Several states and providers have embarked on initiatives to reduce using restraint and seclusion... more Several states and providers have embarked on initiatives to reduce using restraint and seclusion in residential programs. Restraint and seclusion are associated with harm to youth and staff, significant costs, reduced quality of care, and less engagement of youth and families. Successful reduction/prevention strategies have been identified, implemented, and reported. Both states and residential providers have implemented prevention approaches, made significant changes, reduced restraint/seclusion use, and offered their experience and positive outcomes.
Journal of Psychosocial Nursing and Mental Health Services, Mar 1, 2007
The field of behavioral health is facing a national crisis surrounding its workforce. Critical is... more The field of behavioral health is facing a national crisis surrounding its workforce. Critical issues include problems in recruitment and retention and a serious lack of relevant preparation for work in mental health settings. This article identifies the challenges inherent in providing effective education and training to mental health staff who hold a bachelor's degree or less formal education. Key theories, concepts, and general principles of critical importance to all staff expected to work in a redesigned or transformed mental health system are described. Best and promising practices are contrasted with current practices, and specific recommendations including core concepts and competencies are listed, leading to the development of a training curricula targeted to meet these needs.
Journal of Psychosocial Nursing and Mental Health Services, 2004
1. The use of seclusion and restraint (S/R) is traumatizing to consumers and staff, interrupts th... more 1. The use of seclusion and restraint (S/R) is traumatizing to consumers and staff, interrupts the therapeutic process, and is not conducive to recovery. 2. Six effective strategies to reduce S/R use have been identified and are low cost, easily replicable, and publicly available. 3. Organizations that wish to reduce S/R use need to embrace a prevention approach, follow the tenets of continuous quality improvement, and develop a reduction plan individualized for that facility. 4. Highly visible, consistent, and effective organizational leadership appears to be the most significant and critical component in any successful S/R reduction initiative.
Several states and providers have embarked on initiatives to reduce using restraint and seclusion... more Several states and providers have embarked on initiatives to reduce using restraint and seclusion in residential programs. Restraint and seclusion are associated with harm to youth and staff, significant costs, reduced quality of care, and less engagement of youth and families. Successful reduction/prevention strategies have been identified, implemented, and reported. Both states and residential providers have implemented prevention approaches, made significant changes, reduced restraint/seclusion use, and offered their experience and positive outcomes.
Journal of Psychosocial Nursing and Mental Health Services, Mar 1, 2007
The field of behavioral health is facing a national crisis surrounding its workforce. Critical is... more The field of behavioral health is facing a national crisis surrounding its workforce. Critical issues include problems in recruitment and retention and a serious lack of relevant preparation for work in mental health settings. This article identifies the challenges inherent in providing effective education and training to mental health staff who hold a bachelor's degree or less formal education. Key theories, concepts, and general principles of critical importance to all staff expected to work in a redesigned or transformed mental health system are described. Best and promising practices are contrasted with current practices, and specific recommendations including core concepts and competencies are listed, leading to the development of a training curricula targeted to meet these needs.
Journal of Psychosocial Nursing and Mental Health Services, 2004
1. The use of seclusion and restraint (S/R) is traumatizing to consumers and staff, interrupts th... more 1. The use of seclusion and restraint (S/R) is traumatizing to consumers and staff, interrupts the therapeutic process, and is not conducive to recovery. 2. Six effective strategies to reduce S/R use have been identified and are low cost, easily replicable, and publicly available. 3. Organizations that wish to reduce S/R use need to embrace a prevention approach, follow the tenets of continuous quality improvement, and develop a reduction plan individualized for that facility. 4. Highly visible, consistent, and effective organizational leadership appears to be the most significant and critical component in any successful S/R reduction initiative.
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