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Chapter 13 - Activity and Positive Engagement within a PICU

Published online by Cambridge University Press:  15 March 2024

By
Rebecca Davies ,
Robert Rathouse  and
Wendy Sherwood
Edited by
Roland Dix ,
Stephen Dye  and
Stephen M. Pereira
Roland Dix
Affiliation:
Gloucestershire Health and Care NHS Foundation Trust, Gloucester
Stephen Dye
Affiliation:
Norfolk and Suffolk Foundation Trust, Ipswich
Stephen M. Pereira
Affiliation:
Keats House, London
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Summary

Being able to do activities is an inherent human need and essential to health and well-being. This chapter relates this need to the altered experience of activity participation for people who are patients within a psychiatric intensive care unit (PICU). It explains the negative impact of impaired functioning, occupational deprivation and boredom and the converse positive effect of adequate meaningful activity provision for patients, staff and the service as a whole. It discusses how engaging patients in activity can prevent, reduce and help to manage violence and aggression. This is balanced by a discussion of how enabling positive engagement through use of activity requires careful assessment, which includes considering the environment, different aspects of functioning such as sensory processing and the risks associated with the activities described herein. The chapter provides information on a wide range of activities for individual and group-based programmes, including enabling activity participation in seclusion and using sensory interventions.

Keywords

positive engagementmeaningful activityactivity programmesviolenceaggressionsensory interventionsoccupational therapy
Type
Chapter
Information
Psychiatric Intensive Care , pp. 159 - 177
Publisher: Cambridge University Press
Print publication year: 2024

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