Correlation Between Reduction of Seclusion and Restraint and Assaults by Patients in Pennsylvania’s State Hospitals
Abstract
Objective:
Methods:
Results:
Conclusions:
Methods
Study Setting
Data Description and Analyis
Results
Containment Procedures
Seclusion | Mechanical restraint | Physical restraintb | All containment procedures | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Events | Hours | Events | Hours | Events | Hours | Events | Hours | |||||||||
Per 1,000 | Per 1,000 | Per 1,000 | Per 1,000 | Per 1,000 | Per 1,000 | Per 1,000 | Per 1,000 | |||||||||
Year | N | days | N | days | N | days | N | days | N | days | N | days | N | days | N | days |
2001 | 185 | .21 | 202.36 | .23 | 324 | .37 | 448.46 | .52 | N/A | N/A | N/A | N/A | 509 | .59 | 650.82 | .75 |
2002 | 148 | .19 | 196.76 | .26 | 596 | .78 | 747.48 | .97 | 1,288 | 1.68 | 120.89 | .16 | 2,032 | 2.65 | 1,065.13 | 1.39 |
2003 | 54 | .07 | 44.93 | .06 | 783 | 1.08 | 1,036.61 | 1.43 | 1,662 | 2.28 | 158.08 | .22 | 2,499 | 3.44 | 1,239.62 | 1.70 |
2004 | 55 | .08 | 60.58 | .08 | 413 | .57 | 526.58 | .73 | 1,261 | 1.74 | 117.38 | .16 | 1,729 | 2.38 | 704.54 | .97 |
2005 | 23 | .03 | 28.03 | .04 | 240 | .34 | 252.87 | .36 | 1,256 | 1.79 | 144.42 | .21 | 1,519 | 2.16 | 425.32 | .60 |
2006 | 33 | .05 | 24.12 | .04 | 119 | .19 | 119.29 | .19 | 1,516 | 2.36 | 209.55 | .33 | 1,668 | 2.60 | 352.96 | .55 |
2007 | 20 | .03 | 13.59 | .02 | 96 | .16 | 97.27 | .16 | 1,305 | 2.14 | 162.02 | .27 | 1,421 | 2.33 | 272.88 | .45 |
2008 | 2 | .00 | 2.00 | .00 | 99 | .18 | 105.30 | .19 | 1,160 | 2.07 | 142.16 | .25 | 1,261 | 2.25 | 249.46 | .45 |
2009 | 9 | .02 | 9.18 | .02 | 86 | .17 | 83.98 | .17 | 915 | 1.82 | 84.02 | .17 | 1,010 | 2.01 | 177.18 | .35 |
2010 | 3 | .01 | 2.55 | .01 | 39 | .08 | 34.14 | .07 | 740 | 1.54 | 82.39 | .17 | 782 | 1.62 | 119.08 | .25 |
Mechanical restraint.
Seclusion.
Physical restraint.
Primary Causes
Effects of Procedures
Differences in Patient Characteristics
Racial and ethnic differences.
Gender differences.
Diagnostic differences.
Age and length-of-residence differences.
Assaults
System Changes
Leadership.
Policy changes.
Data transparency and clinical alerts.
Response teams.
Workforce development.
Discontinuing use of PRN orders.
Dialectical behavior therapy (DBT).
Other strategies.
Discussion and Conclusions
Acknowledgments
References
Information & Authors
Information
Published In
History
Authors
Metrics & Citations
Metrics
Citations
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