Restraint and seclusion in psychiatric treatment settings: Regulation, case law, and risk management

Journal of the American Academy of Psychiatry and the Law

Volumn 39, Issue 4, 2011, Pages 465-476

  Recupero, Patricia R ^a   Price, Marilyn ^b,c   Garvey, Keelin A ^d   Daly, Brian ^e   Xavier, Sarah L ^a  

^a BROWN UNIVERSITY   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c MASSACHUSETTS GENERAL HOSPITAL   (United States)

^d Massachusetts Department of Corrections   (United States)

^e UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; EDUCATION; EXERCISE; GOVERNMENT REGULATION; HUMAN; LEGAL ASPECT; MEDICAL STAFF; MENTAL HOSPITAL; ORGANIZATION AND MANAGEMENT; PATIENT CARE; RISK MANAGEMENT; UNITED STATES;

GOVERNMENT REGULATION; HOSPITALS, PSYCHIATRIC; HUMANS; MEDICAL STAFF, HOSPITAL; PATIENT ISOLATION; RESTRAINT, PHYSICAL; RISK MANAGEMENT; UNITED STATES;

EID: 84856897595     PISSN: 10936793     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (61)

1. Weiss EM, Altimari D, Blint DF, et al: Deadly Restraint: A Nationwide Pattern of Death. The Hartford Courant. October 19, 1998
2. Joint Commission on Accreditation of Healthcare Organizations: Comprehensive Accreditation Manual for Hospitals: The Official Handbook. Oakbrook Terrace, IL: Joint Commission Resources, 2000
3. American Psychiatric Association: Seclusion and Restraint: The Psychiatric Uses. American Psychiatric Association Task Force Report 22. Washington, DC: American Psychiatric Association, 1985
4. American Hospital Association and National Association of Psychiatric Health Systems. Guiding Principles on Restraint and Seclusion for Behavioral Health Services. Published online February 25, 1999. Available at http://www.naphs.org/news/guidingprinc.html. Accessed November 5, 2008
5. National Mental Health Association. Position Statement: The Use of Restraining Techniques and Seclusion for Persons with Mental or Emotional Disorders. NMHA Program Policy P-41, 2000
6. APNA: 2007 Position Statement on the Use of Seclusion and Restraint, revised 2007. Available at http://www.apna.org/files/public/APNA_SR_Position_Statement_Final.pdf. Accessed November 17, 2008
7. Glover RW: Reducing the use of seclusion and restraint: a NASMHPD priority. Psychiatr Serv 56:1141-1142, 2005
8. National Technical Assistance Center for State Mental Health Planning. Six core strategies for reducing seclusion and restraint use. Draft example: policy and procedure on debriefing for seclusion and restraint reduction projects. Arlington, VA: NASMHPD, May 2005. Available at http://www.nasmhpd.org/general_files/publications/ntac_pubs/debriefing%20p%20and %20p%20with%20cover%207-05.pdf. Accessed November 14, 2008
9. Curie CG: SAMHSA's commitment to eliminating the use of seclusion and restraint. Psychiatr Serv 56:1139-1140, 2005
10. Mental Health: Improper Restraint or Seclusion Use Places People at Risk. United States General Accounting Office Report to Congressional Requesters. GAO/HEHS-99-176, September 1999. Available at http://www.gao.gov/archive/1999/he99176.pdf. Accessed October 19, 2011
11. The Joint Commission. Preventing Restraint Deaths. Sentinel Event Alert. November 18, 1998, Issue 8. Available at http://www.jointcommission.org/assets/1/18/SEA_8.pdf. Accessed October 19, 2011
12. Pollard R, Yanasak EV, Rogers SA, et al: Organizational and unit factors contributing to reduction in the use of seclusion and restraint procedures on an acute psychiatric inpatient unit. Psychiatr Q 78:73-81, 2007
13. C.F.R. § 441, § 483 (2008)
14. Children's Health Act of 2000, Pub. L. No. 106-310 (2000)
