Raodmap to Seclusion Manual_Module 5.indd - Samhsa ...

Roadmap to Seclusion and Restraint Free Mental Health Services
“Reducing use of restraint and seclusion of individuals in mental
health treatment is one of my major priorities. Seclusion and
restraint - with their inherent physical force, chemical or physical
bodily immobilization and isolation - do not alleviate human suffering.
They do not change behavior. And they do not help people with
serious mental illness better manage the thoughts and emotions that
can trigger behaviors that can injure them or others. Seclusion and
restraint are safety measures of last resort. They can serve to
retraumatize people who already have had far too much trauma in
their lives. It is my hope that we can create a single, unified policy -
a set of primary principles that will govern how the Federal
government approaches the issue of seclusion and restraint for
people with mental disorders.”
Charles Curie
• Consumer-driven supports can be divided into two categories:
○ Support systems which consumers develop, run, evaluate, and maintain on their own,
such as drop-in centers, crisis teams, art co-ops, and peer support.
○ Contributions consumers make to traditional mental health systems by being involved
in program development, policy formation, program evaluation, quality assurance,
system designs, education of mental health service providers, and provision of direct
services.
• “In order to maximize their potential contributions, their involvement should be supported
in ways that promote dignity, respect, acceptance, integration, and choice. Support
provided should include whatever fi nancial, educational, or social assistance is required
to enable their participation” (Position Statement on Consumer Contributions to Mental
Health Service Delivery Systems from the National Association of State Mental Health
Program Directors, 1998).
• This training will focus primarily on support systems that consumers develop, run,
evaluate, and maintain.
• First, let’s look at the research-based evidence related to consumer-driven supports.
• The U.S. Department of Health and Human Services cites the following General Benefi ts
of Consumer-Driven Supports (DHHS, 2001):
Module 5 Strategies to Prevent Seclusion and Restraint
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PRESENTATION