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#1 Posted : 20 July 2009 20:34:00(UTC)
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Posted By Ken Whitehouse Hello all, Is there anyone out there that works as a H&S Professional in Psychiatric Health-Care? I am updating the Ligature Risk Assessments that we use within our open and low-secure units and would be pleased to hear of any latest developments, equipment or successful practices that you have adopted or applied. Also do you know the name of an independent assessor in this specialised subject? If so, I would be pleased to hear from you. Many thanks, Ken.
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#2 Posted : 21 July 2009 07:12:00(UTC)
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Posted By Messy Shaw Ken Sorry, I am no specialist in this area but I am aware that fire door self closers are often considered a high risk area for ligature/suicide risks. Many Healthcare Trusts are replacing the older projecting overhead door closers with those which are still mounted overhead but are housed close & flush with the door. Alternatively, I saw this upgraded Perko door closer (a great improvement on the usual/traditional design) recently which appears to be ideal for MH use. http://www.perko-powermatic.com/ As usual, Trusts are strapped for cash, so one Trust I work for have assessed which doors represent he highest risk (this is particularly the case where he client may be alone, such as bedrooms) are are replacing those doors as a priority over the next couple of years.
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#3 Posted : 21 July 2009 08:56:00(UTC)
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Posted By Descarte In a past incarnation I was a HSE advisor for a police force and as part of that included inspection of custody and cell areas for ligature points. Other considerations depending on the type of risk you expect the people visiting your workplace may include: Door handles - Can be positioned vertically pointing down Door hinges - may need to be filed Shower heads - Should be plush to wall angled sloping down Any pipe work, Taps - automatic sensors instead of taps Light fitting Toilets, flush mechanisms, pipework should be fitted in to the wall etc. Even air duct / vent covers / mesh This is definitely not a comprehensive list and I am sure some of the hazards may not be present at your work and others will. However unfortunately I must also say, where there is a will there is a way and having kits at hand secured for staff in an emergency to either release a person, cctv monitoring or resuscitate may be good planning. If you want to contact me off the forums I dont mind giving more information and I am sure there are some current members of APHSA which may be able to give more details. Also if you are in the area I could possibly visit your premises as a concerned member of the public, no strings attached? I believe occasionally police forces can welcome organised visits from the public to custody areas to independently review custody and welfare arrangements (I think I even saw an advert at my local community centre), dont see why you couldnt do likewise perhaps. Regards Des
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#4 Posted : 21 July 2009 10:29:00(UTC)
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Posted By Messy Shaw I notice that Broadmoor Hospital is in the news today after a report is critical of the manner in which it investigates/deals with suicides. Apparently there have been eight suicides at Broadmoor between 2001 to 2008, five by hanging. But because the buildings are grade II-listed, the trust has been "unable to eradicate obvious ligature points such as bars on windows". As someone with an interest in architecture and fire safety in mental health settings, I recognise the need for protecting buildings. But call me old fashioned, shouldn't we be protecting people first??!!
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#5 Posted : 21 July 2009 10:48:00(UTC)
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Posted By Rod D Hi Ken I have worked in the past in the Custodial Sector, seven years at the Military Correction Training Centre at Colchester three years with a Private Custodial firm (Immigration Centre Heathrow) before going into Consultancy where | worked at Springfield Mental Trust South London. Please e mail me direct and I will assist anyway I can Yours Aye, Rod D
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