I've worked on an inpatient child/adolescent unit since getting my bachelors in psych 5 years ago. I've recently graduated from nursing school
and have transitioned to a nurse on the unit. I'm really trying to be a leader on the unit as our management is pretty poor. Approximately 3 years ago we moved away from a point sheet/level system in hopes of transitioning to CPS (collaborative problem solving). The hospital put a lot of money and time into this effort but without adequate leadership, the change failed and we're now left with no programming. The kids pretty much do as they please and we (the staff) feel powerless and like the unit is out of control when the acuity increases. Management gave me the go ahead to meet with staff and discuss changes that need to be made on the unit, including programming. Does anyone have any experience/suggestions for models that work? Or know of places to get information? I've done some pretty extensive journal searches but only come up with articles on seclusion/restraint, why level systems don't work, and implementing CPS.