Impact of a Program for the Management of Aggressive Behaviors on Seclusion and Restraint Use in Two High-Risk Units of a Mental Health Institute

The Psychiatric Quarterly
Steve GeoffrionStéphane Guay

Abstract

The Omega Program for the Management of Aggressive Behaviors aims to reduce patients' dangerous behaviors, towards themselves or others, and to reduce the use of seclusion and restraint (S/R). A previous study in a Mental Health Institute (Montreal, Canada) showed that implementing this program allowed employees of the intensive care and emergency units to gain confidence in coping with patients' aggressions and to reduce their psychological distress. The present study, conducted in the same high-risk units, assesses the effect of the program on S/R use. We hypothesize that the incidence and duration of S/R should diminish significantly following the implementation of the program in both units. This naturalistic, prospective study covered archival data between April 2010 and July 2014. Pre-training data (April 2010-December 2011) were compared to data during training (January 2012-October 2012) and to post-training data (November 2012-July 2014) for both units. In the intensive care unit, we confirmed an increase of both mean daily number and duration of S/R by admissions in pre-training, followed by a decrease during the training and post-training. In the emergency unit, a decreasing trend is seen during the entire period thus...Continue Reading

References

Sep 1, 2007·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Raeda Fawzi AbuAlRubMohammed Bakir Habbib
Apr 25, 2008·General Hospital Psychiatry·Marcelo N MigonMichael H Allen
May 11, 2010·Issues in Mental Health Nursing·Duncan StewartJulia Jones
Feb 1, 2013·International Journal of Mental Health Nursing·Coral Muskett
Nov 26, 2013·General Hospital Psychiatry·Scott A SimpsonJagoda Pasic
Jul 16, 2014·Psychiatric Services : a Journal of the American Psychiatric Association·Alok MadanB Christopher Frueh
Dec 3, 2014·The British Journal of Psychiatry : the Journal of Mental Science·Gill LivingstonClaudia Cooper
May 2, 2015·Psychiatric Services : a Journal of the American Psychiatric Association·Jennifer P WisdomLloyd I Sederer
Jul 21, 2015·Social Psychiatry and Psychiatric Epidemiology·Eric NoorthoornTilman Steinert
Oct 13, 2015·Journal of Forensic Nursing·Dave HolmesNatasha Knack
Feb 22, 2016·The Psychiatric Quarterly·Ellen W BlairJohn W Goethe

❮ Previous
Next ❯

Citations

Sep 3, 2020·Journal of Clinical Medicine·Damián Fernández-CostaJuan Jesús García-Iglesias
Dec 12, 2020·Journal of Psychiatric and Mental Health Nursing·Jenni KonttilaHelvi Kyngäs
Jul 11, 2019·Deutsches Ärzteblatt International·Sophie Hirsch, Tilman Steinert

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Psychiatric Services : a Journal of the American Psychiatric Association
Elizabeth K ReynoldsRick Ostrander
The British Journal of Psychiatry : the Journal of Mental Science
H Sequeira, S Halstead
Journal of Psychosocial Nursing and Mental Health Services
Stuart Gray
Perspectives in Psychiatric Care
L Castle
Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
Nan Stromberg
© 2022 Meta ULC. All rights reserved