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Module 1

Module 1. The Personal Experience of Restraint and Seclusion. Learning Objectives Upon completion of this module the participant will be able to:. Outline the issues and concerns regarding the practice of restraint and seclusion

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Module 1

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  1. Module 1 The Personal Experience of Restraint and Seclusion

  2. Learning ObjectivesUpon completion of this module the participant will be able to: • Outline the issues and concerns regarding the practice of restraint and seclusion • Understand the personal experience of restraint and seclusion for people diagnosed with a mental illness • Understand the personal experience of restraint and seclusion for front line staff

  3. “The initiative to reduce the use of seclusion and restraint is part of a broader effort to reorient the State mental health system toward a consumer focused philosophy that emphasizes recovery and independence…Seclusion and restraint with its inherent physical force, chemical or physical bodily immobilization and isolation do not alleviate human suffering. It does not change behavior.” Charles Curie, Administrator SAMSHA

  4. This manual was funded by the Center for Mental Health Services and is written from consumer perspectives. The goal is to bridge the differences and build a recovery-based partnership between mental health consumers and direct care staff.

  5. ListenWhen I ask you to listen to me andYou start giving me advice, You have not done what I have asked.When I ask you to listen to me and You begin to tell me why I shouldn’t feel that wayYou are trampling on my feelings.When I ask you to listen to me and You feel you have to do something to solve my problem,You have failed me. Strange as that may seem.Listen: All that I ask you to do is listen.Not talk or do – just hear me.When you do something for meThat I can and need to do for myselfYou contribute to my fear and inadequacy.But when you accept as a simple factThat I feel what I feel, no matter how irrationalThen I can quit trying to convince youAnd get about this business of understanding what’s behind them.So please listen and just hear me. And, if you want to talk, wait a minute for your turn And I’ll listen to you.Anonymous

  6. Exercise: Getting to Know You

  7. Overview

  8. Lack of national standards has reportedly generated wide variability in the use of restraint and seclusion – including potentially dangerous and unsafe practices.

  9. Safety

  10. Conflicting Definitions of Safety

  11. Treatment Approaches to Reduce Seclusion & Restraint • Peer-delivered services • Self-help techniques • New medications • Emphasis on recovery • Understanding the relationship between trauma and mental illness

  12. Reading: NASPMHD Review of Literature Related to Safety and Use of Seclusion and Restraint

  13. Personal Perspectives: Consumers

  14. Exercise: Hartford Courant Articles

  15. Reading: Hartford Courant Articles

  16. Exercise: Personal Perspectives - Consumers

  17. Personal Perspectives: Direct Care Staff

  18. “When I participated in my first restraint experience I vomited.”(Interview with mental health worker)

  19. Exercise: Personal Perspectives: Direct Care Staff

  20. Reading: Direct Care Staff Quotes

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