The use of restraints and seclusion on children with “severe emotional disturbances” was reduced almost nine-fold after a staff training program in three New York psychiatric facilities, reported a study in Psychiatric Services.
“At facility one, the number of incidents per 1,000 client-days decreased from 67 to 25,” reported Psychiatric News. “At facility two, the decrease was from 63 to 7; and at facility three, the decrease was from 99 to 13.”
The activities that produced these outcomes included training in “ways to facilitate open, respectful two-way communication between management and staff and between staff and youth, and greater involvement of youth in program decision making.”
“The primary finding of this project was that the creation of coercion- and violence-free environments where use of restraint and seclusion is markedly decreased requires a major commitment by all staff over an extended period to fully understand and internalize the strategies involved and embrace the changes in facility culture,” the medical director of the New York State Office of Mental Health told Psychiatric News.
Wisdom, Jennifer P., David Wenger, David Robertson, Jayne Van Bramer, and Lloyd I. Sederer. “The New York State Office of Mental Health Positive Alternatives to Restraint and Seclusion (PARS) Project.” Psychiatric Services, May 1, 2015, appi.ps.201400279. doi:10.1176/appi.ps.201400279. (Abstract)
New York State Project Shows Progress in Reducing Use of Seclusion, Restraint for Children With Mental Illness (Psychiatric News Alert, May 4, 2015)