• Low secure;
  • multidisciplinary team;
  • psychiatric rehabilitation;
  • team leader role;
  • team nursing

PURPOSE:  This article critically examines the clinical utility of redesigning a nursing practice model within the Intensive Support and Intervention Service, a new low secure mental health facility in the United Kingdom. Specifically, the “team nursing” approach to care delivery has been adapted to consist of multidisciplinary team leaders as opposed to nursing team leaders.

FINDINGS:  The authors describe the role, properties, and functions of the multidisciplinary team leader approach. The authors provide examples of the benefits and challenges posed to date and the ways in which potential barriers have been overcome.

PRACTICE IMPLICATIONS:  Nursing care leadership can be provided by multidisciplinary staff. An adapted model of team nursing can be implemented in a low secure setting.