Staff training decreases use of seclusion and restraint in an acute psychiatric hospital

Arch Psychiatr Nurs. 1999 Oct;13(5):269-71. doi: 10.1016/s0883-9417(99)80037-5.


Rates of seclusion and restraint in an urban psychiatric hospital were compared during the 12-month periods before and after implementing the recommendations of a multidisciplinary quality improvement work-group convened to reduce the hospital's use of physical containment. Interventions included a mandatory staff training session on the management of assaultive behavior, weekly discussion items during team meetings for each local ward, and hospital-wide publicity charting the ongoing progress of the effort. Total annual rates of restraint dropped 13.8%. The average duration of restraint per admission decreased 54.6%. Staff injuries were reduced by 18.8% during the study period.

MeSH terms

  • Curriculum
  • Hospitals, Psychiatric
  • Hospitals, Urban
  • Humans
  • Inservice Training*
  • Patient Isolation*
  • Psychiatric Nursing / education*
  • Restraint, Physical*
  • Risk Management