The rates of restrictive interventions in behavioral health can be reduced by implementing strategies developed by the National Technical Assistance Center (Wieman et al, 2014). The six strategies used are managerial support, statistics, post event debriefing, staff advancement and the involvement of clients, families and behavioral health advocates. In addition to those, other tools that can be used are de-escalation techniques, humane approach, proactive measures, environmental changes, and group activities proposed to educate the clients regarding use of coping skills to decrease frustration, anger and violence. Knowledge about base line behavior of the clients will be utilized. Clients will be divided in to study groups (with Broset checklist) …show more content…
Multiple organizational factors have been identified to influence the number of restrictive interventions. Some of the factors are, emotional stress of staff, preconceived ideas about the clients, lack of training and knowledge, commitment and vision, healthcare workers opinion regarding violence, staff supervision, lack of communication and support among team members. All these factors affect the number of seclusion and restraint incidences. Close evaluation of these factors is needed to decrease the application of restrictive interventions in behavioral health facility. Organizationally, the supervisors are advised to develop well defined and realistic standards directing the usage of restrictive interventions. The facility is encouraged to develop policy restrictive intervention is used as last-resort when nonrestrictive interventions fail. Since the execution of evidence-based practice is considered as a proposal to improve the quality, approval from the facility’s Institutional Review Board is not indicated. The checklist is user friendly. The staff members, nurses and doctors will be educated on the evidence-based project via power point presentation, pamphlets, handouts, in-service …show more content…
The application of plans to decrease restrictive interventions should meet expected outcomes for the facility. They are suitability, acceptance, suitability, loyalty, decreased cost, viability, perception and sustainability (Wieman, et al, 2014). The treatment facility is required to provide safe and therapeutic care to the clients who at times can be aggressive and violent. So, close evaluation and early identification of warning signs is the most important activity prior to restrictive intervention. Consequently, the anticipated results of the proposal would be to enhance the present standard of care in observing the clients, by allowing early detection of aggressive behaviors, thus pushing for interventions to decrease restraint and seclusion. Incorporating Broset Violence Checklist into care may eventually help to identify warning signs of aggressive behavior, incorporate deescalate techniques and there by improve safety of the
Yet, solitary confinement is still considered necessary in order to maintain control within the prison and among inmates. Solitary confinement is seen as an effective method in protecting specific prisoners and altering violent/aggressive disobedient behaviors, (Maria A. Luise, Solitary Confinement: Legal and Psychological Considerations, 15 New Eng. J. on Crim. & Civ. Confinement 301, 324 (1989) p. 301). There is some discrepancy among researchers as to the varying effects on inmates who have undergone an extensive solitary confinement stay. Most researchers find that inmates who had no previous form of mental illness suffer far less than those who do, yet most if not all of these individuals still experience some difficulties with concentration and memory, agitation, irritability, and will have issues tolerating external stimuli, (Stuart Grassian, Psychiatric Effects of Solitary Confinement, 22 Wash. U. J. L. & Pol’y 325 (2006) p. 332). Although these detrimental psychiatric repercussions of solitary confinement currently appear, several researches have made suggestions as to how these may be avoided. These requirements being that
Every school, psychiatric unit should always make an effort to prevent the need for restraint and seclusion. Everyone has their own opinion on how they feel about these two issues and what the laws should be set on. School policies on seclusion and restraint will always differ from the psychiatric unit’s policy since they are two different environments and may deal with different clientele. There have been many laws that have been set and also changed throughout the years regarding how you should and shouldn’t restrain a patient or student because you could eventually seriously injure them. It can also be bad to seclude a student or patient because they could do multiple things to hurt themselves when they are being secluded.
Solitary confinement borders cruel and unusual punishment due to its association to extreme mental illnesses of its prisoners. Studies have shown healthy people obtaining mental illnesses after being confined for a short period of time. For most people this association, as well as its high cost to maintain the use of solitary confinement, is enough to stop the use of this style of incarseration and closing strictly solitary prisons. Others believe that restoring rehabilitating activities and medical attention for prisoners is more preferable than closing the prisons, because the prison is the prime employer of the small towns they were built in.
The strengths of the group approach are outlined throughout this text, but there also some limitations. Some of these limitations may be that without the use of individual therapy prior to the institutions of group therapy that there may be some hesitation of the inmates to share openly for fear of being seen as weak amongst their peers, there is also limited privacy despite the confidentiality agreement, and the incidence of personalities within the group clashing and causing more interpersonal issues for the individual. With the correct implementation of the group and the proper techniques the group process has higher success rates than the absence of group therapy by 43%. The goal of this group is to teach appropriate techniques for symptom management and work on development of healthy coping skills for anxiety and tension related to their trauma. It is said that those in the criminal system are 4x more likely to commit crimes due to the maladaptive coping mechanisms (as this results in an increase in lack of impulse
If an inmate continues to be violent, the result is a longer time in solitary confinement. Solitary confinement is inhumane and should be called torture. Putting and keeping an individual in solitary confinement puts them at a very serious risk of developing a mental illness, which may not be recoverable. Solitary confinement causes many effects that range in severity; it is not something that inmates should be subjected to, though. Inmates/offenders entering the prison system need to be screened for mental health and substance abuse disorders.
