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  • Chapter 13 - Activity and Positive Engagement within a PICU

  • Edited by Roland Dix, Gloucestershire Health and Care NHS Foundation Trust, Gloucester, Stephen Dye, Norfolk and Suffolk Foundation Trust, Ipswich, Stephen M. Pereira, Keats House, London
  • Book:
    Psychiatric Intensive Care
    Published online:
    15 March 2024
    Print publication:
    28 March 2024, pp 159-177

  • 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.