Since the commencement of the 'Creating Safety: Addressing Restraint and Seclusion Practices project' in 2006, the Department of Health and Human Services' Chief Psychiatrist has played a key role reducing restrictive interventions within Victorian mental health services, including:
- development and implementation of policies and guidelines aimed at reducing and, where possible, eliminating restrictive interventions in mental health services
- capacity building initiatives for the mental health workforce (clinical and administrative) associated with service delivery and reporting processes
- monitoring, reporting and responding to issues associated with restrictive practices.
The Chief Psychiatrist and Chief Mental Health Nurse teams have played an integral role in supporting these changes through the development of service guidelines, and implementation of a range of initiatives to support services to implement new practices. These include the Reducing Restrictive Interventions -- Local Action Plans (2014-16), Safewards (2014 onwards), variance reporting pilot (2014) as well implementation of a range of reporting measures and data analytics.
This report was commissioned by the Office of the Chief Psychiatrist in 2017, and the findings highlight Victoria's efforts and successes over the last decade (2006-16) in this area.