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The policy sets requirements for staff training and competence, completion of observation care plans, and use of least restrictive practice. It requires accurate, honest documentation, structured handover, and escalation of missed or incomplete observations, with care plan and risk assessment updates agreed by multiple professionals when changes occur.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/therapeutic-engagement-and-observation-policy-version-80/174094/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/therapeutic-engagement-and-observation-policy-version-80/174094.png","ImageObject",442,249,{"name":88,"@type":89},"River Wang","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-19","2026-09-02",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",6,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the purpose of the Therapeutic Engagement and Observation Policy?","Question",{"text":109,"@type":110},"The policy aims to promote therapeutic engagement and supportive observation to reduce the risk of harm and support safe, effective inpatient care.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What requirements apply to staff undertaking therapeutic engagement and observations?",{"text":114,"@type":110},"Staff must be adequately trained and assessed as competent. They are individually responsible for completing observations as prescribed and for escalating missed or incomplete observations appropriately.",{"name":116,"@type":107,"acceptedAnswer":117},"How should changes to observation care plans be handled?",{"text":118,"@type":110},"Any changes must be discussed and agreed by multiple professionals in the team, documented in progress notes, and used to update the care plan and—where indicated—the risk assessment.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},174094,1790568507,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":30},1099514067438,"https://ap-avatar.wpscdn.com/avatar/100002539ee87300030?x-image-process=image/resize,m_fixed,w_180,h_180&k=1780474512215547542","Therapeutic Engagement and Observation Policy\nVersion Control Summary\nEXECUTIVE SUMMARY\nTherapeutic engagement and observations are an integral tool used in the provision of safe and effective care. The main aim is to promote engagement and reduce the risk of harm.\nStaff allocated to undertake therapeutic engagement and observations must be adequately trained and assessed as competent to undertake this task. Undertaking this task have individual responsibility and are accountable to ensure the task is carried out as prescribed and where this is not possible, incidents of missed or incomplete observations are appropriately escalated, reported and recorded.\nTherapeutic engagement and observations must have a completed care plan that reflects the interventions necessary to ensure patient safety- these care plans will include service user input as far as possible and where there is consent, can reflect the views and input of families or carers. Any changes to observation care plans must be discussed and agreed by multiple professionals in the team and documented in the progress notes, updated in the care plan and the risk assessment updated if indicated.\nThe task must be completed as prescribed and described in the observation care plan. This is particularly important when completing observations as the frequency and individual arrangements for observation directly link to patient safety. Any deviation from this that is not honestly reported and recorded will be treated as falsification of observations.\nTherapeutic engagement and observation levels should never be decided based on staffing availability. Where increased number of enhanced observations are required and there is insufficient staffing resource to undertake the required tasks, the nurse in charge is responsible to escalated this to a senior member of the clinical team (including out of hours). Where clinical acuity changes during a shift and tis impacts on resource availability, the same escalation process should follow.\nTeams should adhere to the principles of the board relay to promote completion of observation, handover of clinical observation and recue the risk of missed observations. Zonal observations and the twilight shift can be applied based on individual service need i.e. only applied to clinical services where they would be most impactful, are safe to use and reduce risk.\nContents\nParagraphs\t\t\t\t\t\t\t\t\t      Page\nIntroduction\t\t\t\t\t\t\t\t\t\t6\nPurpose of Policy\t\t\t\t\t\t\t\t\t6\nDefinition\t\t\t\t\t\t\t\t\t\t8\nUse of Observations\t\t\t\t\t\t\t\t\t8\nInitiation of Observation\t\t\t\t\t\t\t\t15\nObservation Care Plan\t\t\t\t\t\t\t\t16\nStaff Allocation\t\t\t\t\t\t\t\t\t17\nHandover\t\t\t\t\t\t\t\t\t\t18\nReviewing levels of Observation\t\t\t\t\t\t\t19\nSupport for Staff\t\t\t\t\t\t\t\t\t21\nDocumentation\t\t\t\t\t\t\t\t\t22\nLegal Status\t\t\t\t\t\t\t\t\t\t23\nCompetency\t\t\t\t\t\t\t\t\t\t23\nTraining and Competency\t\t\t\t\t\t\t\t24\nProcess for Monitoring Compliance and the effectiveness of this Policy\t\t24\nProcess for Reviewing, Approving and Archiving this Policy\t\t\t\t24\nReferences\t\t\t\t\t\t\t\t\t\t25\nAppendices\nAppendix 1\tTherapeutic Observation Care Plan\t\t\t\t\t\t26\nAppendix 2\tMSORT Guidance to Care Planning for Enhanced Observation\t\t27\nAppendix 3\tObservation Record Sheet\t\t\t\t\t\t\t30\nAppendix 4\tLevels of Support/Supervises Care for Babies on the MBU\t\t\t31\nAppendix 5 \tReview of Enhanced Therapeutic Observations Template\t\t\t33\nAppendix 6\tZonal Observations Standard Guidance\t\t\t\t\t35\nAppendix 7\tLife Skills Recovery Worker\t\t\t\t\t\t\t39\nAppendix 8\tBoard Relay\t\t\t\t\t\t\t\t\t42\nAppendix 9\tMissed Observations Protocol\t\t\t\t\t\t45\nIntroduction\nThe main aim of engagement and supportive observation is to engage positively with each inpatient to reduce risk and prevent harm. This involves a two-way relationship, established between the staff member and service user that is meaningful, based on trust and is therapeutic in nature. Relational engagement includes key components of awareness, presence, mutuality, respect, authenticity, perception, and reflection. Additional investments have gone into all mental health inpatient wards to f","cbCaiqPGevGSM5Of","https://ap.wps.com/l/cbCaiqPGevGSM5Of","docx",671593,47,"English","# Introduction\n## Purpose of Policy\n## Definition\n## Use of Observations\n## Initiation of Observation\n## Observation Care Plan\n## Staff Allocation\n## Handover\n## Reviewing levels of Observation\n## Support for Staff\n## Documentation\n## Legal Status\n## Competency\n## Training and Competency\n## Process for Monitoring Compliance and Effectiveness\n## Process for Reviewing, Approving and Archiving this Policy\n## References\n# Appendices\n## Appendix 1 Therapeutic Observation Care Plan\n## Appendix 2 MSORT Guidance to Care Planning for Enhanced Observation\n## Appendix 3 Observation Record Sheet\n## Appendix 4 Levels of Support/Supervises Care for Babies on the MBU\n## Appendix 5 Review of Enhanced Therapeutic Observations Template\n## Appendix 6 Zonal Observations Standard Guidance\n## Appendix 7 Life Skills Recovery Worker\n## Appendix 8 Board Relay\n## Appendix 9 Missed Observations Protocol","[{\"question\":\"What is the purpose of the Therapeutic Engagement and Observation Policy?\",\"answer\":\"The policy aims to promote therapeutic engagement and supportive observation to reduce the risk of harm and support safe, effective inpatient care.\"},{\"question\":\"What requirements apply to staff undertaking therapeutic engagement and observations?\",\"answer\":\"Staff must be adequately trained and assessed as competent. They are individually responsible for completing observations as prescribed and for escalating missed or incomplete observations appropriately.\"},{\"question\":\"How should changes to observation care plans be handled?\",\"answer\":\"Any changes must be discussed and agreed by multiple professionals in the team, documented in progress notes, and used to update the care plan and—where indicated—the risk assessment.\"}]","Therapeutic Engagement and Observation Policy - Version 8.0 | DOCX",1788310021]