title: Implementation of comfort rooms to reduce seclusion, restraint use, and acting-out behaviors.
abstract: The use of seclusion and restraint as methods to control acting-out behaviors by individuals with mental illness continues, despite deaths and other negative outcomes to both the clients themselves and the staff members applying these techniques. Additionally, client-to-client and client-to-staff assaults and self-injurious behaviors can lead to injury or possible fatalities to both parties.Thus, there is a need to find alternative approaches to mitigate or even eliminate some of these behaviors. The use of comfort rooms is one such approach. With the institution of comfort rooms, one small, rural, tertiary mental health hospital demonstrated a reduction in seclusion and restraint use and assaultive behaviors of clients. In addition, 92.9% of the clients who used these rooms found them to be helpful when they experienced increasing levels of distress. With the provision of an area for clients to go voluntarily to self-manage their distress,nurses play a role in promoting autonomy and person-centered care, while reducing environmental stress and potential negative outcomes.
authors.affiliation: Delaware Psychiatric Center, New Castle, DE, USA. kim.sivak@state.de.us
authors.forename: Kim
authors.initials: K
authors.lastname: Sivak
mesh_terms: D000184:Acting Out; D000786:Anger; D001007:Anxiety / Q000451:nursing / Q000523:psychology; D001143:Arousal; D003299:Cooperative Behavior; D005260:Female; D005783:Gender Identity; D006778:Hospitals, Psychiatric; D006801:Humans; D033183:Interdisciplinary Communication; D007374:Interior Design and Furnishings; D008297:Male; D001523:Mental Disorders / Q000451:nursing* / Q000523:psychology; D009723:Nurse-Patient Relations; D010356:Patient Isolation / Q000523:psychology*; D017060:Patient Satisfaction; D012149:Restraint, Physical / Q000523:psychology*; D012648:Self Care; D012931:Social Environment