Considerations in the Use of Seclusion or Restraint: Introducing a New APA Resource Document-View Recording

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Video Summary

The session focused on introducing a new APA resource document addressing considerations in using seclusion and restraint in psychiatric settings. Speakers included Dr. Jackie Hobbs and other professionals from various universities, who emphasized the importance of understanding the risks associated with seclusion and restraint to ensure their appropriate use. Key points discussed included the high prevalence of trauma among psychiatric patients, the importance of documenting psychiatric advance directives, and advocating for environmental interventions like sensory rooms to minimize restraints. The session highlighted a lack of systematic reporting in studies related to seclusion and restraint, with an emphasis on both psychological and physical risks, including serious injuries or fatalities. The importance of culturally competent and trauma-informed care was stressed, along with patient-centered approaches that involve patients in decision-making processes. Case studies and plans to reduce or eliminate restrictive interventions were discussed, emphasizing collaboration, data monitoring, and changes in facility design guided by psychiatrists. Barriers like legal ambiguity, clinician resistance, and resource constraints were noted as challenges in implementing psychiatric advance directives. The session concluded with discussions on practical experiences, highlighting varied approaches to seclusion and restraint in different countries and settings. The emphasis was on reducing the need for these interventions through improved engagement strategies and facility designs.

Keywords

APA resource document

seclusion and restraint

psychiatric settings

trauma-informed care

psychiatric advance directives

sensory rooms

culturally competent care

restrictive interventions

data monitoring

facility design

legal ambiguity

patient-centered approaches