When performing evidence based practice research, the Iowa Model uses a team or individual approach to assist nurses in the journey to quality care. The Iowa Model begins by offering a process of selecting a proper clinical topic, which is often a recurring problematic issue (Polit & Beck, 2012). This topic is formulated as a question to improve a technique or procedure. Once the researcher determines that an ample amount of reported investigation exists on the desired question, information may be gathered and presented for approval (Polit & Beck, 2012). The research may lead to a gradual change in nursing practice.
...re have been many studies that have been conducted in the past before the 2000’s, however for this paper those studies were not useful due to the fact that the use of current evidence was the upmost importance. Another limitation to the topic of this paper is that, the studies only include males usually. There has been little information published related to juveniles and women who face administrative segregation or solitary confinement. The hopes of these changes will help reduce the amount of self-harm that is experienced in prisons and jails.
Seclusion is a clinical intervention used in mental health inpatient settings that focuses on the management of violent and aggressive behavior when that behavior compromises the safety of the consumer, co consumer, visitors and staff.
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care (qsen.org). Like most medical professions, nursing is a constantly changing field. With new studies being done and as we learn more about different diseases it is crucial for the nurse to continue to learn even after becoming an RN. Using evidence-based practice methods are a great way for nurses and other medical professionals learn new information and to stay up to date on new ways to practice that can be used to better assess
Secure facilities, also referred to as closed facilities, are utilized to closely monitor the movements of residents and to restrict its resident's access to the community (Elrod & Ryder, 2014). The option of housing juveniles within secured facilities represents the most restrictive option available within the juvenile courts (Elrod & Ryder, 2014). Today, evidence supports that isolation, mechanical restraints, and physical restraints are commonly overutilized within some facilities, which poses a risk of harm to juveniles housed within these facilities (Elrod & Ryder, 2014). For example, during the year 1994, a large-scale study revealed that the isolation of juveniles is commonly overused (Elrod & Ryder, 2014). Overall, the argument lies within the fact that secure facilities are often overcrowded and often utilized for extensive use of expensive and often ineffective treatment of nonviolent juvenile offenders, continuously failing in rehabilitating our youth (Elrod & Ryder, 2014).
Within this essay, evidence based practice will be identified and the significant effect it has on the nursing profession, barriers will also be explored in the implementation of evidence based practice. Individuals need specific care tailored to them, it is vitally important to have the correct professional and appropriate personal care. In order to receive this, we need to get the patient involved in the decision process, listen to their views and opinions and receive the relevant, accurate, professional and medical information. Once all the information is collated, a personal care package can be put into practice. Evidence Based Nursing, An introduction (2008, p. 1).
One feature of evidence based practice is a problem-solving approach that draws on nurses’ experience to identify a problem or potential diagnosis. After a problem is identified, evidence based practice can be used to come up with interventions and possible risks involved with each intervention. Next, nurses will use the knowledge and theory to do clinical research and decide on the appropriate intervention. Lastly, evidence base practice allows the patients to have a voice in their own care. Each patient brings their own preferences and ideas on how their care should be handled and the expectations that they have (Fain, 2017, pg.
A behavioral intervention plan (BIP) is designed for a specific child to try to help that child learn to change her or his behavior. Once the function of a student 's behavior has been determined, the Individual Education Program (IEP) Team should develop the behavior intervention plan A behavioral intervention plan can be thought of as a plan to support the student in order to help him or her change behavior. Effective support plans consist of multiple interventions or support strategies and are not punishment. Positive behavioral intervention plans increase the acquisition and use of new alternative skills, decrease the problem behavior and facilitate general improvements in the quality of life of the individual, his or her family, and
The League Treatment Center, Brooklyn, NY Supervised classroom as the lead staff with behaviorally challenged individuals to ensure all treatment plans were carried out daily. Reviewed monthly progress of all goals according to the Day Habilitation Plan and Individual Service Plan. Made recommendations to the Clinical Team Psychologist and Social Workers regarding ongoing individuals’ programmatic needs. Participated in all annual and semi-annual treatment meetings with individual’s support circle to review treatment plans and make changes as needed.
The importance of Evidence-Based Practice is to ensure the best possible care is provided for patients. Evidence-Based Practice functions by measuring the effectiveness of a treatment and differentiating findings between high-quality and low-quality. It also helps with health development and improves the reliability and facilitates students to become reflecti...