Seclusion & Restraint Reduction
Practical Tools
Alliance
to Prevent Restraint, Aversive Interventions, and Seclusion (PDF)
A parent's guide to protecting your child from the use of restraint,
aversive interventions, and seclusion.
Bazelon
Center for Mental Health Law
Restraint rules for children's psychiatric residential treatment
centers.
“Behind Closed Doors”
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. Film received “Best Documentary” Award at the All-American Film Festival.
Blueprints for Violence Prevention
Website provided by the Center for the Study and Prevention of Violence at the University of Colorado at Boulder. Offers information about model programs that have been effective in reducing adolescent violent crime, aggression, delinquency and substance abuse.
The Broset Violence Checklist
Clinical instrument used to predict imminent violent behavior in psychiatric in-patient facilities.
Bully Online
Website provides useful information and tools pertaining to bullying within a variety of social environments including at school, in the workplace, and at home. Recommended as a useful tool and resource for dealing with consumers who may be difficult to work with as a result of aggressive and/or manipulative behavior toward staff and other consumers.
Center for Effective Collaboration & Practice
Provides web links to sites dealing with emotional and behavioral problems in the areas of education, families, juvenile justice, child welfare, early intervention, school safety and legislation.
Child
Welfare League of America
Project on behavioral support and intervention homepage.
Checklist
for assessing your organization's readiness for reducing seclusion
and restraint (PDF)
The purpose of this checklist is to provide behavioral healthcare
organizations with a systematic approach for identifying factors
that influence the reduction of seclusion and restraint and for
assessing the level of progress the organization is making toward
implementing/addressing each of these factors.
Collaborative Treatment of Traumatized Children and Teens: The Trauma Systems Therapy Approach
Book by Glenn Saxe, B. Heidi Ellis & Julie B. Kaplow that provides an instructional overview for recognizing, understanding, and treating children who have experienced trauma. Provides evidence-based strategies for effectively integrating individualized treatment with services at the home, school, and community levels. (Guilford Press, 2007).
Emerging Science of Trauma Informed Care (PPT)
Seclusion and restraint reduction training curriculum developed Kevin Ann Huckshorn, RN, MSW for the NASMHPD Medical Directors and NRI, Inc 2004 Best Practices Symposium.
Equip
for Equality (Word)
The state of restraint utilization in the new millennium: Practical
recommendations for positive intervention.
Eunomia
Provides information on a project studying existing variations in coercive psychiatric treatment in 12 European regions in 12 countries.
Institute
on Community Integration at University of Minnesota
Tip sheet on physical restraint developed with the aim of assisting "teachers and parents in providing the best possible educational opportunities to students with emotional and behavioral disorders."
Institute of Medicine
National Medical Error Disclosure and Compensation (MEDiC) Act of 2005. (PDF)
Bill authored by Senators Hillary Rodham Clinton of New York and Barack Obama of Illinois
response to the Institute of Medicine’s report “To Err is Human: Building a Safer Health System.”
Bill models the successes hospital systems and insurance companies have had in successfully
reporting medical errors.
To Err is Human: Building a Safer Health System.
Report regarding medical errors made by doctors and the steps being taken to remedy these
mistakes with emphasis on the power of an apology.
International Initiative for Mental Health Leadership (IIMHL)
New Zealand website that provides list servs for exchange of information regarding mental health services for consumers and best practices, as well as provider and funder databases. Provides a 2007 study of mental health leadership training programs and competencies in eight countries including the United States.
Learning About Intellectual Disabilities and Health
London based website provides learning resources for practitioners providing services to
consumers with developmental disabilities.
Recognizing psychosis in nonverbal consumers with developmental disabilities report.
The MacArthur Violence Risk Assessment
Provides information on the MacArthur Violence Risk Assessment tool.
Mental Disability Advocacy Center
The Mental Disability Advocacy Center (MDAC) is an international international organization that promotes and protects the human rights of people with mental health problems and/or intellectual disabilities in 28 countries of central and eastern Europe, the former Soviet Union, and central Asia.
2003 MDAC article, Cage Beds: Inhuman and Degrading Treatment in Four EU Accession Countries (PDF)
Mental Health Recovery and WRAP (Wellness Recovery Action Plan)
This website provides information about Mary Ellen Copeland’s Wellness Recovery Action Plan (WRAP) resources used in mental health transformation. Provides sample wellness recovery plans, crisis and post crisis planning, and sample exercises. Selected resources are provided in Spanish.
National Child Traumatic Stress Network (NCTSN)
Provides links to publications written in Spanish from the NCTSN, as well as links to publications from facilities such as DePelchin Children’s Center, Safe Horizon, and the American Red Cross.
