id author title date pages extension mime words sentences flesch summary cache txt work_l6payk6qzbhd7hi6ulohozk5rq Janice LeBel Special Section on Seclusion and Restraint: The Economic Cost of Using Restraint and the Value Added by Restraint Reduction or Elimination 2005.0 6 .pdf application/pdf 5325 589 55 Mental Health Services Administration's (SAMHSA's) National Call to Action: Eliminating The Use of Seclusion role again to change seclusion and restraint practices in psychiatric facilities that serve children and adolescents by developing a statewide initiative to reduce or eliminate the use of Staff time allocated to restraint activities and medication costs were computed. and staff-related costs for one full year before the restraint reduction showed that the adolescent inpatient service's aggregate use of restraint decreased from 3,991 episodes to 373 episodes (91 percent), analysis indicated three discrete phases: prerestraint (initial crisis management); restraint application, monitoring, and release; and postrestraint activities, as shown in Table 2. Costs resulting from restraint activity—that is, injuries, lost staff time, To generate conservative cost estimates for the use of restraint, the following criteria were used: the minimum number of staff needed per Total staff hours by discipline per episode of restraint in an adolescent inpatient ./cache/work_l6payk6qzbhd7hi6ulohozk5rq.pdf ./txt/work_l6payk6qzbhd7hi6ulohozk5rq.txt