Implementation of Body Worn Camera: Practical and Ethical Considerations

Foye, Una; Regan, Ciara; Wilson, Keiran; Ali, Rubbia; Chadwick, Madeleine; Thomas, Ellen; Allen-Lynn, Jenny; Allen-Lynn, Jude; Dodhia, Sahil; Brennan, Geoff; Simpson, Alan

doi:10.1080/01612840.2024.2308605

Cited by 2 publications

(5 citation statements)

References 18 publications

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“…Staff, patient and carer experiences of and attitudes towards surveillance technologies on inpatient wards in the included papers were complex, with variation both within and between these groups. This mirrors findings elsewhere on surveillance technologies [75,76,77]. Qualitative literature in this review revealed some perceptions that surveillance technology could reduce violence, aggression and self-harm in inpatient settings.…”

Section: Discussionsupporting

confidence: 78%

“…were patients' and staff's ethical concerns about privacy invasion, data protection, patient confidentiality and informed consent, in-line with previous literature [16,73,74,75,76,77]. These were reinforced by some quantitative evidence indicating that a substantial proportion of patients did not consent to the use of VBPMM [51] or understand the reasons for being monitored via video [48].…”

Section: Conflictssupporting

confidence: 81%

“…This mirrors findings elsewhere on surveillance technologies [75,76,77]. Qualitative literature in this review revealed some perceptions that surveillance technology could reduce violence, aggression and self-harm in inpatient settings.…”

Section: Conflictssupporting

confidence: 74%

“…Whilst limited data existed regarding 'best practice' guidelines, evidence from the papers related to experiences should inform how such practice is developed. Prominent themes in qualitative results were patients' and staff's ethical concerns about privacy invasion, data protection, patient confidentiality and informed consent, in-line with previous literature [16,73,74,75,76,77]. These were reinforced by some quantitative evidence indicating that a substantial proportion of patients did not consent to the use of VBPMM [51] or understand the reasons for being monitored via video [48].…”

Section: Key Findingssupporting

confidence: 72%

“…If these technologies continue to be implemented, there will be an urgent need to develop trauma-informed policies, procedures and guidelines for their use, centred around the perspectives of patients. This could contribute to developing more acceptable ways of using surveillance technologies and help maximise their potential benefits and mitigate their harms [89]. These guidelines and policies would need to be accompanied by comprehensive and ongoing training for staff, ideally coproduced with patients, and systematic monitoring and auditing of services’ adherence to them to help ensure compliance.…”

Section: Discussionmentioning

confidence: 99%

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The use and impact of surveillance-based technology initiatives in inpatient and acute mental health settings: A systematic review

Griffiths,

Saunders,

Foye

et al. 2024

Preprint

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Background: The use of surveillance technologies is becoming increasingly common in inpatient mental health settings, commonly justified as efforts to improve safety and cost-effectiveness. However, the use of these technologies has been questioned in light of limited research conducted and the sensitivities, ethical concerns and potential harms of surveillance. This systematic review aims to: 1) map how surveillance technologies have been employed in inpatient mental health settings, 2) identify any best practice guidance, 3) explore how they are experienced by patients, staff and carers, and 4) examine evidence regarding their impact. Methods: We searched five academic databases (Embase, MEDLINE, PsycInfo, PubMed and Scopus), one grey literature database (HMIC) and two pre-print servers (medRxiv and PsyArXiv) to identify relevant papers published up to 18/09/2023. We also conducted backwards and forwards citation tracking and contacted experts to identify relevant literature. Quality was assessed using the Mixed Methods Appraisal Tool. Data were synthesised using a narrative approach. Results: A total of 27 studies were identified as meeting the inclusion criteria. Included studies reported on CCTV/video monitoring (n = 13), Vision-Based Patient Monitoring and Management (VBPMM) (n = 6), Body Worn Cameras (BWCs) (n = 4), GPS electronic monitoring (n = 2) and wearable sensors (n = 2). Twelve papers (44.4%) were rated as low quality, five (18.5%) medium quality, and ten (37.0%) high quality. Five studies (18.5%) declared a conflict of interest. We identified minimal best practice guidance. Qualitative findings indicate that patient, staff and carer perceptions and experiences of surveillance technologies are mixed and complex. Quantitative findings regarding the impact of surveillance on outcomes such as self-harm, violence, aggression, care quality and cost-effectiveness were inconsistent or weak. Discussion: There is currently insufficient evidence to suggest that surveillance technologies in inpatient mental health settings are achieving the outcomes they are employed to achieve, such as improving safety and reducing costs. The studies were generally of low methodological quality, lacked lived experience involvement, and a substantial proportion (18.5%) declared conflicts of interest. Further independent coproduced research is needed to more comprehensively evaluate the impact of surveillance technologies in inpatient settings, including harms and benefits. If surveillance technologies are to be implemented, it will be important to engage all key stakeholders in the development of policies, procedures and best practice guidance to regulate their use, with a particular emphasis on prioritising the perspectives of patients.

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Section: Discussionsupporting

confidence: 78%