It is vital to examine the behaviors and attitudes which lead to seclusion and restraint and ways to break the path before incidents of patient escalation begins. It is also helpful for staff consider ways to successfully reduce or eliminate the practice. Examples of these may include:
• Increasing access to “creature comforts,” including food,
restrooms, fresh air, music, and human contact
• Providing comfort and sensory rooms, and comprehensive
orientation of incoming service recipients on the use of those
• Assisting all incoming service recipients in developing and
applying their own crisis plans
• Reducing visual and audible cues of seclusion and restraint
• Increasing accountability to top management, including
required debriefings with senior management and tracking of
all incidents of seclusion and restraint by initiating party
The trauma of seclusion and restraint can be replaced with real therapeutic actions. The short film “Better” One Woman’s Journey In and Out of Seclusion and Restraint is a raw and authentic portrayal of seclusion and restraint shown from the consumer’s perspective. “Better” guides caregivers in examining harmful practices and challenges them to seek alternatives.
"Wow! What a thought provoking video..."*
Overview of Better
"Great learning film..."
* Feedback comments gathered from national convention of advanced practice nurses.
The goal is to use this drama-centered teaching tool in a way that tells a more complete story. Additionally, the goal is to reflect the human and sometimes extraordinary connections between staff and people served that so often promotes healing. Our belief is that self-examination as offered by “BETTER” is a tool for changing attitudes, behaviors and practices.
In spite of the many years of effort by both state and federal authorities, seclusion and restraint in many mental health settings (emergency services, state psychiatric and
private hospitals and other institutional facilities, including special schools, etc.)
continues to be frequent. It is widely accepted that the seclusion and restraint
Griot Storyteller Media