Physical Management of Aggressive Behavior (PMAB)

201 East Main Street Suite 600,El Paso TX 79901

27 January, 2022

Description

Seclusion and restraint are medical interventions, which are utilized during the psychiatric treatment of children and adolescents in hospit Seclusion and restraint are medical interventions, which are utilized during the psychiatric treatment of children and adolescents in hospital-based settings or other specialized clinical treatment programs. Seclusion and restraint are the most restrictive interventions for reconstituting behavioral control and establishing and maintaining safety for the out-of-control patient, for other patients, and for staff. Seclusion and restraint should be employed only when other, less restrictive, interventions have been determined to be ineffective or inappropriate. A major goal of each patient's treatment should be to promote self-control, thereby minimizing and preventing the need for seclusion and restraint. Every facility or institution must establish policies and procedures governing the use of seclusion and restraint. Such policies should address: circumstances under which different types and/or degrees of seclusion and restraint will be used, given clinical indications and developmental considerations;monitoring frequency and duration of seclusion and restraint interventions;qualifications of clinicians who can authorize, implement, monitor, and terminate seclusion and restraint procedures;the documentation required, both in patient records and in institutional logs of all episodes of seclusion and restraint;in-service training requirements for new and existing staff; andquality review and reporting of seclusion and restraint indicators, with particular attention to safety and staffing levels.