响,并为服务使用者提供了在日常生活中使用的感官策略。在提供服务的各个层面上,认识到感官调节的影响因素和影响非常重要。原创性/价值组织案例研究方法为评估感官调节在住院精神健康服务中的影响提供了一种独特的方法。数据分析表明,除了管理急性服务使用者的痛苦之外,感官调节还对更广泛的员工、团队和服务层面的结果产生了影响。
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