Olivia A Casimir, Sarah C Blake, Jill V Klosky, Julie A Gazmararian
Adaptations to the Learning Environment for Elementary School Children in Georgia during the COVID-19 Pandemic
Journal of child and family studies
reduction restrictive practices priority mental health inpatient services often practices considered increase patients feelings anger loneliness hopelessness vulnerability moreover approaches counterintuitive recoveryorientated traumainformed practiceour project based male 15bed secure forensic ward aimed reduce duration outcome measure frequency balancing measure use seclusion 10 6 months following analysis local data systems feedback patients staff identified high levels use seclusion reluctance terminate included lack awareness effective appropriate use facility hesitancy use deescalation techniques overreliance multidisciplinary team consultant decision makingwe subsequently designed implemented three tests change reviewed seclusion processes enhanced deescalation skills improved decision making tests change applied 6month period period surpassed original target reduction frequency duration 10 achieved 33 reduction overall patients reported feeling safer ward team reported improvements relationships patientsour project highlights importance relational security within secure setting provides template wards wishing reduce frequency duration seclusions