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Related Experiment Videos

Reducing high-risk interventions for managing aggression in psychiatric settings

H Visalli1, G McNasser, L Johnstone

  • 1Department of Nursing, Mohawk Valley Psychiatric Center, Utica, New York, USA.

Journal of Nursing Care Quality
|February 1, 1997
PubMed
Summary

New tools like anger management assessments and the "Triangle of Choices" help reduce the use of seclusion and restraints in psychiatric emergencies by promoting less restrictive interventions.

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Area of Science:

  • Psychiatry
  • Mental Health Interventions
  • Patient Safety

Background:

  • Seclusion and restraints are traditional methods for managing patient aggression in psychiatric settings.
  • There is a growing need to explore and implement less restrictive alternatives.
  • Patient empowerment and education are crucial for reducing reliance on high-risk interventions.

Purpose of the Study:

  • To evaluate the effectiveness of new tools in reducing the use of seclusion and restraints.
  • To assess the impact of an anger management assessment tool and the "Triangle of Choices" on patient behavior.
  • To promote the adoption of less restrictive measures in psychiatric care.

Main Methods:

  • Implementation of an anger management assessment tool and the "Triangle of Choices" at an institution.

Related Experiment Videos

  • Documentation of alternative interventions used for psychiatric emergencies.
  • Tracking the frequency of seclusion and restraint use over a 1-year period.

    • Main Results:

    • Increased implementation of documented alternatives to restraints.
    • Decreased use of the most restrictive measures (seclusion and restraints).
    • Patients showed improved identification and management of anger and frustration.

    Conclusions:

    • Anger management tools and alternative strategies can significantly reduce the need for seclusion and restraints.
    • The "Triangle of Choices" empowers patients to manage emotions, leading to safer environments.
    • Adopting innovative, less restrictive interventions enhances patient care and safety in psychiatric emergencies.