{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:16:19Z","timestamp":1785424579260,"version":"3.56.0"},"reference-count":21,"publisher":"Royal College of Psychiatrists","issue":"6","license":[{"start":{"date-parts":[[2020,4,24]],"date-time":"2020-04-24T00:00:00Z","timestamp":1587686400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Bull"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:sec id=\"S2056469420000303_sec_a1\"><jats:title>Aims and method<\/jats:title><jats:p>Sleep disturbance is common in psychiatry wards despite poor sleep worsening mental health. Contributory factors include the ward environment, frequent nightly checks on patients and sleep disorders including sleep apnoea. We evaluated the safety and feasibility of a package of measures to improve sleep across a mental health trust, including removing hourly checks when safe, sleep disorder screening and improving the ward environment.<\/jats:p><\/jats:sec><jats:sec id=\"S2056469420000303_sec_a2\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>During the pilot there were no serious adverse events; 50% of in-patients were able to have protected overnight sleep. Hypnotic issuing decreased, and feedback from patients and staff was positive. It was possible to offer cognitive\u2013behavioural therapy for insomnia to selected patients.<\/jats:p><\/jats:sec><jats:sec id=\"S2056469420000303_sec_a3\"><jats:title>Clinical implications<\/jats:title><jats:p>Many psychiatry wards perform standardised, overnight checks, which are one cause of sleep disruption. A protected sleep period was safe and well-tolerated alongside education about sleep disturbance and mental health. Future research should evaluate personalised care rather than blanket observation policies.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjb.2020.30","type":"journal-article","created":{"date-parts":[[2020,4,24]],"date-time":"2020-04-24T10:15:15Z","timestamp":1587723315000},"page":"255-260","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":13,"title":["Feasibility and utility of enhanced sleep management on in-patient psychiatry wards"],"prefix":"10.1192","volume":"44","author":[{"given":"Chloe","family":"Novak","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Packer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alastair","family":"Paterson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ambrina","family":"Roshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosie","family":"Locke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Keown","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2558-3367","authenticated-orcid":false,"given":"Stuart","family":"Watson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5767-918X","authenticated-orcid":false,"given":"Kirstie N.","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2020,4,24]]},"reference":[{"key":"S2056469420000303_ref17","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8040534"},{"key":"S2056469420000303_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.02.060"},{"key":"S2056469420000303_ref11","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-12-179"},{"key":"S2056469420000303_ref20","doi-asserted-by":"publisher","DOI":"10.1177\/0269881119855343"},{"key":"S2056469420000303_ref13","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.176.3.266"},{"key":"S2056469420000303_ref6","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465817000789"},{"key":"S2056469420000303_ref18","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2018.00463"},{"key":"S2056469420000303_ref14","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2000.01510.x"},{"key":"S2056469420000303_ref21","article-title":"The psychiatric ward environment and nursing observations at night: a qualitative study","author":"Veale","year":"2019","journal-title":"J Psych Ment Health Nurs"},{"key":"S2056469420000303_ref12","unstructured":"12 National Institute for Health and Care Excellence (NICE). Violence and Aggression: Short-Term Management in Mental Health, Health and Community Settings. NICE, 2015 (https:\/\/www.nice.org.uk\/guidance\/ng10)."},{"key":"S2056469420000303_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2007.01862.x"},{"key":"S2056469420000303_ref16","first-page":"234","article-title":"Sleep disordered breathing in community psychiatric patients","volume":"26","author":"Anderson","year":"2012","journal-title":"Eur J Psych"},{"key":"S2056469420000303_ref15","unstructured":"15 Clinical Resource and Audit Group (CRAG). Engaging People: Observation of People with Acute Mental Health Problems: A Good Practice Statement. 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The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}