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

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Roadmap to Seclusion and Restraint Free Mental Health Services Module 5 Strategies to Prevent Seclusion and Restraint “It is rather impressive how creative people can be when restraint is simply not a part of the treatment culture.” —John N. Follansbee, M.D. JCAHO testimony,1999 Learning Objectives Upon completion of this module the participant will be able to: • Defi ne and outline the benefi ts, underlying values, and key elements of consumer-driven supports. • Develop and apply a Wellness Recovery Action Plan (WRAP). • Identify benefi ts of drop-in centers, recovery through the arts, technical assistance centers, and service animals. • Name key elements to implement a comfort room and describe what staff can do to support these consumer-driven supports. • Guide a consumer in developing a Psychiatric Advance Directive/Prime Directive. • Identify and implement effective communication strategies that prevent the use of seclusion and restraints, including Alternative Dispute Resolution and Mediation. Module 5 Strategies to Prevent Seclusion and Restraint 2
Roadmap to Seclusion and Restraint Free Mental Health Services MODULE 5: STRATEGIES TO PREVENT SECLUSION AND RESTRAINT Background for the Facilitators. . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Presentation (4 hours, 45 minutes) . . . . . . . . . . . . . . . . . . . . . . 13 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Wellness Recovery Action Plan (WRAP) . . . . . . . . . . . . . . . . . . . . . 16 Exercise: Developing a Wellness Recovery Action Plan . . . . . . . 20 (30 minutes) Drop-In Centers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Recovery Through the Arts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Comfort Rooms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Service Animals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Psychiatric Advance Directives. . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Exercise: Creating My Own Psychiatric Advance Directive . . . . . 29 (30 minutes) Prime Directives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Communication Strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Exercise: How Hard Can Communication Be? (15 minutes). . . . . 38 Alternative Dispute Resolution/Mediation . . . . . . . . . . . . . . . . . . . 46 Technical Assistance Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Handouts for Participants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Examples of Consumer WRAPs . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Developing a WRAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 How to Set Up a Comfort Room . . . . . . . . . . . . . . . . . . . . . . . . . . 57 Why Should I Fill Out a Psychiatric Advance Directive? . . . . . . . . . . 58 Ten Tips for Completing an Effective Advance Directive . . . . . . . . . 59 Psychiatric Advance Directive Practice Worksheet . . . . . . . . . . . . . 61 Six Essential Steps for Prime Directives . . . . . . . . . . . . . . . . . . . . 64 Anticipated Benefi ts of Prime Directives . . . . . . . . . . . . . . . . . . . . 65 Children’s and Adolescents’ Mental Health Services Technical . . . . . 66 Assistance and Research Centers Research, Training, and Technical Assistance Centers . . . . . . . . . . . 67 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 Module 5 Strategies to Prevent Seclusion and Restraint 3
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Page 7 and 8: Drop-In Centers (Source: www.mhself
Page 51 and 52: Wellness Toolbox Daily Maintenance
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Wellness Toolbox Daily Maintenance
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Developing a WRAP In your Seclusion
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How to Set Up a Comfort Room by Gay
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Roadmap to Seclusion and Restraint
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Practice Worksheet (continued) Road
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