Seclusion and Restraint: National Action Plan Outline
Vision
To Reduce and Ultimately Eliminate Seclusion & Restraint
in Mental Health and Substance Abuse Care
Long-Term Outcomes
Reduction in deaths
and injuries resulting from seclusion & restraint
Reduction in the
frequency of seclusion & restraint use and work toward the elimination
of it
Initial Outcomes
Increased knowledge,
skills, and abilities of consumers, providers, facilities, States,
and others to prevent and reduce seclusion & restraint use for
all ages
Increased knowledge,
skills, and abilities of Protection & Advocacy agencies to monitor
seclusion & restraint issues
Increased number
of States and facilities adopting and implementing evidence-based
seclusion & restraint prevention and reduction guidelines and
best practices
SAMHSA Goal: Accountability
Domain: Data Collection
Activity: Compile research on data on seclusion & restraint issues
Activity: Conduct inventory of databases on seclusion & restraint issues
Activity: Identify and encourage adoption of seclusion & restraint performance
measure
Domain: Rights Protection
Activity: Provide technical assistance to Protection & Advocacy programs
Activity: Manage Protection & Advocacy programs
Activity: Promote use of advance directives
Activity: Support consumer rights education
SAMHSA
Goal: Capacity
Domain:
Training & Technical Assistance
Activity: Conduct regional trainings or State seclusion & restraint reduction
efforts
Activity: Conduct multi-site grant program to identify effective staff training
approaches
Activity: Pilot
and disseminate consumer-based staff training manual
Activity: Support State Incentive Grant & Resource Center programs in FY
2004
Activity: Review and utilize existing technical assistance resources to increase
reduction efforts
Activity: Promote self-care and recovery-based efforts to prevent S&R use
SAMHSA
Goal: Effectiveness
Domain: Evidence
Based Practices & Guidelines
Activity: Develop/disseminate compendium of effective reduction practices from
research, grants, NTAC, National Registry for Effective Practices
Activity: Encourage adoption of effective reduction practices in clinical training
programs -- including ER staff -- via professional guilds
Activity: Identify population-specific guidelines (e.g., older adults, people
of color, women, children, people with disabilities, etc.)
Domain: Leadership
& Partnership Development
Activity: Convene National Call to Action and follow-up activities
Activity: Partner with Centers for Medicare & Medicaid Services (CMS) and
other Federal agencies to reduce S&R use
Activity: Partner with substance abuse, criminal justice, & education fields
