Alternatives to Seclusion and Restraint Initiative Briefings

Alternatives to Seclusion and Restraint Initiative
Informational Briefing for State Mental Health Commissioners and MH Facility Directors
2008

Beth Caldwell, MS; Caldwell Associates
Janice LeBel, EdD/PhD; MA Department of Mental Health
Kevin Huckshorn, RN, MSN, CAP; Director Office of Technical Assistance, NASMHPD

Purpose: The purpose of this informational tool is to provide senior mental health executive leaders with available resources to use on work that is focused on preventing violence, trauma, and the use of seclusion and restraint. This resource tool is organized as a cross-walk for senior leaders, specific to their role [state official or facility director]. A senior level leader has only to find the row that best fits their current role to find specific resources listed that are targeted to him or her. Available resources are organized into the most accurate, literature supported categories known to date; these categories  include leadership tasks, roles, and responsibilities; recommended data measures, data dissemination examples, and examples about what data can demonstrate; workforce development resources including examples of job functions and competencies, available training, and information about vendor models; specific assessment and treatment tools, policy and procedures; consumer inclusion strategies, roles, job descriptions; and debriefing policies, procedures, checklists. Model projects are also listed with contact information as well as other references and resources that may be of use.

Resources by category (project table)

Materials

I.3. Medication Errors and Patient Safety in Mental Health

I. 7. Commonwealth of Massachusetts Monitoring and Assessment Form

I.1 MA RS PhilosophyStatement

I.2. MA reg_104cmr27

I.2. PA PolicyBulletinProne

I.7. MA R&S Revised Form DMH

I.7. MA R&S Revised Form DMH part II

V.B. MA DMH Latency Safety tool

V.B. MA DMH Latency Trigger tool

V.B. MA DMH Latency Warning Sign tool

V.B. Noble Hospital safety and crisis plan

V.C. Child Treatment Map

V.C. MA DMH Safety Tool Guidelines

VI. 1. & A. Debriefing_w_title_p_and_p

VI. E. MA RS Quality Monitoring Tool

VI.B. MA Pt Debriefing & Comment Form

I.1.& I.A Brandenburg

I.2.ART NARPA SR Legislation

I.4.14 factors Fleischner SR

III. 1. ART HODAS Direct Care Worker

IV. 1. & A. ART peer involvement MA SR SIG Project

SR Reduction Plan Huang CO S & R Plan

V.1.Assessing Violence Risk in Psychiatric Inpatients

1.7. MA RS Revised Form part B

I.2. NY regs pc701

I.2. PA OMHSAS S-R Bulletin

I.2. PA PRN & STAT Policy

I. 2. & B. CMS SR Rules

I.A. MA DMH SR Policy

V.1. MA DMH Trauma Assessment Adult

V.2. MA Adult Safety Tool

V.2. MA DMH The Safety Zone Tool

I.1.ART GAO Report

I.3. and I.B ART Haimowitz MANAGMENT GUIDE FOR ATTYS

I. 2. & B. Childrens Health Act of 2000

I. 2. California Morrison SR schools

I.A. APNA SR Position Statement

III. A. ART AACP Recovery Guidelines

IV. 1 & 2, A & B ART Paving new Ground

V. 2. & B. Champaign Weighted Blanket

II. 4. & D. FL Chemical Restraint tracking sheet

VIII. Success Story NY Linden Hill SR data

VII. Success story MT RS Data 2001-2008

I. 4. Fleischner 14 Elements of a Good Restraint Law

VIII. FLMoran Real Reduction

III 1. & A. Nachsma Roadmap 0verview

III 1. & A.Workforce Development

III. 1.& A. Drilling Down On Workforce Development

Success Story SR Cincinatti with stats 06

VIII. FLMoran Real Reduction

VIII. TN Lutthren Homes Real Reduction Exp (Bailey)

V. 1. & A.Tools TN MMHI Nursing Assessment

I.V. Fleischner Model Restraint Statute - Annotated

I. 4. Hayes NDRN Successful Legislative Strategies (TX)(Hayes)

III V. & D. Injury Rates and SR all programs latest

III. 1. & 3. National and International

III. 1.& 3. Handling the Most Difficult

Success MO Fulton SH SR rates injuries 2007

VII. Success Real Reduction SFSH (FL)

VII. Success MO Fulton SH SR rates injuries 2007

