Cluster-randomized controlled trial of reducing seclusion and restraint in secured care of men with schizophrenia

Psychiatric Services

Volumn 64, Issue 9, 2013, Pages 850-855

  Putkonen, Anu ^a   Kuivalainen, Satu ^a   Louheranta, Olavi ^a   Repo Tiihonen, Eila ^a   Ryynänen, Olli Pekka ^d   Kautiainen, Hannu ^e   Tiihonen, Jari ^b,c  

^a UNIVERSITY OF EASTERN FINLAND   (Finland)

^b Niuvanniemen sairaala   (Finland)

^c KAROLINSKA INSTITUTE   (Sweden)

^d UEF ^*  (United Kingdom)

^e HELSINKI UNIVERSITY CENTRAL HOSPITAL   (Finland)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; AUTOMUTILATION; CONTROLLED STUDY; FEMALE; FINLAND; HUMAN; INJURY; MAJOR CLINICAL STUDY; MALE; MEDICAL EDUCATION; MEDICAL LEAVE; MENTAL HEALTH CARE; MENTAL HOSPITAL; MENTAL PATIENT; OBSERVATION; PATIENT CARE; PERSUASIVE COMMUNICATION; PHYSICAL VIOLENCE; PHYSICIAN; PROTECTION; RANDOMIZED CONTROLLED TRIAL; RESTRAINT; SCHIZOPHRENIA; SECLUSION; STAFF; STAFF TRAINING; SUICIDE;

ADULT; HOSPITALS, PSYCHIATRIC; HUMANS; MALE; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT ISOLATION; RESTRAINT, PHYSICAL; SCHIZOPHRENIA; TIME FACTORS; VIOLENCE;

EID: 84885409892     PISSN: 10752730     EISSN: 15579700     Source Type: Journal    
DOI: 10.1176/appi.ps.201200393     Document Type: Article

References (28)

