Safety
Trauma Informed Safety
An organisation that promotes psychological safeness through communicating worth, seeking diversity of opinion, and fostering a sense of belonging. It will also take active steps to address certain behaviours and the environments in which they arise to promote physical safety. Physical safety should not be secured in the short term at the expense of longer-term risks.
Staff Practice Points
1. Service users are safe from physical harm.
2. Staff are safe from physical harm.
3. My team/service see’s everyone as of worth with valid experience and opinion.
4. An individual’s risks are understood and formulated in the context of previous experience and trauma.
5. The underlying psychosocial causes of risks are actively addressed.
6. There is an opportunity for staff and service-users to reflect on safety plans to understand what has contributed to a positive outcome.
7. It feels safe enough to reflect and be honest when things go wrong for service-users.
8. We take a collaborative risk-management approach with service-users to minimise inadvertent long-term harm to healing.
9. There is a culture where staff and service-users trust each other to voice opinions whilst maintaining respect and value for each other.
10. My team proactively plans around safety rather than being reactive to crisis.
11. I feel I have enough skills and autonomy to manage safety issues in a patient-centred way.
User Practice Points
1. I feel safe from physical harm in this service.
2. staff are safe from physical harm here.
3. Staff see everyone as of worth with valid experience and opinion.
4. Staff understand my personal risks as arising from the consequences of my past or current adverse experiences e.g., abuse, housing, finance etc.
5. The triggers and underlying reasons for my personal risks are addressed.
6. I have the chance to reflect and learn with staff after my safety has been at risk either from myself or others so things can be done differently in the future.
7. Staff take into account my view when looking at risk in a way that promotes my long-term healing.
8. I trust staff and are able to respect each other’s opinions.
9. My team makes plans around my personal safety in advance rather than after a crisis.
10. The staff have the ability to deal with safety in a way that is personal to me.
11. I feel safe from physical harm in this service.

Narratives
Working with a Male rape victim in the custodial setting
Invited to help a victim who was gang raped whilst in Prison.
safety
Helping people make an informed choice in relation to disclosure of non-recent abuse
We wanted to improve people’s ability to give informed consent before disclosing non-recent abuse, increasing people’s control over what information was shared, whilst at the same time not inadvertently placing barriers in the way of disclosure. To this end, we devised a leaflet that outlined this change in advice.
safety
Forensic Hospital in the US
Forensic Hospital in the US with No Restraints and Seclusion
safety