This allowed incidents to be de-escalated and dealt with effectively. Positive risk taking was adhered to, with caution, and the use of restraint and high levels of observation were avoided if possible, or put in place for a short, planned amount of time. Staff were encouraged to spend time reflecting – with the patient – an understanding of how she came to feel like this, validating her perceived distress. Spending ad hoc therapeutic time promoting wellbeing and progress was encouraged. There was also a need for some informal family support throughout to promote consistency.