1. Seclusion and Restraint: Position Statement and Standards of Practice. Falls Church, Va, American Psychiatric Nurses Association, May 2000. Revised May 2007. Available at www.apna.org/i4a/pages/index. cfm?pageid=3728
2. Principles for the Protection of Persons With Mental Illness and the Improvement of Mental Health Care, 1991. Adopted by General Assembly resolution 46/119 of Dec 17, 1991. Geneva, Office of the United Nations High Commissioner for Human Rights. Available at www.ohchr. org/EN/ProfessionalInterest/Pages/ Persons WithMentalIllness.aspx
3. Mental Health Legislation and Human Rights. Mental Health Policy and Service Guidance Package. Geneva, World Health Organization, 2003
4. Declaration of Madrid, Spain. Presented at the 10th World Congress of Psychiatry, Chêne-Bourg, Switzerland, Aug 23-28, 1996
5. Council of Europe, Committee of Ministers: Recommendation no Rec(2004)10 of the Committee of Ministers to Member States Concerning the Protection of Human Rights and Dignity of Persons With Mental Disorder and Its Explanatory Memorandum: Adopted by the Committee of Ministers on Sept 22, 2004, at the 896th meeting of the Ministers' Deputies. Available at www.coe.int/t/dg3/ healthbioethic/texts-and-documents/Rec(2004)10-e.pdf
6. Gaskin CJ, Elsom SJ, Happell B: Interventions for reducing the use of seclusion in psychiatric facilities: review of the literature. British Journal of Psychiatry 191: 298-303, 2007
7. Fisher WA: Elements of successful restraint and seclusion reduction programs and their application in a large, urban, state psychiatric hospital. Journal of Psychiatric Practice 9: 7-15, 2003
8. Ashcraft L, Anthony W: Eliminating seclusion and restraint in recovery-oriented crisis services. Psychiatric Services 59: 1198-1202, 2008
9. American Psychiatric Association, American Psychiatric Nurses Association, National Association of Psychiatric Health Systems: Learning From Each Other. Success Stories and Ideas for Reducing Restraint/Seclusion in Behavioral Health, 2003. Available at www.naphs.org
10. Training Curriculum for Creation of Violence-Free, Coercion-Free Treatment Settings and the Reduction of Seclusion and Restraint, 7th ed. Alexandria, Va, National Association of State Mental Health Program Directors, Office of Technical Assistance, 2009
11. LeBel J, Stromberg N, Duckworth K, et al: Child and adolescent inpatient restraint reduction: a state initiative to promote strength-based care. Journal of the American Academy of Child and Adolescent Psychiatry 43: 37-45, 2004
12. Smith GM, Davis RH, Bixler EO, et al: Pennsylvania State Hospital system's seclusion and restraint reduction program. Psychiatric Services 56: 1115-1122, 2005
13. Barton SA, Johnson MR, Price LV: Achieving restraint-free on an inpatient behavioral health unit. Journal of Psychosocial Nursing and Mental Health Services 47: 34-40, 2009
14. Lewis M, Taylor K, Parks J: Crisis prevention management: a program to reduce the use of seclusion and restraint in an inpatient mental health setting. Issues in Mental Health Nursing 30: 159-164, 2009
15. Sullivan AM, Bezmen J, Barron CT, et al: Reducing restraints: alternatives to restraints on an inpatient psychiatric service - utilizing safe and effective methods to evaluate and treat the violent patient. Psychiatric Quarterly 76: 51-65, 2005
16. Liberman RP: Elimination of seclusion and restraint: a reasonable goal? [letter]. Psychiatric Services 4: 576, 2006
17. Sailas EA, Wahlbeck K: Restraint and seclusion in psychiatric inpatient wards. Current Opinion in Psychiatry 18: 555-559, 2005
18. Paavola P, Tiihonen J: Seasonal variation of seclusion incidents from violent and suicidal acts in forensic psychiatric patients. International Journal of Law and Psychiatry 33: 27-34, 2010
19. Campbell MK, Elbourne DR, Altman DG, et al: CONSORT statement: extension to cluster randomised trials. BMJ 328: 702-708, 2004
20. National Executive Training Institute: Training Curriculum for Reduction of Seclusion and Restraint. Draft Curriculum Manual. Alexandria, Va, National Association of State Mental Health Program Directors, National Technical Assistance Center for State Mental Health Planning, 2003
21. Huckshorn KA: Reducing seclusion restraint in mental health use settings: core strategies for prevention. Journal of Psychosocial Nursing 42: 22-33, 2004
22. Visalli H, McNasser G, Johnstone L, et al: Reducing high-risk interventions for managing aggression in psychiatric settings. Journal of Nursing Care Quality 11: 54-61, 1997
23. Jonikas JA, Cook JA, Rosen C, et al: A program to reduce use of physical restraint in psychiatric inpatient facilities. Psychiatric Services 55: 818-820, 2004
24. Vaurio O, Lankila J, Holopainen S, et al (eds): Behind Locked Doors: Patient Experiences of Coercion [in Finnish]. Kuopio, Finland, Niuvanniemi Hospital, 2009
25. Lebel J, Goldstein R: The economic cost of using restraint and the value added by restraint reduction or elimination. Psychiatric Services 56: 1109-1114, 2005
26. Abderhalden C, Needham I, Dassen T, et al: Structured risk assessment and violence in acute psychiatric wards: randomised controlled trial. British Journal of Psychiatry 193: 44-50, 2008
27. van de Sande R, Nijman HL, Noorthoorn EO, et al: Aggression and seclusion on acute psychiatric wards: effect of shortterm risk assessment. British Journal of Psychiatry 199: 473-478, 2011
28. Keski-Valkama A: The Use of Seclusion and Mechanical Restraint in Psychiatry: A Persistent Challenge Over Time. Tampere, Finland, Acta Electronica Universitatis, 2010