Improving therapeutic engagement and observations on inpatient mental health wards in the English NHS: Lessons from using QI to scale up interventions

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Discussion

Quality improvement initiatives improved therapeutic engagement and reduced incidents on mental health wards, indicating effective interventions.

Therapeutic engagement improved significantly, increasing patient interactions and recovery opportunities.
General observation completion rose by 1.2%, while incidents of physical violence decreased by 23% and staff sickness by 16%.
Quality improvement methods provided a structured approach to scaling effective interventions across multiple wards.
Improvements were observed in observational practices, therapeutic activities, and reduction in restrictive practices.

Aurélio et al. (2025) studied this question.

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Quality improvement initiatives improved therapeutic engagement and reduced incidents on mental health wards, indicating effective interventions.