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Seclusion and Restraint: The Role of the Psychiatrist

Activity Type:

  • On Demand

Release Date: 4/25/2019

Expiration Date: 4/25/2022

  • AMA PRA Category 1: 1.25
  • Participation: 1.25

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Seclusion and restraint practices have a long history dating back to early 18th century vagrancy laws. Since that time, due to regulatory efforts and programs such as collaborative problem-solving, there has been an overall reduction in the use of seclusion and restraint. However, more recently, reports of abuse that include deaths of patients in residential treatment facilities have brought to light the lack of psychiatric involvement in seclusion and restraint. This presentation will provide the learner with a framework for understanding seclusion and restraint practices, including the use of "chemical restraint" in its various definitions, and seclusion and restraint in public schools. Leadership and advocacy alternatives for psychiatrists will also be explored, along with an understanding of psychiatric intervention to prevent seclusion and restraint episodes.


  • General Member - $20.00
  • Resident-Fellow Member - $10.00
  • Medical Student Member - $20.00
  • Non-Member - $40.00

Learning Objectives

  • Describe the history of seclusion and restraint practices and psychiatric involvement
  • Identify the psychiatrist's role in seclusion and restraint practice in inpatient and residential settings
  • Apply opportunities for psychiatric intervention in the teaching, prevention, and management of seclusion and restraint
  • Examine the concept of chemical restraint and its relationship to PRN medication

Target Audience

Psychiatrists, Residents/Fellows

Estimated Time to Complete

Estimated Duration: 75 minutes
Begin Date: April 25, 2019
End Date: April 25, 2022

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. A multiple choice quiz is provided based on the content. A passing score of 70% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned. 

Continuing Education Credit

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The APA designates this enduring CME activity for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures


  • Kim J. Masters, M.D., DFAPA, Assistant Professor, College of Health Professions, The Medical University of South Carolina. Reports no financial relationships with commercial interests.

Program Planners

  • Tristan Gorrindo, M.D., Director of Education, American Psychiatric Association. Reports no financial relationships with commercial interests.
  • Ally Brown, Senior Program Manager Online Learning, American Psychiatric Association. Reports no financial relationships with commercial interests.

Hardware/Software Requirements

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

  • Flash Player: Adobe Flash Player 10.3+ 
  • Browser: Firefox (latest version), Internet Explorer 8.0+, Safari 7.0+, Microsoft Edge (latest version) or Google Chrome (latest version)
  • Operating System: Windows XP+ or Mac OS X 10.4+ 
  • Internet Connection: 1 Mbps or higher

Minimum Requirements:

  • Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Macromedia Flash Player 10.3 or higher; Sound Card at least 16-bit; audio playback with speakers for programs with video content
  • Macintosh:Mac OS X 10.4+ or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit; audio playback with speakers for programs with video content

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All materials copyright American Psychiatric Association ©2019.

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