title: Crisis prevention management: a program to reduce the use of seclusion and restraint in an inpatient mental health setting.
abstract: The use of seclusion and restraint in the treatment of mentally ill patients is a highly controversial and potentially dangerous practice. A group of direct care psychiatric nurses in a large urban teaching hospital created an evidenced-based performance improvement program that resulted in a decrease in the use of seclusion and restraint. No additional funds were required to develop this program. The public health prevention model was the framework utilized. Early results show a 75% reduction in the use of seclusion and restraint with no increase in patient or staff injuries since its implementation.
authors.affiliation: Johns Hopkins Hospital, Baltimore, Maryland, USA. marthur1@jhmi.edu
authors.forename: Maureen
authors.initials: M
authors.lastname: Lewis
authors.forename: Karin
authors.initials: K
authors.lastname: Taylor
authors.forename: Joyce
authors.initials: J
authors.lastname: Parks
mesh_terms: D003419:Crisis Intervention; D006760:Hospitalization; D006801:Humans; D001523:Mental Disorders / Q000534:rehabilitation*; D008605:Mental Health Services / Q000458:organization & administration*; D016730:Program Development; D012149:Restraint, Physical; D012934:Social Isolation