Authors: Jessica A. Jonikas, MA, Judith A. Cook, PhD, Cherise Rosen, RN, Chicago, IL, USA,
Event: 2003 TheMHS Conference
Type of resource: Conference Presentations and Papers
Abstract: This article describes the development and use of a Toolkit to reduce the occurrence of physical restraint and seclusion in U.S. inpatient psychiatric settings. The Toolkit was introduced on three units of a university hospital, and involved interviews with patients to identify their crisis triggers along with their natural crisis management strategies. During the first two quarters following implementation, physical restraint rates declined significantly and remained low for the remainder of the year on all three units. Hospitals should consider instituting comprehensive staff training that encourages adaptive patient behaviors, to reduce the physical restraint of youth and adults in inpatient facilities.