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}
}
  • W. Fisher
  • Published 1 January 2003
  • Psychology
  • Journal of Psychiatric Practice
In recent years, there has been a strong desire on the part of inpatient psychiatric programs to reduce the use of seclusion and mechanical restraint. There is a consensus among those who have published descriptions of successfully implemented restraint and seclusion reduction programs that the essential elements of such programs are high level administrative endorsement, participation by recipients of mental health services, culture change, training, data analysis, and individualized treatment… 

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A Review of Interventions to Reduce Mechanical Restraint and Seclusion among Adult Psychiatric Inpatients

This review examines the nature and effectiveness of interventions to reduce the use of mechanical restraint and seclusion among adult psychiatric inpatients and concludes that more attention should be paid to understanding how interventions work, particularly from the perspective of nursing staff.

The New York State Office of Mental Health Positive Alternatives to Restraint and Seclusion (PARS) Project.

All three participating mental health treatment facilities continued to implement key components of the PARS initiative after termination of grant-funded activities, and OMH initiated multiple activities to disseminate lessons learned during the project to all inpatient and residential treatment programs throughout the state mental health system.

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

  • K. Delaney
  • Psychology
    Worldviews on evidence-based nursing
  • 2006
It is suggested that sites pool data on restraint use and reduction efforts to create a database for benchmarking and studying variations among hospitals, and attention should also be given to developing additional means for addressing aggressive behaviors.

Violence and Restraint Reduction Efforts on Inpatient Psychiatric Units

  • M. Johnson
  • Psychology
    Issues in mental health nursing
  • 2010
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

  • J. Scanlan
  • Psychology
    The International journal of social psychiatry
  • 2010
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.

Eliminating seclusion and restraint in recovery-oriented crisis services.

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.
...

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