Relational security resources

At last, a clear and concise strategy that puts the patient at the centre.

Handbook – See Think Act, 2nd edition

This is the second edition authored and published in 2015 in a partnership between Liz and the Royal College of Psychiatry.  We’ve kept the same ‘look and feel’ as the 2010 edition (and the same overall model) but this time put more emphasis on:

  • Purposeful care.  So, engaging – not just watching
  • Looking at the service and care you provide from the perspective of a patient
  • The attitude of staff.  Safe staffing relies on great attitudes and competence – not numbers
  • Writing meaningful care plans for patients and how that connects to safe care
  • Talking to patients at the outset about boundaries
  • Restrictive practice in the context of boundary and rule management
  • Mapping the patient mix 
  • Reflecting on the staff dynamic as well as the patient dynamic
  • Understanding the indicators for victimisation, bullying, drugs, plans to subvert security etc
  • Thinking about how it might feel to be a visitor to a secure hospital, especially for the first time
  • Engaging with visitors meaningfully
  • Treating leave as a therapeutic intervention
  • Knowing the policy for handling an abscond and acting quickly if it happens.

This time, in addition to the ‘We know we’re getting it right when...’ section, we’ve added ‘Effective leaders:’  This aims to highlight the qualities and capabilities required of managers and the actions they need to take to help their staff provide good relational security.


We think the explorer is a great tool for supervision too.

Explorer – See Think Act, 2nd edition

This is the second edition authored and published in 2015 in a partnership between Liz and the Royal College of Psychiatry. It was developed for staff to bring what they've learned in training to a discussion with the rest of the team about:

  • How things feel on the ward
  • How confident the team feel in the areas identified
  • What more they need to do to improve.

Like the handbook, we’ve kept the same ‘look and feel’ as the 2010 edition (and the same overall model) but you’ll spot a couple of significant changes. 

Firstly, the 1-10 scoring has been replaced with 1-5 and now includes a simple definition for each. Also, where the center-point previously said PATIENT, we’ve left it blank so it can be used more flexibly.


Love the poster campaign!

Posters – See Think Act, 2nd edition

Other than changing the logo, we didn’t change these at all when they were re-published in 2015.   In 2010, they represented the first time marketing material had been produced specifically to address issues in secure care: 

  • Spotting when something is wrong
  • Implementing rules fairly and respectfully
  • Asking for help if the line has been crossed
  • Handing over at the end of a shift
  • Working out what’s behind some behaviours
  • Ensuring visits are safe 
  • Saying something if it doesn’t feel right
  • Acting before something happens.