Regulatory Change: A Pathway to Eliminating Seclusion and Restraint or "Regulatory Scotoma"?

Regulatory change: a pathway to eliminating seclusion and restraint or "regulatory scotoma"?

Historical and current experience indicates that regulatory changes in seclusion and restraint practice are often spurred by patient abuse but can ultimately enhance protection for consumers, prevent use of seclusion and restraint, and help transform care so it becomes recovery oriented. Reports of deaths related to restraint and seclusion fueled recent national regulatory changes and a federal...

Regulatory, clinical, and educational approaches to eliminating restraint and seclusion

Background In response to national media attention on restraint and seclusion (R/S), state and national efforts in the USA have organized around the goal of eliminating their use. Several states/organizations have significantly reduced and stopped using these violent procedures. Participants will learn: 1) How some states/organizations changed treatment practice to prevent inpatient violence, 2...

SAMHSA's commitment to eliminating the use of seclusion and restraint.

Eliminating seclusion and restraint in recovery-oriented crisis services.

The use of seclusion and physical restraint is viewed as a practice incompatible with the vision of recovery, and its therapeutic benefit remains unsubstantiated. This Open Forum describes an initiative that began in 1999 at two crisis centers that was designed to completely eliminate the practice of seclusion and restraint. Seclusion and restraint elimination strategies included strong leaders...

Commentary: seclusion and restraint in corrections a time for change.

Seclusion and restraint are essential interventions in the acute psychiatric care of patients in correctional environments. When administered and monitored properly, they are safe and effective in reducing the risk of harm. However, correctional systems have not developed uniform practices that are consistent with current community standards. There has been no clear national standard of care fo...