Using multi-sensory environments (MSEs) with people with dementia. Factors impeding their use as perceived by clinical staff.

Utilizing action research, the clinical application of a Multi-Sensory Environment (MSE) in the field of old age psychiatry was explored and developed over a four-year time span. This article reports on factors identified as mediating against its use as reported by clinical staff. Conceptual and theoretical considerations considered of utility beyond the study's context are presented. Expectancy of outcomes, the predilection of individual members of staff to engage in this form of therapy and the influence of an organization's orientation towards such therapy are highlighted as specific areas for attention.