Hodges' Model: Welcome to the QUAD: "No safety without emotional safety" by Veale, et al. (2022)

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Sunday, November 27, 2022

"No safety without emotional safety" by Veale, et al. (2022)

 INDIVIDUAL
|

 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP
psychological needs (risk)
inc. threat processing - treatment of interpersonal violence
'therapeutic
emotional safety (re-traumatisation)
control behaviour
severe panic with flashbacks, dissociation, and visual hallucinations
physical needs (RISK)
'low intensity touch'

environment' ... tepee - in room my safe space
physical safety (safe room)
to increase physical safety
privacy, lighting, doors, window

lived experience
family - relationship experience (touch)
'atmosphere'?
change in culture, positive risk-taking
person-centredness, family orientation in 'team'
Leadership
'therapeutic community'
Open Dialogue
CONTROL:
'take away' - autonomy, responsibility
policies - abuse risk, 'protect' patients and staff
regulatory reform
in-patient care, pets - policy
parity of esteem
Access (still) to therapies, CBT
Institutional risk
Alternative protocols


David Veale, Eleanor Robins, Alex B Thomson, Paul Gilbert, No safety without emotional safety, The Lancet Psychiatry, 2022, ISSN 2215-0366, https://doi.org/10.1016/S2215-0366(22)00373-X. (https://www.sciencedirect.com/science/article/pii/S221503662200373X)

My source:
https://twitter.com/tadhg50/status/1596901626765529091?s=20&t=FJe9qpYUrxHN2yxWEWLUdQ
The purposes of Hodges' model is to identify the concepts that have salience clinically, to the person, be they - patient, carer, student ... and then to integrate care, to draw the care domains together into a 'whole'.

Four original purposes of Hodges' model: 

1. Reflection, reflective practice, critical thinking
2. Person-centred care
3. Holistic - integrated care
4. Bridge the Theory - Practice gap