Flexible observations in the management of self-harm

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This article decribes the challenges faced by one regional secure forensic service in meeting the needs of its female patients who present with self-harming behaviours. The nature and scope of the challenges are discussed, along with a strategy that was developed to address them. In addition, some of the barriers to implementation of the strategy are examined, as well as the clinical benefits of the approach.

Joanne Sullivan and colleagues describe how a shift away from constant monitoring of female patients has brought many benefits to one unit

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