Safety Resources

At its core, safety involves reducing aggression and violence, which is connected to reducing the use of coercive practices (Delaney & Johnson, 2012). According to a 2006 study published in the Journal of the American Psychiatric Nurses Association, psychiatric-mental health nursing skills that promote a safe environment include awareness, attending, caring, and connecting (Delaney & Johnson). The APNA Institute for Safe Environments has designated the following as key elements of safe environments: culture and ideology, engagement, space and equipment, staff resources, education and training, patient assessment and monitoring, rules, emergency management, and error prevention. To support psychiatric-mental health nurses in the promotion of safety, APNA has gathered a variety of expert-vetted resources. Browse below for resources and information related to patient engagement, de-escalation, reducing seclusion and restraint, and more.

Safety Toolbox

Explore the safety toolbox, a compilation of resources that address de-escalation strategies, restraint reduction, safety checks, and more.

Engagement Toolkit

Access information on engaging patients to support their path to wellness while maintaining safe environments. This literature details engagement and ward culture, patient perceptions, and more.

Elements of a Safe Environment

Resources gathered by the Institute for Safe Environments which fall under the eight key components for the development of a safe environment, as identified by Institute members.

Safe Environments Discussion Community

Join the Institute for Safe Environments Advisory Panel on APNA Member Bridge to share your perspective on safety in care environments. (Members Only)

Continuing Education on Safety

Search the APNA eLearning Center using the keyword "safety" to browse available recordings from past conferences.



Delaney, K. R., & Johnson, M. E. (2006). Keeping the unit safe: Mapping psychiatric nursing skills. Journal of the American Psychiatric Nurses Association, 12(4), 198-207.

Delaney, K. R., & Johnson, M. E. (2012). Safety and Inpatient Psychiatric Treatment Moving the Science Forward. Journal of the American Psychiatric Nurses Association, 18(2), 79-80.

The American Psychiatric Nurses Association is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.