Reducing high-risk interventions for managing aggression in psychiatric settings.

@article{Visalli1997ReducingHI,
  title={Reducing high-risk interventions for managing aggression in psychiatric settings.},
  author={Hank Visalli and G McNasser and Lucy Johnstone and C A Lazzaro},
  journal={Journal of nursing care quality},
  year={1997},
  volume={11 3},
  pages={
          54-61
        }
}
Seclusion and restraints have traditionally been major interventions for controlling patient aggression. The implementation of less restrictive measures may or may not be an option in managing individual cases of psychiatric emergencies. Improvement in patients, knowledge of alternatives and the need to reduce the use of restraints have led to the development of new tools to enhance prevention of high-risk interventions. At one institution, an anger management assessment tool and "Triangle of… 
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
TLDR
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
TLDR
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.
A Review of Interventions to Reduce Mechanical Restraint and Seclusion among Adult Psychiatric Inpatients
TLDR
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.
A program to reduce use of physical restraint in psychiatric inpatient facilities.
TLDR
Hospitals should consider instituting comprehensive staff training that encourages adaptive patient behaviors and nonviolent staff intervention to reduce the physical and mechanical restraint of children and adults in inpatient facilities.
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
TLDR
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.
Managing aggression in a psychiatric hospital using a behaviour plan: a case study.
TLDR
The behaviour plan has given the patient an opportunity to learn positive replacement behaviours and skills, and the opportunity to leave the hospital to live in a less restrictive community home, and a decrease in incidents of staff injury.
The use of restraints in psychiatric patients
TLDR
It is hoped that the use of environmental and physical restraint will be rendered obsolete by advances in the field of psychiatry such psychopharmacology and the therapeutic milieu, in order to reach this goal more research needs to be done on restraint practices across a wide range of psychiatric treatment settings.
Developing a restraint-reduction program for child/adolescent inpatient treatment.
  • K. Delaney
  • Psychology
    Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
  • 2001
TLDR
By combining what is known about child/adolescent restraint use with restraint-reduction research in the adult field, several options for restraint reduction can be derived.
Assessing behavioral coping preferences of psychiatric inpatients: a pilot study.
TLDR
A 5-question Coping Agreement Questionnaire asking inpatients for their preferences on how to prevent loss of control if they become agitated suggested that optimal case management strategies may vary according to population characteristics.
ETHICS AND PRAXIS: ALTERNATIVE STRATEGIES TO PHYSICAL RESTRAINT AND SECLUSION IN A PSYCHIATRIC SETTING
  • J. C. Taxis
  • Psychology, Medicine
    Issues in mental health nursing
  • 2002
TLDR
The results of this project include a 94% reduction in the rate of restraint and seclusion, development of extensive staff and patient education programs, and comprehensive programmatic alterations consistent with a paradigm shift emphasizing collaboration, empowerment, and ethical clinical practice.
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