Revision as of 00:14, 22 July 2009

This page is under construction

Intention

The intention of this page is to review measures of violence in psychiatic institutions particularly those using Nonviolent Communication.

Methodology

Published and unpublished data was collected from a variety of sources (see tables). The data collected consisted of no of seclusion incidents, no of hours patients were secluded, no of restraint incidents, no of hours patients were restrained and no of staff injuries over a period of time. The data was then "normalized" by expressing the data per 1000 patient days. When the number of patient days during the observation period was not available, the unit capacity times length of data collection period was used as an estimate of patient days.

In some cases only combined seclusion plus restraint data was available so this was compared with the calculated seclusion plus restraint data for other institutions.

A "blank" entry in a results table indicates that the data was unavailable

Results

Table 1: Seclusion plus Restraint and Staff Injury data ordered by increasing Seclusion plus Restraint incidents

The total seclusion plus restraint data show that only three institutions had Seclusion plus Comparison incident rate of less than 1.0 incident rate yer 1000 patient days. These were Coalinga State Hospital and the Intensive Treatment Unit (ITU) during years that Nonviolent Communication was being used. During a previous year

Table 2: Seclusion and Staff Injury data ordered by increasing Seclusion incidents

Interpretation

References

McGarrity, M. (2009) Pychiatric Health Facility Seclusion and Restraints Statistics (personal communication) 2009
Riemer,D. Corwith, C. Application of Core Strategies: Reducing Seclusion & Restraint Use, On The Edge, 13(3) (2007)
Riemer, D. Creating Sanctuary: Reducing Violence in a Maximum Security Forensic Psychiatric Hospital Unit, On The Edge - Spring 2009
Stringer,K a Using Quality Imporvement (QI) as a tool to reduce seclsion and restraints (S/R) and data sharing on the internet, presentation (2009)
Stringer K,b Excel spreadsheet incorporating CA Dept of Mental Health Data on seclusions and restraints (personal communication) 2009.

Please add any other citations to the use of NVC in Mental Health Settings to this page. If you experience difficulty in adding to this page directly , please e-mail the submission to John Mudie directly.