Risk Management In Mental Health Services Page 2
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54FOREWORD
Safety is central to the provision of quality mental health services. However
adverse events do occur, sometimes with tragic personal consequences.
Protecting patients and others from harm is a key priority and risk
management is an essential component of providing such protection.
Developments in recent years have served to support a more positive and
proactive approach to risk in the planning and delivery of services. National
mental health policy, A Vision for Change (2006), places the service user
at the centre of mental health services and promotes a recovery approach
to mental ill health. This invites the development of a stronger partnership
approach between service users, carers and mental health professionals
in negotiating all aspects of care, including the assessment and
management of risk. In 2007 the Mental Health Commission produced the
Quality Framework, Mental Health Services in Ireland in 2007 as a road
map and enabler for mental health services in striving for high standards
and good practices in the sector. Meanwhile the HSE developed an
Integrated Quality, Safety and Risk Management Framework (2009)
which is currently being implemented across all HSE services.
In the context of these developments the Director of PCCC established a
working group under the chairmanship of David Gaskin, LHM Meath and
Lead for mental health, to develop specific guidance for mental health
services in the area of risk management. The group included a clinical director,
director of nursing, risk advisers from within HSE mental health services
and a number of external expert advisers including an academic, a service
user representative, and clinical risk advisors (Clinical Indemnity Scheme).
This guidance document is intended for use by the staff of mental health
services, other health service staff linking with mental health services,
mental health service users and their families and carers. Its purpose is to
embed risk management in all aspects of day to day practice by supporting
services to adopt a more systematic approach to risk assessment and
management thus reducing the potential for harm.
Martin Rogan,
HSE Assistant National Director, Mental Health.
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