Nathan Ross has consistently led and managed safety, quality, and performance initiatives for implementation, and ongoing enhancement of robust governance and coordination. Responsibilities encompass driving quality improvement, managing clinical risk, overseeing safety activities, and evaluating performance. Led and directed portfolios, supporting and advancing safe, evidence-based clinical improvements.
Action Plan for Psychosocial Safety – Mental Health Co-Response
Mr Nathan Ross1, Miss Jessica Eddy1, Miss Anna Kirk1
1St John Ambulance Western Australia, Belmont, Australia
Abstract
Introduction
The Mental Health Co-Response unit responds to acute community mental health crisis. Vicarious trauma is a risk factor associated with de-escalation of volatile acute mental health crisis. Our purpose is to explore the known risks and hazards of sustained exposure via an Exploratory Factor Analysis to initiate purposive mitigation strategies for the psychosocial risks and hazards.
Design
An exploratory Factor Analysis amongst cross-institutional Mental Health community response teams.
Setting
Mental Health Co-Response teams across state ambulance services.
Intervention
Inter-rater reliability analysis seeking agreement on the key domains of psychosocial safety risks and hazards associated with a co-response model.
Outcomes/Measurement
We will seek to identify agreement amongst clinicians involved in co-response as to what the dominant psychosocial triggers and hazards are.
Statistical methods
Krippendorff’s Coefficient will quantify the extent of agreement between raters of known domains of psychosocial triggers that may cause vicarious trauma.
Results/hypothesis
We hypothesise independent raters (clinicians) agreement on psychosocial safety triggers are strongly associated with sustained volatile de-escalation.
Conclusion
The team’s vision is ensuring our work environment is a psychosocially safe. Collectively, the team understands co-responders are exposed to stressors on a significant scale. The team attend significant volumes of highly volatile cases which have a cumulative effect on mental health. Through Exploratory Factor Analysis, we seek agreement on psychosocial risk factors associated with the core work function and initiate robust and reproducible means for psychosocial risk mitigation associated with mental health co-response.