15. American Psychiatric Association, American Psychiatric Nurses Association, and the National Association for Psychiatric Health Systems. Learning from Each Other: Success Stories and Ideas for Reducing Restraint/Seclusion in Behavioral Health. Arlington, VA, and Washington, DC: American Psychiatric Association, American Psychiatric Nurses Association, and the National Association for Psychiatric Health Systems. Available at http://www. psych.org/Departments/QIPS/Downloads/LearningfromEach Other.aspx. Accessed November 5, 2008
16. Appendix. American Psychiatric Association, American Psychiatric Nurses Association, and the National Association for Psychiatric Health Systems. Learning from Each Other: Success Stories and Ideas for Reducing Restraint/Seclusion in Behavioral Health. Arlington, VA, and Washington, DC: American Psychiatric Association, American Psychiatric Nurses Association, and the National Association for Psychiatric Health Systems. Available at http://www.naphs.org/rscampaign/Learning.pdf. Accessed October 19, 2011
17. National Association of State Mental Health Program Directors Medical Directors Council. Reducing the Use of Seclusion and Restraint: Findings, Strategies, and Recommendations. Alexandria, VA: NASMHPD, July 1999. Available at http://www.nasmhpd.org/general_files/publications/med_directors_pubs/FirstTechnicalReport%20SR.pdf. Accessed November 8, 2008
18. LeBel J: Regulatory change: a pathway to eliminating seclusion and restraint or 'regulatory scotoma'? Psychiatr Serv 59:194-196, 2008
19. Centers for Medicare and Medicaid Services Finale Rule. Medicare and Medicaid Programs: Hospital Conditions of Participation: Patients' Rights. 42 C.F.R. § 482 (2006)
20. Metzner JL, Tardiff K, Lion J, et al: Resource document on the use of restraint and seclusion in correctional mental health care. J Am Acad Psychiatry Law 35:417-425, 2007
21. Youngberg v. Romeo, 457 U.S. 307 (1982)
22. Washington v. Harper, 494 U.S. 210 (1990)
23. Wyatt v. Stickney, 325 F. Supp. 781 (M.D. Ala. 1971), hearing ordered 334 F. Supp. 1341 (M.D. Ala. 1971), orders entered, 344 F. Supp. 373 (M.D. Ala. 1972), aff'd in part, rev'd and remanded in part. Wyatt v. Aderholt, 503 F. 2d 1305 (5th Cir. 1974).
24. Davis v. Rennie, 264 F.3d 86 (1st Cir. 2001), cert. denied, Renniev. Davis, 535 U.S. 1053 (2002)
25. Campbell v. Sikes, 169 F.3d 1353 (11th Cir. 1999)
26. People v. Harvey, 528 N.E.2d 1053 (Ill. App. Ct. 1988)
27. Threlkeld v. White Castle Systems, Inc., 127 F. Supp. 2d 986 (N.D. Ill. 2001)
28. Borckardt J, Grugabugh A, Pelic C, et al: Enhancing patient safety in psychiatric settings. J Psychiatr Pract 13:355-361, 2007
29. Busch A, Shore M: Seclusion and restraint: a review of recent literature. Harv Rev Psychiatry 8:261-270, 2000
30. Smith G, Davis R, Bixler E, et al: Pennsylvania State Hospital System's seclusion and restraint reduction program. Psychiatr Serv 56:1115-1122, 2005
31. Liberman R: Elimination of seclusion and restraint: a reasonable goal? Psychiatr Serv 57:576, 2006
32. Bloom SL, Bennington-Davis M, Farragher B, et al: Multiple opportunities for creating sanctuary. Psychiatr Q 74:173-190, 2003
33. LeBel J, Goldstein R: The economic cost of using restraint and the value added by restraint reduction or elimination. Psychiatr Serv 56:1109-1114, 2005
34. Hellerstein DJ, Staub AB, Lequesne E: Decreasing the use of restraint and seclusion among psychiatric inpatients. J Psychiatr Pract 13:308-317, 2007
35. Greene RW, Ablon JS, Martin A: Use of collaborative problem solving to reduce seclusion and restraint in child and adolescent inpatient units. Psychiatr Serv 57:610-612, 2006
