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It describes the implementation process of the model, designed to reduce restrictive practices in acute mental health settings. The Safe Steps model is a mental health nurse\u2010designed and led approach for person\u2010centred, structured and relational de\u2010escalation. It positions therapeutic engagement, emotional attunement, and psychological safety as central components of effective responding, particularly during high\u2010stress situations. The model offers a practical and adaptable resource for diverse acute care environments. This paper examines the implementation process and lessons learned from a multi\u2010site evaluation of the Safe Steps model in a number of acute mental health units. The evaluation was guided by the complexity model of Skivington et\u00a0al. (2021), which emphasises multifaceted real\u2010world approaches to evaluation. Drawing on reflective accounts from the research and implementation leads, using practice\u2010informed insights, the paper explores the opportunities, challenges and lessons learned in embedding a relational de\u2010escalation model into everyday clinical practice. Particular attention is given to capability building, scenario\u2010based learning, and team\u2010based support strategies that facilitated implementation. The findings highlight the importance of leadership, emotional safety, and inclusion of the consumer voice in sustaining reductions in coercive practices. The paper offers practical insights for clinicians and researchers seeking to implement relational and trauma\u2010informed approaches in acute mental health services.<\/jats:p>","DOI":"10.1111\/inm.70335","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T09:13:06Z","timestamp":1786957986000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From Control to Connection: Reflections on Implementing Safe Steps in Acute Mental Health Units"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8544-1878","authenticated-orcid":false,"given":"Alison","family":"Taylor","sequence":"first","affiliation":[{"name":"Integrated Mental Health, Alcohol and Other Drugs Coffs Harbour Base Hospital  Coffs Harbour New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1418-0864","authenticated-orcid":false,"given":"Matthew","family":"Flowers","sequence":"additional","affiliation":[{"name":"Integrated Mental Health, Alcohol and Other Drugs Coffs Harbour Base Hospital  Coffs Harbour New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0025-2681","authenticated-orcid":false,"given":"Marie","family":"Hutchinson","sequence":"additional","affiliation":[{"name":"Faculty of Health Southern Cross University  Coffs Harbour New South Wales Australia"},{"name":"School of Nursing and Midwifery University of Southern Queensland  Toowoomba Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"e_1_2_15_2_1","unstructured":"Agency for Clinical Innovation.2022.\u201cTrauma\u2010Informed Care in Healthcare Settings Rapid Evidence Check.\u201dhttps:\/\/aci.health.nsw.gov.au\/__data\/assets\/pdf_file\/0004\/735682\/ACI\u2010Trauma\u2010informed\u2010care\u2010in\u2010healthcare\u2010settings\u2010rapid\u2010evidence\u2010check.pdf."},{"key":"e_1_2_15_3_1","unstructured":"AIHW.2024a.\u201cInvoluntary Treatment\u2014Mental Health\u2014AIHW.\u201dAustralian Institute of Health Welfare.https:\/\/www.aihw.gov.au\/mental\u2010health\/topic\u2010areas\/involuntary\u2010treatment."},{"key":"e_1_2_15_4_1","unstructured":"AIHW.2024b.\u201cSeclusion and Restraint\u2014Mental Health\u2014AIHW.\u201dAustralian Institute of Health Welfare.https:\/\/www.aihw.gov.au\/mental\u2010health\/topic\u2010areas\/seclusion\u2010and\u2010restraint."},{"key":"e_1_2_15_5_1","unstructured":"AIHW.2025.\u201cInvoluntary Treatment\u2014Mental Health\u2014AIHW.\u201dhttps:\/\/www.aihw.gov.au\/mental\u2010health\/topic\u2010areas\/involuntary\u2010treatment."},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.3310\/hsdr09050"},{"key":"e_1_2_15_7_1","unstructured":"Bax C.2024.\u201cCrisis Response: Using ICE\u2010T to Safely Defuse High\u2010Risk Situations.\u201dPolice1.https:\/\/www.police1.com\/police\u2010training\/crisis\u2010response\u2010using\u2010ice\u2010t\u2010to\u2010safely\u2010defuse\u2010high\u2010risk\u2010situations."},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000446-198412000-00027"},{"key":"e_1_2_15_9_1","volume-title":"Creating Sanctuary: Toward the Evolution of Sane Societies","author":"Bloom S. 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