The Six Core Strategies© are evidence-informed approaches effective in reducing seclusion and restraint events. This whole-of-system approach was originally developed in the US by the National Association of State Mental Health Program Directors Medical Directors Council (NASMHPD). It is also used in the UK, Canada, Australia, and Finland.
The New Zealand adaption, formerly known as the Six Core Strategies® checklist (2013), was developed by Te Pou to support services implement the strategies within the New Zealand context. This adaption was refreshed in 2020 to ensure the strategies remain current and useful for services. Feedback from the sector identified potential ways to strengthen the use of the Six Core Strategies© to meet current and future needs. Read the sector feedback summary here.
The refreshed Six Core Strategies© service review tool (2020) was published following sector feedback and commitment to seclusion reduction and eventual elimination. This service review tool aims to support leaders and managers in implementing the Six Core Strategies© in mental health services. The tool is designed to help services to regularly review their progress in shifting towards least restrictive practice through identifying key priorities and supporting ongoing quality improvement and systems change. The Six Core Strategies© service review tool can be accessed here.
An overview of the six strategic areas is outlined below.