title: The 'S&R challenge': reducing the use of seclusion and restraint in a state psychiatric hospital.
abstract: The Colorado Mental Health Institute at Pueblo (CMHIP) established a performance improvement initiative to reduce the frequency and length of episodes of seclusion, restraint, or both (S&R). The initiative, the S&R Challenge, is a systematic approach to identifying the root causes of the S&R problem and developing solutions to identified causes. CMHIP successfully reduced t h e numberand length of S&R episodes, improved the quality of S&R documentation in the medical record, and passed three surveys by major regulatory bodies with no S&R deficiencies.
authors: Qualtiy Support Services Department, Colorado Mental Health Institute at Pueblo, USA.
authors: S
authors: S
authors: Belanger
mesh_terms: D003120:Colorado; D006778:Hospitals, Psychiatric / Q000458:organization & administration; D006783:Hospitals, State; D006801:Humans; D019982:Organizational Case Studies; D016134:Organizational Policy; D010356:Patient Isolation / Q000706:statistics & numerical data*; D058996:Quality Improvement; D012149:Restraint, Physical / Q000706:statistics & numerical data*