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Seclusion & Restraint Reduction

2007 Conference

On June 22, 2007, the Hogg Foundation for Mental Health hosted a free, one-day conference in Austin for facilities demonstrating a continuing commitment to prevent, reduce, and eliminate their use of seclusion and restraint. The event was presented in collaboration with the Seclusion and Restraint Reduction Leadership Group. Materials from the conference, including the agenda, presentations, and tools are available below.

The conference, entitled “Implementing Seclusion and Restraint Reduction: Sharing the Experience,” was designed as a follow-up to the Foundation’s 2006 Training Institute. Over 100 participants attended the conference, representing twenty-three of the twenty-nine original facilities who attended the Training Institute. Also in attendance were several state agencies, advocacy groups and consumers from across Texas.

The conference provided a forum for attendees to share their successes in reducing the use of seclusion and restraint at their facilities.

A group of mental health consumers and family members led a session designed to convey the impact of consumer participation in furthering seclusion and restraint reduction efforts The panelists were Ashley Gallardo of Fostercare Alumni and Richard Hansen of NorthSTAR Area Texas Mental Health Consumers, both mental health consumers who had experienced seclusion and restraint. Valarie Garza of the Texas Health Institute, a parent of a consumer who had experienced seclusion and restraint, moderated the session.

To further explore the effects of seclusion and restraint use on mental health consumers, attendees viewed Behind Closed Doors, a film portraying four women who fought to overcome childhood abuse only to be retraumatized by seclusion and restraint use while seeking help in psychiatric facilities.

Presenters Kevin Ann Huckshorn, RN, MSW, of the National Association of State Mental Health Program Director’s National Coordinating Center to Reduce and Eliminate the Use of Seclusion and Restraint, and Dr. Janice LeBel, Director of Program Management for the Massachusetts Department of Mental Health, provided advanced training on topics that specifically concerned represented facilities. Ms. Huckshorn offered helpful tools for reducing seclusion and restraint use through workforce development. Dr. LeBel supplied attendees with useful clinical materials on trauma-informed and person-centered care. They joined Aaryce Hayes, Mental Health Policy Specialist at Advocacy, Inc., to present an overview of recent seclusion and restraint developments in Texas, as well as on national and international fronts.

Presentation Materials from 2007 Follow-up Conference

The agenda from the Foundation’s 2007 Follow-up Conference is provided here, along with PowerPoint presentations and supplemental materials from the sessions. Scroll down for additional resources from the event.

Implementing Seclusion & Restraint Reduction: Sharing the Experience
Austin, Texas June 22, 2007

Agenda

Welcome and Introductions
   Successes PowerPoint

Latest Developments: Internationally, Nationally, and in Texas
Kevin Huckshorn, Janice LeBel, Aaryce Hayes
   Conference Presenter Biographies (PDF)
   Curriculum Slides – National / International Update
   Curriculum Slides – Texas Initiatives
   Curriculum Slides – SB 325
   Curriculum Slides – Federal Laws
   State of Texas Alternatives to Restraint and Seclusion (STARS) Project Abstract (PDF)

Advanced Training: Handling the Most Difficult 10%
Kevin Huckshorn, Janice LeBel
   Curriculum Slides

What Can Providers Do Differently?
Ashley Gallardo, Richard Hansen (panel discussion)
Moderator: Valarie Garza

Featured Film: "Behind Closed Doors"

Break Out Sessions
(1) Customizing Care Using Best Practice Knowledge
Janice LeBel
   Curriculum Slides
   Ten Treatment Principles that Guide Trauma Systems Therapy
   Trauma Systems Therapy Treatment Fidelity Form

(2) Drilling Down on Workforce Development
Kevin Huckshorn
   Curriculum Slides

Responses to Your Challenges and Questions
Kevin Huckshorn, Janice LeBel

Additional Resources

van der Kolk, Bessel A. Developmental Trauma Disorder: Towards a rational diagnosis for children with complex trauma histories

Champagne, T., Stromberg, N. (2004). Sensory Approaches in Inpatient Psychiatric Settings: Innovative Alternatives to Seclusion & Restraint, Journal of Psychosocial Nursing, 42 (9), 1-8.

Resource Guide: Developing Positive Cultures of Care (PDF)


© 2008 Hogg Foundation for Mental Health
The University of Texas at Austin
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