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Seclusion & Restraint Reduction • Links
Academic
Articles
Resources
Government
and Professional Organization Policy Statements, Position Papers,
and Reports
Texas
Law Links
Government
and Professional Organization Policy Statement, Position Papers, and
Reports
American
Academy of Child and Adolescent Psychiatry
Policy Statement on the Prevention and Management of Aggressive
Behavior in Psychiatric Institutions with Special Reference to Seclusion
and Restraint.
American
Hospital Association and National Association for Psychiatric Health
Systems
Guiding Principles on Restraint and Seclusion for Behavioral Health
Services.
American
Psychiatric Association and others
Report by American Psychiatric Association, American Psychiatric
Nurses Association, National Association of Psychiatric Health Systems,
and American Hospital Association on stories and ideas for reducing
restraint and seclusion
American
Psychiatric Nurses Association
Position statement on the use of seclusion and restraint. Seclusion and restraint standards of practice.
Building Bridges Summit Core Principles (PDF)
Directed by SAMHSA, this Resolution articulates the standards children’s service providers should be held across all levels of care including community-based and residential treatment.
Center for Disease Control and Prevention (CDC)
Website provides research on violence prevention conducted by the CDC.
Center for Medicare and Medicaid Services (CMS)
Provides standards for all health care providers that receive Medicare and Medicaid
Council
of Juvenile Corrections Administrators (PDF)
Position paper on physical and mechanical interventions with juvenile
offenders.
Department
of Health and Human Services-Office of Inspector General (PDF)
Hospitals reporting of deaths related to restraint and seclusion.
Health and Human Services Inspector (PDF)
“Reporting Abuses on Persons with Disabilities” May 3, 2001. Memorandum describes the important components of a State system of identification, tracking, investigation and resolution of abuse incidents.
Joint Commission on Accreditation of Health Care Organizations (JCAHO)
Joint Commission Perspectives on Patient Safety, May 2004 (volume 4, issue 5) article:
Systems Analysis: Assess Early and Often to Avoid Unnecessary Use of Seclusion
and Restraint (PDF)
The Joint Commission’s Board of Commissioners approved “Facts about the 2008 National
Patient Safety Goals”
Massachusetts Advocates for Children
Helping Children Learn: Supportive School Environments for Children Traumatized by Family Violence. This report provides a school-wide flexible framework and public policy agenda for creating trauma-sensitive schools.
Massachusetts Coalition for the Prevention of Medical Errors
When Things Go Wrong: Responding to Adverse Events. (PDF) A March 2006 consensus statement of the Harvard Hospitals. This publication emphasizes the importance and power of an apology.
National
Alliance for the Mentally Ill (NAMI)
Seclusion and Restraint Task Force Report and Position Statement
The
National Association of State Mental Health Program Directors
Position Statement on Seclusion and Restraint. Technical papers
on reducing the use of
seclusion and restraint at
www.nasmhpd.org/publications.cfm#symposia.
Restraint and Seclusion – Risk Management Guide for Seclusion and Restraint (PDF) produced,
in part, by Kevin Ann Huckshorn, RN, MSW. This report evaluates the potential legal risks
associated with the use of seclusion and restraint and provides a risk management strategy
that mental health facilities can utilize.
National Mental Health Working Group
National Safety Priorities in Mental Health: A National Plan for Reducing Harm (PDF)
A national statement about safety improvement activity in mental health in Australia endorsed by the Australian Health Ministers’ Advisory Council in October 2005.
Protection & Advocacy, Inc. in Oakland, CA
Restraint and Seclusion in California Schools: A Failing Grade. This report discusses the findings of studies that examine the use of seclusion and restraint in California schools.
Surgeon General’s Youth Violence Report (PDF)
Provides reviews of Level I Youth Violence Prevention Programs, including what is effective, what is not effective, etc.
Texas
Health and Human Services Commission (PDF)
Senate Bill 325 Report entitled Reduction and Seclusion Practices
in Behavioral Health Emergencies.
Texas
Health and Human Services Commission (PDF)
Progress report on original S.B.325 report.
U.S.
Department of Health and Human Services-Medicare and Medicaid Programs;
Hospital Conditions of Participation: Patients' Rights; Final Rule.
42 CFR Part 482 (PDF)
This final rule finalizes Patients' Rights Condition of Participation (CoP) and is applicable to all Medicare and Medicaid participating hospitals. It contains standards that ensure minimum protections of each patient's physical emotional health and safety, and includes standards for the use of seclusion and restraint.
U.S.
General Accounting Office (PDF)
Report entitled “Mental Health: Improper Restraint or Seclusion
Use Places People at Risk.”
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