RETRACTED ARTICLE: See think act: the need to rethink and refocus on relational security

See think act scale: Validation of the Dutch version of a measure of relational security in high secure forensic psychiatric care

“…This adjustment was made after experiencing in clinical practice that reflection on oneself as a professional, is important in working with patients as well as in working in a team. The addition to the definition has also had implications for the use of the STA model, by putting more emphasis on reflective practice, which is in line with recent thinking by both Fletcher (9) and Markham (11). Considering good communication and information sharing, as the corner stone of relational security and recovery-focused care.…”

“…The handbook and the tools can be considered as a starting point in helping professionals to explore and fulfill their role in relational security. In order to integrate the STA method in daily practice, professionals need training, encouragement, support and robust strategic leadership with an emphasis on reflective practice ( 11 ). Organizations need to educate and train their staff, have a structure in place that support ongoing skill development in delivering relational security care, and have clear and effective systems for communication and handover within and between staff teams ( 12 ).…”

“…However, in order to enable recovery, relationships and environments that provide hope, empowerment, choices, and opportunities for fulfilling an individual’s potential are required ( 16 ). Relational security could support forensic mental health professionals in finding balance in managing safety and risks and patients’ recovery and care ( 11 ). However, there is a need for studies into the actual impact of relational security on for instance, risk incidents on the ward, treatment outcomes and patient satisfaction as there are no results yet that underwrite the potential beneficial effects of relational security ( 7 ).…”

“…In forensic facilities, working multi-disciplinary as a team and using expert skills are considered essential for effective risk management and appropriate patient care ( 18 , 19 ). Markham ( 11 ) argues that reflective practice in forensic care is important for staff members and teams to gain insight, learn from daily practice and optimize relational security. The STA guidelines recommend to engage in reflective practice within the multidisciplinary team in order to evaluate and improve relational security and patient care.…”

Factors Affecting Treatment Regress and Progress in Forensic Psychiatry: A Thematic Analysis

“…Accordingly, Livingstone ( 60 ) concluded that success in the forensic mental health system is seen as a dynamic, collaborative process rather than an end state. Markham ( 61 ), too, calls for inclusive patient collaboration throughout all facets of personal recovery, including risk management. However, in order to ensure best recovery-oriented practices, forensic psychiatric services need to be developed at several levels.…”