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Zero seclusion: Safety and dignity for all – change package | Aukatia te noho punanga: Noho haumanu, tū rangatira mō te...

12th May, 2022


This Zero seclusion change package | mōkī aroha uses a set of globally recognised, evidence-based interventions aimed at improving the care of tāngata whaiora while moving towards achieving zero seclusion in mental health inpatient units.

When implemented, zero seclusion project teams will provide wider access and choice to effective holistic Māori cultural and Western clinical interventions, which in turn will reduce seclusion rates and improve health equity.

What the package includes

The package is both a coaching tool and resource for zero seclusion project teams as they plan, design, test and apply evidence-informed practices in their local environments.

Used effectively, the package should help teams achieve breakthrough improvements which are able to be applied across the entire mental health sector.

The package has four distinct parts.

A driver diagram: illustrates the main drivers in the system.

Change ideas: clinical and cultural evidence-informed interventions and practices.

Measures: lists for recording progress.

Learning system: includes tools to test plan–do–study–act (PDSA) cycles, report progress and create plans to hold gains:

  • Model for Improvement
  • Project planning form
  • Driver diagram template
  • PDSA cycle worksheet
  • PDSA cycle checklist
  • Action plan template
  • PICK (Possible/Implement/Challenge/Kill) chart template
  • 30–60–90: Ideas for action template
  • Reporting template
  • Review session template

Below is the full change package for download, or you can download the individual tools as templates (editable MS Word versions and printable PDF versions).