Elements of Successful Restraint and Seclusion Reduction Programs and Their Application in a Large, Urban, State Psychiatric Hospital

@article{Fisher2003ElementsOS,
  title={Elements of Successful Restraint and Seclusion Reduction Programs and Their Application in a Large, Urban, State Psychiatric Hospital},
  author={William A. Fisher},
  journal={Journal of Psychiatric Practice},
  year={2003},
  volume={9},
  pages={7-15},
  url={https://api.semanticscholar.org/CorpusID:2926142}
}
This article describes these elements and their application in a successful restraint reduction program at Creedmoor Psychiatric Center, a large, urban, state-operated psychiatric hospital that reduced its combined restraint and seclusion rate by 67% over a period of 2 years.
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121 Citations
Highly Influential Citations
11
Background Citations
28
Methods Citations
9
Results Citations
2

121 Citations

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Evidence base for practice: reduction of restraint and seclusion use during child and adolescent psychiatric inpatient treatment.

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Violence and Restraint Reduction Efforts on Inpatient Psychiatric Units

An integrative review of research and quality improvement projects that aimed to reduce aggression/violence or restraint/seclusion through the use of an educational program is presented.

Reducing seclusion and restraint: questionnaire for organizational assessment.

The development of an instrument that measures staff perceptions of organizational activities to reduce seclusion and restraint as well as staff attitudes toward the use of these interventions is described.

Interventions To Reduce the Use of Seclusion and Restraint in Inpatient Psychiatric Settings: What We Know So Far a Review of the Literature

Evidence available from evaluations of single seclusion and/or restraint reduction programmes indicates that a range of reduction programmes are successful in reducing the frequency and duration ofSeclusion and restraint use, while at the same time maintaining a safe environment.

Interventions for reducing the use of seclusion in psychiatric facilities

Reducing seclusion rates is challenging and generally requires staff to implement several interventions, including state-level support, state policy and regulation changes, leadership, examinations of the practice contexts, staff integration, treatment plan improvement and more.

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The success of this initiative suggests that policy makers and organizational leaders familiarize themselves with these and other similar seclusion and restraint reduction strategies that now exist.

Cluster-randomized controlled trial of reducing seclusion and restraint in secured care of men with schizophrenia.

Seclusion and restraint were prevented without an increase of violence in wards for men with schizophrenia and violent behavior and a similar reduction may also be feasible under less extreme circumstances.
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50 References

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