An organizational approach to reducing and preventing restraint and seclusion use with people with acquired brain injury
Seclusion, restraint (S/R) and coercive practices are used across human service populations, settings, with people of all ages. Their use has been increasingly scrutinized by the public, federal government and the media. Alternatives, interventions, and organizational approaches to these forms of co...
Saved in:
| Published in: | NeuroRehabilitation (Reading, Mass.) Vol. 34; no. 4; p. 671 |
|---|---|
| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Netherlands
01.01.2014
|
| Subjects: | |
| ISSN: | 1878-6448, 1878-6448 |
| Online Access: | Get more information |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | Seclusion, restraint (S/R) and coercive practices are used across human service populations, settings, with people of all ages. Their use has been increasingly scrutinized by the public, federal government and the media. Alternatives, interventions, and organizational approaches to these forms of containment are now emerging and advancing practice.
This article provides an overview of the work conducted to reduce the use of coercion restraint, seclusion and other invasive practices in behavioral health settings that often include the defacto admission of persons with Acquired Brain Injury (ABI). The article also examines treatment culture factors that can exacerbate behavior dysfunction and how to moderate such challenges to prevent the use of S/R procedures among people with ABI.
Seclusion and restraint can be avoided and greatly reduced in settings serving people with ABI. When S/R use is recognized as an inadequate organizational response to harmful behavior that maintains patterns of aggression or harm, leadership-driven core strategies can be implemented to disrupt the behavioral sequence. The Six Core Strategies© provide a prevention based framework to anticipate challenge, intervene early, and analyze the factors that contribute to maintaining the cycle of violence if S/R is used. |
|---|---|
| AbstractList | Seclusion, restraint (S/R) and coercive practices are used across human service populations, settings, with people of all ages. Their use has been increasingly scrutinized by the public, federal government and the media. Alternatives, interventions, and organizational approaches to these forms of containment are now emerging and advancing practice.INTRODUCTIONSeclusion, restraint (S/R) and coercive practices are used across human service populations, settings, with people of all ages. Their use has been increasingly scrutinized by the public, federal government and the media. Alternatives, interventions, and organizational approaches to these forms of containment are now emerging and advancing practice.This article provides an overview of the work conducted to reduce the use of coercion restraint, seclusion and other invasive practices in behavioral health settings that often include the defacto admission of persons with Acquired Brain Injury (ABI). The article also examines treatment culture factors that can exacerbate behavior dysfunction and how to moderate such challenges to prevent the use of S/R procedures among people with ABI.AIM/PURPOSEThis article provides an overview of the work conducted to reduce the use of coercion restraint, seclusion and other invasive practices in behavioral health settings that often include the defacto admission of persons with Acquired Brain Injury (ABI). The article also examines treatment culture factors that can exacerbate behavior dysfunction and how to moderate such challenges to prevent the use of S/R procedures among people with ABI.Seclusion and restraint can be avoided and greatly reduced in settings serving people with ABI. When S/R use is recognized as an inadequate organizational response to harmful behavior that maintains patterns of aggression or harm, leadership-driven