title: Implementation of the Six Core Strategies for Restraint Minimization in a Specialized Mental Health Organization.
abstract: Implementation of the Six Core Strategies to Reduce the Use of Seclusion and Restraint (Six Core Strategies) at a recovery-oriented, tertiary level mental health care facility and the resultant changes in mechanical restraint and seclusion incidents are described. Strategies included increased executive participation; enhanced staff knowledge, skills, and attitudes; development of restraint orders and decision support in the electronic medical record to enable informed debriefing and tracking of events; and implementation of initiatives to include service users and their families in the plan of care. Strategies were implemented in a staged manner across 3 years. The total number of mechanical restraint and seclusion incidents decreased by 19.7% from 2011/12 to 2013/14. Concurrently, the average length of a mechanical restraint or seclusion incident decreased 38.9% over the 36-month evaluation period. Implementation of the Six Core Strategies for restraint minimization effectively decreased the number and length of mechanical restraint and seclusion incidents in a specialized mental health care facility. [Journal of Psychosocial Nursing and Mental Health Services, 54(10), 32-39.].
authors.forename: Sanaz
authors.initials: S
authors.lastname: Riahi
authors.forename: Ian C
authors.initials: IC
authors.lastname: Dawe
authors.forename: Melanie I
authors.initials: MI
authors.lastname: Stuckey
authors.forename: Philip E
authors.initials: PE
authors.lastname: Klassen
mesh_terms: D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D001523:Mental Disorders / Q000628:therapy; D010356:Patient Isolation / Q000592:standards*; D011567:Psychiatric Department, Hospital / Q000458:organization & administration*; D012149:Restraint, Physical / Q000592:standards*; D013997:Time Factors