Due to the alarming rate of seclusion restraint occurrences in psychiatric in-patient setting, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the Health Care Financing Administration (HCFA) developed policies and mandated the use of S/R as a last resort. This paper addresses the implementation of nonthreatening milieu therapy as an effective means of abolishing the use of mechanical S/R. A comprehensive milieu model implementing various interventions to reduce S/R will be proposed. A need for abandoning the medical model in favor of individualized, humanistic, compassionate treatment of the patient without the use of S/R is proposed. There is a need for continued future research focusing on the effect of nonthreatening milieu therapy and the impact on S/R occurrence in psychiatric in-patient settings.
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Details
Title
The Effect of Non-Threatening Milieu Therapy on the Occurence of Seclusion Room
Creators
Orawan Laochumnanvanit
Contributors
Sheela Choppala-Nestor (Advisor)
Awarding Institution
Washington State University
Academic Unit
Research Projects, College of Nursing
Theses and Dissertations
Master of Nursing (MN), Washington State University
Publisher
Washington State University; Spokane, Washington
Identifiers
99900590537301842
Copyright
http://creativecommons.org/licenses/by-nc-sa/3.0/us; Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States (CC BY-NC-SA 3.0 US)