Reducing seclusion restraint in mental health use settings: core strategies for prevention.
1. The use of seclusion and restraint (S/R) is traumatizing to consumers and staff, interrupts the therapeutic process, and is not conducive to recovery. 2. Six effective strategies to reduce S/R use have been identified and are low cost, easily replicable, and publicly available. 3. Organizations that wish to reduce S/R use need to embrace a prevention approach, follow the tenets of continuous quality improvement, and develop a reduction plan individualized for that facility. 4. Highly visible, consistent, and effective organizational leadership appears to be the most significant and critical component in any successful S/R reduction initiative.
Huckshorn
Kevin Ann
KA
National Association of State Mental Health Program Directors, Alexandria, VA 22314, USA. kevin.Huckshorn@nasmhpd.org
D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D001523:Mental Disorders / Q000628:therapy; D008605:Mental Health Services / Q000458:organization & administration* / Q000592:standards; D017146:Models, Organizational; D009936:Organizational Innovation; D010347:Patient Care Planning / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration; D010356:Patient Isolation / Q000458:organization & administration*; D011785:Quality Assurance, Health Care; D012149:Restraint, Physical / Q000592:standards*; D014481:United States; D014754:Violence / Q000517:prevention & control