The Alternative to Restraint and Seclusion State Incentive Grant was a national initiative to reduce restraint and seclusion use in psychiatric hospitals and community based mental health settings sponsored by the National Association of State Mental Health Program Directors. This initiative was implemented in a large public sector psychiatric hospital. It involved the use of a restraint and seclusion prevention project team and a Patient-Staff Steering Committee collaborating on violence prevention. It also entailed systematic data collection and case reviews, staff-training on trauma-sensitive care and other relevant topics, employee recognition, as well as the use of specific restraint prevention tools including sensory modulation, positive behavioral support plans, comfort rooms, Wellness Recovery Action Plans, modified restraint orders, and new debriefing protocols. Compared with a 4-year baseline period, a 4-year implementation phase showed a reduction in annual restraints hours by 89%, annual staff injuries by 18%, and annual Workmen's Compensation medical costs by 24%. The findings illustrate the value of implementing systemic evidence-based practices to reduce restraint use, enhance the quality of care in tertiary care settings, and promote a new, patient-centered and recovery-oriented institutional culture. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

---

在公立医院实施减少约束和隔离利用的计划：临床创新、初步发现和经验教训。

克制和隔离的替代方案州激励补助金是一项全国性举措，旨在减少精神病医院和社区心理健康环境中的限制和隔离使用，由全国州精神健康计划主任协会赞助。这一举措是在一家大型公共部门精神病医院实施的。它涉及使用约束和隔离预防项目团队和患者-工作人员指导委员会在暴力预防方面进行合作。它还需要系统的数据收集和病例审查、对创伤敏感护理和其他相关主题的员工培训、员工认可以及使用特定的约束预防工具，包括感觉调节、积极的行为支持计划、舒适室、健康恢复行动计划，修改后的限制令，和新的汇报协议。与 4 年基线期相比，4 年实施阶段显示，年度约束时间减少 89%，年度员工伤害减少 18%，年度工人赔偿医疗费用减少 24%。研究结果说明了实施系统的循证实践以减少约束使用、提高三级护理环境的护理质量以及促进以患者为中心和以康复为导向的新机构文化的价值。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。研究结果说明了实施系统的循证实践以减少约束使用、提高三级护理环境的护理质量以及促进以患者为中心和以康复为导向的新机构文化的价值。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。研究结果说明了实施系统性循证实践以减少约束使用、提高三级护理环境的护理质量以及促进以患者为中心和以康复为导向的新机构文化的价值。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。