core strategies can be implemented to disrupt the behavioral sequence. The Six Core Strategies© provide a prevention based framework to anticipate challenge, intervene early, and analyze the factors that contribute to maintaining the cycle of violence if S/R is used.CONCLUSIONSeclusion and restraint can be avoided and greatly reduced in settings serving people with ABI. When S/R use is recognized as an inadequate organizational response to harmful behavior that maintains patterns of aggression or harm, leadership-driven core strategies can be implemented to disrupt the behavioral sequence. The Six Core Strategies© provide a prevention based framework to anticipate challenge, intervene early, and analyze the factors that contribute to maintaining the cycle of violence if S/R is used. Seclusion, restraint (S/R) and coercive practices are used across human service populations, settings, with people of all ages. Their use has been increasingly scrutinized by the public, federal government and the media. Alternatives, interventions, and organizational approaches to these forms of containment are now emerging and advancing practice. This article provides an overview of the work conducted to reduce the use of coercion restraint, seclusion and other invasive practices in behavioral health settings that often include the defacto admission of persons with Acquired Brain Injury (ABI). The article also examines treatment culture factors that can exacerbate behavior dysfunction and how to moderate such challenges to prevent the use of S/R procedures among people with ABI. Seclusion and restraint can be avoided and greatly reduced in settings serving people with ABI. When S/R use is recognized as an inadequate organizational response to harmful behavior that maintains patterns of aggression or harm, leadership-driven core strategies can be implemented to disrupt the behavioral sequence. The Six Core Strategies© provide a prevention based framework to anticipate challenge, intervene early, and analyze the factors that contribute to maintaining the cycle of violence if S/R is used. |
| Author | Huckshorn, Kevin Ann LeBel, Janice Jacobs, Harvey E |
| Author_xml | – sequence: 1 givenname: Kevin Ann surname: Huckshorn fullname: Huckshorn, Kevin Ann organization: Delaware Division of Substance Abuse and Mental Health, Wilmington, DE, USA – sequence: 2 givenname: Janice surname: LeBel fullname: LeBel, Janice organization: Massachusetts Department of Mental Health, Boston, MA, USA – sequence: 3 givenname: Harvey E surname: Jacobs fullname: Jacobs, Harvey E organization: Private Practic, Richmond, VA, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24796437$$D View this record in MEDLINE/PubMed |
| BookMark | eNpNUMlOwzAQtVARXeDCByAfuQS8JbaPVVUWqQIJwblyHLt1lTqpHQPl60mhSJzmjd6imTcGA994A8AlRjeUUHr79DLPMMOI0xMwwoKLrGBMDP7hIRjHuEEIUZqLMzAkjMuCUT4Cn1MPm7BS3n2pzjVe1VC1bWiUXsOugcFUSTu_gspXsA3m3fjusAYTu6Cc736IaHSdYu-GKRr44bo1bE3T1kes9C65PgmWBwt0fpPC_hycWlVHc3GcE_B2N3-dPWSL5_vH2XSRaZqTLquY5UizwipJkM5tTrGQnPOS5MJUlZS2xAUywigqSY5xyW1lZcmF5QURSpEJuP7N7Z_apf7s5dZFbepaedOkuMQ55VgwiXkvvTpKU7k11bINbqvCfvnXFvkGg99vhg |
| CitedBy_id | crossref_primary_10_3389_fpsyt_2023_1129039 crossref_primary_10_1080_09638288_2016_1223757 crossref_primary_10_1007_s41252_018_0087_z crossref_primary_10_1080_23303131_2023_2280532 crossref_primary_10_3390_healthcare12060628 crossref_primary_10_3109_01612840_2016_1154628 crossref_primary_10_1080_01612840_2022_2089788 crossref_primary_10_1007_s40894_016_0029_9 crossref_primary_10_1371_journal_pone_0225238 |
| ContentType | Journal Article |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.3233/NRE-141073 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1878-6448 |
| ExternalDocumentID | 24796437 |
| Genre | Journal Article |
| GeographicLocations | United States |
| GeographicLocations_xml | – name: United States |
