title: Caring with comfort rooms. Reducing seclusion and restraint use in psychiatric facilities.
abstract: The reduction of seclusion and restraint is a national patient safety focus in psychiatric settings. Studies have demonstrated that multisensory or comfort rooms contribute to higher consumer satisfaction and lower rates of seclusion and restraint in general hospitals. As an alternative to the traditionally uncomfortable time-out room, a comfort room was constructed on an acute adult inpatient unit. This space was designed with comfortable furniture, soothing colors, soft lighting, quiet music, and other sensory aids to help reduce unsettled patients' level of stress. The frequency and duration of seclusion and restraint use on the pilot unit was studied before and after implementation of the comfort room. The use of seclusion and restraint was also compared with a similar admission unit without a comfort room. Results supported the hypothesis that the presence of a comfort room significantly reduced seclusion and restraint, and that the use of the comfort room helped reduce patients' stress.
authors.affiliation: New Hampshire Hospital, Concord, NH 03301, USA. kcummings@dhhs.state.nh.us
authors.forename: Kathleen S
authors.initials: KS
authors.lastname: Cummings
authors.forename: Sylvia A
authors.initials: SA
authors.lastname: Grandfield
authors.forename: Craig M
authors.initials: CM
authors.lastname: Coldwell
mesh_terms: D004779:Environment Design; D006778:Hospitals, Psychiatric; D006785:Hospitals, University; D006801:Humans; D007374:Interior Design and Furnishings; D019222:Mind-Body Relations, Metaphysical; D009513:New Hampshire; D010356:Patient Isolation / Q000379:methods* / Q000523:psychology; D017060:Patient Satisfaction; D011567:Psychiatric Department, Hospital; D012064:Relaxation Therapy / Q000451:nursing* / Q000523:psychology; D012149:Restraint, Physical / Q000523:psychology