Kia Ora Steve, I worked for CMHT and the crisis team in the Waikato for 6 years until the start of this year and the admission process was often difficult. We're looking at introducing Safewards here in Newcastle, Australia, an so I'm getting my head around the resources. I'm not sure that the Safewards model and interventions as such would work from an admission CMHT perspective although much of the content on staff attitudes and modifiers for conflict would be applicable. I would imagine that if the ward introduced Safewards then the attitude of admitting staff (which was often the challenge for us) would be different. We started to look at the admission process prior to my leaving NZ and there are a number of factors that were open to change - allocation of admission nurse on shift, timely communication with single point of contact, mutually understood admission procedure etc. some of which were being put into place. Certainly by the time I left there was improvement. Chris Huxtable, CNS for the Waikato crisis home treatment team who also managed PICU for a period would be a good person to talk to, Cheers
