For what it's worth...
Some of this could be useful for educational purposes.
Deborah
Consumer Affairs News from the Center for Mental Health Services
http://www.mentalhealth.samhsa.gov______________________________________________
CMHS Consumer Affairs E-News August 11, 2003 Vol. 03-69
SECLUSION & RESTRAINT
Historic Conference
By Sara Wildberger, SAMHSA News
A clear goal and focused plan to change a controversial practice in mental health and related services emerged at a groundbreaking national conference on May 5 in Washington, DC. Titled "A National Call to Action: Eliminating the Use of Seclusion and Restraint," the conference was sponsored by SAMHSA and the National Association of State Mental Health
Program Directors (NASMHPD).
"The use of seclusion and restraint clouds our vision and impedes our mission," SAMHSA Administrator Charles G. Curie, M.A., A.C.S.W., said in his conference address. "I have made it a priority for SAMHSA to work with states, consumers of mental health services, advocates, service providers, and provider organizations ultimately to eliminate the use of such practices. Today we are launching our national action plan to accomplish that goal."
NASMHPD Executive Director Robert Glover, Ph.D., emphasized the organization's position, issued in July 1999, that seclusion and restraint are safety interventions of last resort and are not treatment interventions, and that they "should never be used for the purposes of discipline, coercion, staff convenience, or as a replacement for adequate levels of staff or active treatment."
Conference participants included leaders from national mental health organizations; professional and provider organizations; Federal, state, and local mental health agencies; clinical training programs; federally funded research, training, and technical assistance centers; and mental health service consumers and people in recovery from addictions and their family members. Participants examined solutions, shared experiences and information, and contributed to a national agenda, which SAMHSA will disseminate.
Jacki McKinney, M.S.W., advocate for the National Association of People of Color Consumers, recounted a night in seclusion spent listening to the man locked in the tiny room next door become increasingly distressed, to the point of death. "Each time [an attendant] came I said, 'I'm going to tell them about the man next door.' But I couldn't, I was so scared for
myself. Isn't this dehumanizing-to force me to make a decision between my life and somebody else's?"
"The challenge we're still facing is addressing a culture where people believe restraint helps," said Laura Prescott, Executive Director and
founder of Sister Witness International, in remarks at the meeting.
Diverse viewpoints also found a forum. Lynn C. DeLacy, M.S., R.N., C.N.N.A., chair of the Task Force on Seclusion and Restraint for the American Psychiatric Nurses Association, expressed concern, in light of the national nursing shortage, about the labor-intensive work required to prevent seclusion and restraint. Charles Riordan, M.D., chair of the American Psychiatric Association's Committee on Standards and Survey
Procedures, predicted problems in eliminating seclusion and restraint without a major commitment of money and resources. He warned of possible unintended consequences of proposed reporting requirements, such as hospitals' refusals to admit certain patients.
The conference ended with a session in which participants submitted recommendations for consideration in pursuing SAMHSA's National Action
Plan.
SECLUSION & RESTRAINT Resources
The following resources provide more information about seclusion and restraint:
· SAMHSA's National Mental Health Information Center, P.O. Box 42490, Washington, DC 20015. Telephone: 1 (800) 789-2647 or 1 (866) 889-2647
(TTY). Or visit the Web site at
http://www.mentalhealth.samhsa.gov· NASMHPD's National Technical Assistance Center for State Mental Health Planning at
http://www.nasmhpd.org/ntac· The Child Welfare League of America and Federation of Families for Children's Mental Health staff-training project, funded by SAMHSA,
available at
http://www.cwla.org/programs/behavior.
· Learning from Each Other: Success Stories and Ideas for Reducing Restraint/Seclusion in Behavioral Health, available at
http://www.psych.org/clin_res/learningfromeachother.cfm.
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The Declaration from the Association of Child and Adolescent Psychiatric Nursing is a position regarding the detention of minor children in psychiatric treatment facilities, drug and alcohol treatment facilities, residential treatment facilities, and "behavior modification boarding schools."
http://www.teenliberty.org/ACAPN.htm**********
Sept 1999- In the wake of numerous reports of injuries and deaths, the federal and state governments are stepping in to curb restraint use in youth facilities: Congress is considering two laws to curtail the use of restraints on children in hospitals and other mental health facilities; the U.S. Health Care Financing Administration (HCFA) announced in June new proposed standards governing the use of restraints in hospitals and plans to issue rules later this year on other facilities, such as residential treatment centers for children; Connecticut, Massachusetts and North Carolina are among states that recently enacted laws or regulations to dictate when youth workers can use certain restraints, or to ban some restraints altogether; the U.S. Office of Juvenile Justice and Delinquency Prevention has awarded $2.6 million in grants to the Council of Juvenile Correctional Administrators (CJCA) to change procedures, including restraint use, at juvenile detention and correctional facilities; the U.S. Substance Abuse and Mental Health Services Administration is developing an action plan to ?address problems with the misuse of seclusion and restraints in health care facilities.? (See story, page 44.)
http://216.239.37.100/search?q=cache:LV ... n&ie=UTF-8Peaceful Intervention Program (PIP) Malcolm Smith
Advocate for abandoning Restraint all together
http://216.239.37.100/search?q=cache:LV ... n&ie=UTF-8Child Welfare League of America (CWLA).
Walker Trieschman Center, Boston (now a division of the CWLA) that advocates for improved youth worker training.
http://216.239.37.100/search?q=cache:LV ... n&ie=UTF-8