National
Disability Rights Network
Links to recent restraint and seclusion court cases, statutes, regulations,
and resources.
National Dissemination Center for Children with Disabilities (NICHY)
Provides mental health information and health resources translated into Spanish.
National Executive Training Institute (PPT)
Training curriculum for reduction of seclusion and restraint developed by conference presenter Kevin Ann Huckshorn, RN, MSW.
National Institute for Clinical Excellence (NICE)
United Kingdom website that provides links to articles regarding NICE’s standards for short term management of violent behavior in inpatient psychiatric settings and emergency departments.
National Institute of Neurological Disorders and Stroke (NINDS)
Website provides information about Lesch-Nyhan Syndrome, a rare genetic disorder that causes enzyme deficiency, neurological disorders, retardation, extreme self-mutilating behavior (particularly self-biting and head-banging).
National
Technical Assistance Center
Six Core Strategies to Reduce the Use of Seclusion and Restraint: Draft
example: Policy and Procedure on debriefing for seclusion and restraint
reduction projects (PDF)
Six Core Strategies to Reduce the Use of Seclusion and Restraint: Planning
Tool (PDF)
NEADS (Dogs for Disabled and Deaf Americans)
Provides information about the Prison PUP Partnership program. This program places puppies (who will later become service dogs) in prisons and juvenile justice facilities to teach inmates how to take responsibility for crate training, house breaking, care, and grooming with the goal of developing a sense of accomplishment and self-worth.
No Bully
Website provides information on bullying in schools and offers resources to administrators, teachers, parents, counselors, and survivors. The No Bully© approach seeks to provide an opportunity to teach students alternative behaviors.
OT-Innovations.com
Provides helpful resources for sensory rooms.
For OT interventions and approaches that can be used in the home, visit the Alert Program.
Exploring the Safety & Effectiveness of the Use of Weighted Blankets with Adult Populations
2007 American Occupational Therapy Association’s Annual Conference Presentation by Tina
Champagne, Brian Mullen, and Debra Dickson.
Positive Behavioral Interventions and Supports (PBIS)
This site provides parents resources and information about PBIS in the school and home setting.
"Getting Behavior in Shape at Home" is available at: http://www.pbis.org/files/behaviorshape.doc. (Word). Also available in Spanish at: http://www.pbis.org/files/behshapespanish.doc (Word)
Presentation
by Joseph B. Ryan and Reece Peterson, University of Nebraska-Lincoln (PDF)
“Physical Restraints in School.”
Project Forum
Aims to facilitate improved services to children and youth with disabilities by gathering and sharing information that supports changes to policy and practice at the national, state, and local levels.
Restraint and Seclusion in California Schools: A Failing Grade
This report by the Protection & Advocacy, Inc. in Oakland, CA, discusses findings of studies that examine the use of seclusion and restraint in California schools.
A
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.
Substance
Abuse and Mental Health Services Administration (SAMHSA)
Federal government homepage for information and resources about
seclusion and restraint.
Roadmap
to Seclusion and Restraint Free Mental Health Services (6 Modules)
Moving from Coercion to Collaboration in Mental Health Services
The Consumer-Directed Health Care: Challenges and Opportunities
for Families with Youth and Serious Emotional Disturbance (PDF)
Youth Involvement in Systems of Care: A Guide to Empowerment (PDF)
Ten Treatment Principles: The Principles that Guide Trauma Systems Therapy (TST) (PDF)
Chapter Five of the Book: Comprehensive Care of Traumatized Children: The Trauma Systems Therapy Approach by Glenn Saxe. (Boston University Medical Center, 2005).
Texas
Consumer Organizations-Seclusion and Restraint Resource List (PDF)
Contact information for mental health consumer organizations in Texas
The Third Side
This web-site contains pages in Spanish and is part of a Harvard global negotiation project on local,
family & world violence prevention efforts.
Trauma Systems Therapy (TST)
Ten Treatment Principles: The Principles that Guide Trauma Systems Therapy (TST) (PDF)
Chapter five of Comprehensive Care of Traumatized Children: The Trauma Systems Therapy Approach by Glenn Saxe (Boston University Medical Center, 2005), seeks to 1) introduce the
ten treatment principles of TST, and 2) describe how these ten principles guide treatment.
Trauma Systems Therapy (TST) Treatment Fidelity Form (PDF)
Form developed by Jason Fogler, Glenn Saxe and Heidi Ellis in 2006 to asses how closely
activities within TST interventions correspond to the ten TST principles.
Violence Institute of New Jersey
This is a multi-disciplinary center provides a number of services to practitioners and other researchers including: research on the causes, prevention and reduction of violence; development of policies and programs; and program evaluations.
Back
to Top
|
