Applying sensory modulation to mental health inpatient care to reduce seclusion and restraint: a case control study

Charlotte Andersen, Anne Kolmos, Kjeld Andersen, Volkmar Sippel, Elsebeth Stenager

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

BACKGROUND: Clinical training in managing conflicts and preventing violence seldom contains sensory modulation (SM) as a method to de-escalate and prevent restraint and seclusion. Sensory-based interventions promote adaptive regulation of arousal and emotion. SM is a complementary approach that is associated with reduced rates of seclusion and restraint in mental healthcare, but there is need for more research in this area.

AIMS: Using SM to reduce restraint and seclusion in inpatient mental health care.

METHODS: The study included two similar psychiatric units where one unit implemented SM and one unit served as the control group. In the very beginning of the study, a staff-training program in the use of SM including assessment tools and intervention strategies was established. Data on restraint and forced medicine were sampled post the course of the year of implementation and compared with the control group.

RESULTS: The use of belts decreased with 38% compared to the control group. The use of forced medication decreased with 46% compared to the control group. Altogether the use of physical restraint and forced medication decreased significantly with 42% (p < .05).

CONCLUSIONS: Implementing a SM approach in mental healthcare facilities has a significant effect on the reduction of restraint and seclusion. As a part of the implementation, staff training and education in SM are crucial.

OriginalsprogEngelsk
TidsskriftNordic Journal of Psychiatry
Vol/bind71
Udgave nummer7
Sider (fra-til)525-528
ISSN0803-9488
DOI
StatusUdgivet - 3. okt. 2017

Fingeraftryk

Case-Control Studies
Inpatients
Mental Health
Delivery of Health Care
Control Groups
Education
Medicine
Research

Citer dette

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abstract = "BACKGROUND: Clinical training in managing conflicts and preventing violence seldom contains sensory modulation (SM) as a method to de-escalate and prevent restraint and seclusion. Sensory-based interventions promote adaptive regulation of arousal and emotion. SM is a complementary approach that is associated with reduced rates of seclusion and restraint in mental healthcare, but there is need for more research in this area.AIMS: Using SM to reduce restraint and seclusion in inpatient mental health care.METHODS: The study included two similar psychiatric units where one unit implemented SM and one unit served as the control group. In the very beginning of the study, a staff-training program in the use of SM including assessment tools and intervention strategies was established. Data on restraint and forced medicine were sampled post the course of the year of implementation and compared with the control group.RESULTS: The use of belts decreased with 38{\%} compared to the control group. The use of forced medication decreased with 46{\%} compared to the control group. Altogether the use of physical restraint and forced medication decreased significantly with 42{\%} (p < .05).CONCLUSIONS: Implementing a SM approach in mental healthcare facilities has a significant effect on the reduction of restraint and seclusion. As a part of the implementation, staff training and education in SM are crucial.",
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Applying sensory modulation to mental health inpatient care to reduce seclusion and restraint : a case control study. / Andersen, Charlotte; Kolmos, Anne; Andersen, Kjeld; Sippel, Volkmar; Stenager, Elsebeth.

I: Nordic Journal of Psychiatry, Bind 71, Nr. 7, 03.10.2017, s. 525-528.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Applying sensory modulation to mental health inpatient care to reduce seclusion and restraint

T2 - a case control study

AU - Andersen, Charlotte

AU - Kolmos, Anne

AU - Andersen, Kjeld

AU - Sippel, Volkmar

AU - Stenager, Elsebeth

PY - 2017/10/3

Y1 - 2017/10/3

N2 - BACKGROUND: Clinical training in managing conflicts and preventing violence seldom contains sensory modulation (SM) as a method to de-escalate and prevent restraint and seclusion. Sensory-based interventions promote adaptive regulation of arousal and emotion. SM is a complementary approach that is associated with reduced rates of seclusion and restraint in mental healthcare, but there is need for more research in this area.AIMS: Using SM to reduce restraint and seclusion in inpatient mental health care.METHODS: The study included two similar psychiatric units where one unit implemented SM and one unit served as the control group. In the very beginning of the study, a staff-training program in the use of SM including assessment tools and intervention strategies was established. Data on restraint and forced medicine were sampled post the course of the year of implementation and compared with the control group.RESULTS: The use of belts decreased with 38% compared to the control group. The use of forced medication decreased with 46% compared to the control group. Altogether the use of physical restraint and forced medication decreased significantly with 42% (p < .05).CONCLUSIONS: Implementing a SM approach in mental healthcare facilities has a significant effect on the reduction of restraint and seclusion. As a part of the implementation, staff training and education in SM are crucial.

AB - BACKGROUND: Clinical training in managing conflicts and preventing violence seldom contains sensory modulation (SM) as a method to de-escalate and prevent restraint and seclusion. Sensory-based interventions promote adaptive regulation of arousal and emotion. SM is a complementary approach that is associated with reduced rates of seclusion and restraint in mental healthcare, but there is need for more research in this area.AIMS: Using SM to reduce restraint and seclusion in inpatient mental health care.METHODS: The study included two similar psychiatric units where one unit implemented SM and one unit served as the control group. In the very beginning of the study, a staff-training program in the use of SM including assessment tools and intervention strategies was established. Data on restraint and forced medicine were sampled post the course of the year of implementation and compared with the control group.RESULTS: The use of belts decreased with 38% compared to the control group. The use of forced medication decreased with 46% compared to the control group. Altogether the use of physical restraint and forced medication decreased significantly with 42% (p < .05).CONCLUSIONS: Implementing a SM approach in mental healthcare facilities has a significant effect on the reduction of restraint and seclusion. As a part of the implementation, staff training and education in SM are crucial.

KW - Acute psychiatry

KW - restraint and seclusion

KW - sensory modulation

KW - sensory room

KW - staff training

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DO - 10.1080/08039488.2017.1346142

M3 - Journal article

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VL - 71

SP - 525

EP - 528

JO - Nordic Journal of Psychiatry

JF - Nordic Journal of Psychiatry

SN - 0803-9488

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ER -