How a State Psychiatric Hospital Reduced Mechanical Restraints by 98%

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If you work in healthcare, you likely work toward reducing the use of restraint in your facility more and more every day. Not only is there increasing testimony from patients about the physical and psychological trauma that can result from restrictive procedures, mental health agencies such as SAMHSA and NAMI call for a focus on least-restrictive interventions. Additionally, the Joint Commission (TJC) and the Centers for Medicare and Medicaid Services (CMS) require facilities to prioritize nonphysical interventions to improve health and safety for patients as well as staff.

In "Anatomy of a Transformation: A Systematic Effort to Reduce Mechanical Restraints at a State Psychiatric Hospital," soon to be published in the APA's Psychiatric Services, the authors discuss their success with restraint reduction. Staff at Central Regional Hospital in Butner, NC took a two-step approach to reducing mechanical restraints in their acute adult unit by 98% and to eliminating the practice entirely on their community transition unit. They began by implementing CPI's Nonviolent Crisis Intervention® training program and its prevention and de-escalation techniques, and forming a unified response team for intervening in a least-restrictive way during crisis situations. They also introduced a policy change that requires staff to have prior approval to use mechanical restraints.
Browse the abstract to learn more.  

If you're a Nonviolent Crisis Intervention® Certified Instructor interested in sharing how you've used CPI training to reduce restraint, email us about being featured in the Supportive Stance, the Instructor Forum, or the Journal of Safe Management of Disruptive and Assaultive Behavior (JSM).

Don’t use CPI training? Find out how the Nonviolent Crisis Intervention® program can help you align with TJC [PDF] and CMS [PDF] standards.
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About the Author

“I believe that more often than many people think is possible, we can prevent problems from getting out of control. We can make each other safer.”