| GroupedDBID | --- --K 04C 07C 0R~ 123 1B1 29N 2QV 36B 4.4 53G 6PF AAFNC AAQXI AAWTL ABDBF ABIVO ABJNI ABUBZ ABUJY ACGFS ACHQT ACPQW ACPRK ACUHS ADBBV ADOJX ADZMO AEGXH AENEX AFRHK AHDMH AJNRN ALMA_UNASSIGNED_HOLDINGS BMSDO CAG CGR COF CS3 CUY CVF DU5 EAD EAP EBD EBS ECF ECM ECT ECV EIF EIHBH EJD EMB EMK EMOBN EPL ESX F5P HZ~ IHE IL9 IOS J8X M41 MET MIO MV1 NGNOM NPM NQ- O9- Q1R RIG ROL RPZ SAUOL SFC SJN SV3 WH7 WQ9 YCJ 7X8 AAPII AEJQA AFYTF AJGYC ARTOV H13 SCNPE |
| ID | FETCH-LOGICAL-c352t-d4f70c46fa920c5f53189777b258edd99fb160e8ea392511b7fdf9b78f7628aa2 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 11 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000338443100008&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1878-6448 |
| IngestDate | Thu Oct 02 05:01:03 EDT 2025 Thu Apr 03 07:04:23 EDT 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 4 |
| Keywords | seclusion trauma treatment acquired brain injury mental health coercion Restraint |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c352t-d4f70c46fa920c5f53189777b258edd99fb160e8ea392511b7fdf9b78f7628aa2 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| PMID | 24796437 |
| PQID | 1537184917 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_1537184917 pubmed_primary_24796437 |
| PublicationCentury | 2000 |
| PublicationDate | 2014-01-01 |
| PublicationDateYYYYMMDD | 2014-01-01 |
| PublicationDate_xml | – month: 01 year: 2014 text: 2014-01-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | Netherlands |
| PublicationPlace_xml | – name: Netherlands |
| PublicationTitle | NeuroRehabilitation (Reading, Mass.) |
| PublicationTitleAlternate | NeuroRehabilitation |
| PublicationYear | 2014 |
| SSID | ssj0003358 |
| Score | 2.0546958 |
| Snippet | Seclusion, restraint (S/R) and coercive practices are used across human service populations, settings, with people of all ages. Their use has been increasingly... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 671 |
| SubjectTerms | Brain Injuries - rehabilitation Coercion Decision Making, Organizational Evidence-Based Practice - standards Humans Organizational Innovation Patient Isolation - legislation & jurisprudence Patient Isolation - methods Patient Isolation - utilization Patient Safety - legislation & jurisprudence Restraint, Physical - legislation & jurisprudence Restraint, Physical - methods Restraint, Physical - utilization United States |
| Title | An organizational approach to reducing and preventing restraint and seclusion use with people with acquired brain injury |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/24796437 https://www.proquest.com/docview/1537184917 |
| Volume | 34 |
| WOSCitedRecordID | wos000338443100008&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3dS8MwEA_qRHzx-2N-EcHXsK5Jm_RJRDZ8WRmisLeRNBeYSDvXTvzzvbQd80UQfCktbUpILne_u1zuR8idACESNHTM9G3MRKg5M4GxLHKgnEoAbbKpySZkmqrJJBm3AbeyTatc6cRaUdsi8zHyHq5MVKMCvYv7-QfzrFF-d7Wl0NgkHY5Qxku1nKyrhXNe83P2FXpK3g9pypPykPNe-jxgPsXR86X_Bi1rEzPc_2_nDsheCy7pQyMNh2QD8iOyM2q3z4_J10NOix-HL_HbVU1xWhV04cu4oimjOrd03tZ2wkdP3-GZJKr6RQnZ-9LH2OiyBOrjuLRJQ2_udeZzi8FS45vQWf6Gs3ZCXoeDl8cn1lIvsAwRWcWscDLIROx0EgZZ5HClKkSK0oSRAmuTxJl-HIACjfgKMZuRzrrESOVQuSqtw1OylRc5nBOqIogjozj-RgptUakFFjioDFBbRKHoktvVmE5RtP1-hc6hWJbT9ah2yVkzMdN5U4NjGgp_hpbLiz-0viS7CHNEEzi5Ih2HCxuuyXb2Wc3KxU0tM3hNx6Nvpl7OVA |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=An+organizational+approach+to+reducing+and+preventing+restraint+and+seclusion+use+with+people+with+acquired+brain+injury&rft.jtitle=NeuroRehabilitation+%28Reading%2C+Mass.%29&rft.au=Huckshorn%2C+Kevin+Ann&rft.au=LeBel%2C+Janice&rft.au=Jacobs%2C+Harvey+E&rft.date=2014-01-01&rft.issn=1878-6448&rft.eissn=1878-6448&rft.volume=34&rft.issue=4&rft.spage=671&rft_id=info:doi/10.3233%2FNRE-141073&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1878-6448&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1878-6448&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1878-6448&client=summon |