Crisis prevention management: a program to reduce the use of seclusion and restraint in an inpatient mental health setting.
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.
Lewis
Maureen
M
Johns Hopkins Hospital, Baltimore, Maryland, USA. marthur1@jhmi.edu
Taylor
Karin
K
Parks
Joyce
J
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