36. Dean AJ, Duke SG, George M, et al: Behavioral management leads to reduction in aggression in a child and adolescent psychiatric inpatient unit. J Am Acad Child Adolesc Psychiatry 46:711-720, 2007
37. Donat DC: Impact of a mandatory behavioral consultation on seclusion/restraint utilization in a psychiatric hospital. J Behav Ther Exp Psychiatry 29:13-19, 1998
38. Gaskin CJ, Elsom SJ, Happell B: Interventions for reducing the use of seclusion in psychiatric facilities: review of the literature. Br J Psychiatry 191:298-303, 2007
39. Keski-Valkama A, Sailas E, Eronen M, et al: A 15-year national follow-up: legislation is not enough to reduce the use of seclusion and restraint. Soc Psychiatry Psychiatr Epidemiol 42:747-752, 2007
40. Haimowitz S, Urff J, Huckshorn KA: Restraint and Seclusion: A Risk Management Guide (White Paper). Alexandria, VA: National Association of State Mental Health Program Directors, September 2006. Available at http://www.nasmhpd.org/general_files/publications/ntac_pubs/R-S%20RISK%20MGMT%2010-10-06.pdf. Accessed September 11, 2008
41. Huckshorn KA: Re-designing state mental health policy to prevent the use of seclusion and restraint. Admin Policy Ment Health Ment Health Serv Res 33:482-491, 2006
42. Buckley v. Rogerson, 133 F.3d 1125 (8th Cir. 1998)
43. Masters KJ, Wandless D: Use of pulse oximetry during restraint episodes. Psychiatr Serv 56:1313-1314, 2005
44. Dickson BC, Pollanen MS: Fatal thromboembolic disease: a risk in physically restrained psychiatric patients. J Forensic Legal Med 16:284-286, 2009
45. Unzueta v. Steele, 291 F. Supp. 2d 1230 (D. Kan. 2003)
46. The Joint Commission. 2009 National Patient Safety Goals. Joint Commission Perspectives 28:12-14, 2008
47. Pisel v. Stamford Hospital, 430 A.2d 1 (Conn. 1980)
48. Simon RI: Commentary: medical errors, sentinel events, and malpractice. J Am Acad Psychiatry Law 34:99-100, 2006
49. Steinert T, Bergbauer G, Schmid P, et al: Seclusion and restraint in patients with schizophrenia: clinical and biographical correlates. J Nerv Ment Dis 195:492-496, 2007
50. Grant JE: Restraint and monitoring of psychotic or suicidal patients. Curr Psychiatry 4:84-86, 2005
51. Sheline Y, Nelson T: Patient choice: deciding between psychotropic medication and physical restraints in an emergency. Bull Am Acad Psychiatry Law 21:321-329, 1993
52. Andrews v. Neer, 253 F.3d 1052 (8th Cir. 2001)
53. Scherer v. Waterbury, 2000 Conn. Super. LEXIS 481 (Conn. Super. Ct. February 22, 2000)
54. Hopper v. Callahan, 562 N.E.2d 822 (Mass. 1990)
55. Dolihite v. Maughon, 74 F.3d 1027 (11th Cir. 1996), cert. denied, Dolihite v. King, 519 U.S. 870 (1996)
56. Morin M: Patient safety efforts target communication at Rhode Island hospitals. Med Health Rhode Island 90:182-183, 2007
57. New York v. Simon, 157 A.D.2d 508, 549 N.Y.S.2d 701 (N.Y. App. Div. 1 Dept, 1990)
58. Price M, Recupero PR: Risk management, in Textbook of Hospital Psychiatry. Edited by Sharfstein SS, Dickerson FB, Oldham JM. Washington, DC: American Psychiatric Publishing, Inc., 2009, pp 411-428
59. DeRosier J, Stalhandske E, Bagian JP, et al: Using health care failure analysis: the VA National Center for Patient Safety's prospective risk analysis system. Joint Comm J Qual Patient Safe 28:248-467, 2002
60. The Joint Commission. Sentinel Event Forms and Tools. Available at http://www.jointcommission.org/sentinel_event.aspx. Accessed October 19, 2011
61. Tovino SA: Psychiatric restraint and seclusion: resisting legislative solution. Santa Clara L Rev 47:511-570, 2007