Acute inpatient care in the UK. Part 2: managing risk

Clients in acute mental health wards are at risk of weight gain associated with antipsychotic treatment, other adverse effects of medication, trauma associated with seclusion and restraint, and threats or assaults by others. Managing these risks is based on improving physical health, refining medication, reviewing ward culture and reducing incidents of conflict, violence, seclusion and restraint by behavioural interventions. Adequate training is essential, and research into outcomes is urgently needed.