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...

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Bibliographic Details
Published in:NeuroRehabilitation (Reading, Mass.) Vol. 34; no. 4; p. 671
Main Authors: Huckshorn, Kevin Ann, LeBel, Janice, Jacobs, Harvey E
Format: Journal Article
Language:English
Published: Netherlands 01.01.2014
Subjects:
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
United States
seclusion
trauma
treatment
acquired brain injury
mental health
coercion
Restraint
ISSN:1878-6448, 1878-6448
Online Access:Get more information
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Summary: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.
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ISSN:1878-6448
1878-6448
DOI:10.3233/NRE-141073