VIII. MA HUMANE STRATEGIES 2004

VIII. Success Story MSH 2008

VIII. Success story Madden SR rates

ART I 3.& B.Medscape Patient Safety in MH CME Grasso parks

I A. TOOLS SR p@p SFSH

I.1.& I.A Brandenburg

I.1.ART AKB Transformation_and_Trauma

I.2.ART NARPA SR Legislation

I.4.14 factors Fleischner SR

I. 1. & 2. HodasS-R-Point-Counterpoint

I. 1. & A. NV SR POLICY 2003

I. 1. PA Bulletin Sunsetting RS 2005

I. 2 & B.Tools Riverview ME SR PP

I. 2. & B. CMS December 2006 SR Rules Final

I. 2. & B. SR p and p Patton

I. 2. & B. Trauma Planning Template

I. 3. & C. SR NETI Planning Template

I. 3. MA Commissioners kick off letter

I. 3. MA Medical Directors kick off letter

I. 4. Fulton SH Focus on Safety Strategic Plan

I. 5. MA ED Best Practice Guidelines

I. 5. MA ED Final Practice Recommendations 2006

I. A. Three Rivers Milieu Treatment Philosophy

I. A. U. Mass Adolescent Service philosophy statement

I. B. Cambridge Child Assessment Unit Physical Hold and Restraint Policy-2005

I. F. MA Westboro State Hospital Employee Awards

III. 1. ART HODAS Direct Care Worker

III. B. Cambridge Child Assessment Unit Escorts and Physical Holds Competency

III. B. UMass Lead Milieu Counselor

III. B. UMass LPN

III. B. UMass Milieu Counselor

III. B. UMass Nurse Professional

III. E. Person Centered Language UMass Old Language - New Language

IV. 1. & A. ART peer involvement MA SR SIG project

IV. B. Cambridge Child Assessment Unit Parent Assessment for new admission

IV. C. Amistad Peer Specialist Role

IV. C. MA Debriefer Patient Liaison Form

IX. A. Childrens Health Act 2000 SR

SR Reduction Plan Huang CO S & R Plan Final

V.1.& A. TOOL Nursing Assessment

V.1.Assessing Violence Risk in Psychiatric Inpatients

V. 1. & A. SR TOOL Psychiatric Emergency Flow Sheet

V. 1. & A.Frank DiCataldos Trauma Exp Scale

V. 2. & B. SR TOOL Restrictive Intervention Debriefing Inventory

V. 3. & C. Tools NC Pereson centered plan

V. 3. & C.GordonHarperRe-Inventing Treatment Planning

V. A. Child Adolescent Violent Behavior Form

V. B. Adult Safety Tool

V. B. BMC Personal Deescalation Plan

V. B. Sensory Modulation Equipment and links to stores

V. C. UMass Pre Witnessing protocol

V.A. Child Adolescent Selfharming Behavior Form

V.A. Child Adolescent Sex Abusing Behavior Form

VII. HSRI fast facts SR

VII. Success story SR John Hopkins

VIII Success SR reduction in MI Thomas Behrendt

I. 1. & A. NASMHPD SR Policy Statement

VII. Success story NY RTCs SR

VII. Success story NY RTFs Directory of programs

I.1.& A. NASMHPD SR Forensic Policy

I.1.ART GAO Report

I. 1. & A PA SR OMHSAS

I. 1. & A. NASMHPD TRAUMA Positon statement

I. 2. & B. Childrens Health Act of 2000

I. 2. & B. SR TOOLS DE

I. 2. California Morrison SR schools

I. 3. MA DMH Adult Comm Svc Posting

I. 5. NY State Interagency RestraintReport

I.A. APNA SR Position Statement Final

IV 1. & A. Mead Defining Peer Support

IV 1., A., 2., B. MA consumer programs

IV. 1 & 2, A & B ART Paving new Ground

IX. A. CMS Final Rule 2006

IX. A. CMS RTF Interim Final Rule 2001

IX. A. GAO Report on Residential Treatment Centers

IX. A. GAO Restraint Testimony 1999

IX. A. OIG RS Death Reporting 2006

V. 1. & A. SR TOOLs MAVAS violence

V. 3. & C. Iapsrs language Guidelines

V. 3. & C. Tools NC regs PCP instructions

V. B. Tewksbury SH - Adult Safety Tool

X. 1. Denmark National Breakthrough Collaborative

X. 1. MDAC Cage Bed Report

I. 2 & B VA NMHI Seclusion or Restraint Policies

I. 2. & 2. NVMHI GUIDELINES FOR SECLUSION P

I. 2. & B. NVMHI SR Flowsheets

I. 2. & B. VA NMHI seclusion restraint

Andrus Childrens Center

July 2008 Alegent Health TIC Statistics

VII MA DMH PROJECT Westborough and Taunton Highlighted model

VII Wocester State Hospital

MASTER REFS 2008

12th version family-driven care Highlights

Family-Driven Care Position

Youth Move Visioin

PYT what-we-learned

youthguidedlink1

youthguidedlink2

youthguidedlinkBreakdown

Satisfaction Dialogue Focus Group Guidelines