Evaluation of a Program Model for Minimizing Restraint and Seclusion
| Autor: | Jason H. Craig, Kimberly L. Sanders |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Program evaluation
Social work 05 social sciences Applied psychology Context (language use) Special education Mental health 030227 psychiatry 03 medical and health sciences 0302 clinical medicine SAFER Agency (sociology) 0501 psychology and cognitive sciences Psychology (miscellaneous) Seclusion Psychology Social Sciences (miscellaneous) 050104 developmental & child psychology |
| Zdroj: | Advances in Neurodevelopmental Disorders. 2:344-352 |
| ISSN: | 2366-7540 2366-7532 |
| DOI: | 10.1007/s41252-018-0076-2 |
| Popis: | This study conducted a longitudinal evaluation of an organizational change effort to minimize restraint and seclusion within a behavioral healthcare facility that serves at-risk and high-risk clients with intellectual, developmental, and psychiatric disabilities, using a context, input, process, and product model. The change effort was developed and implemented at an agency in the mid-Atlantic region of the USA that provided a continuum of care to children and adults in residential, educational, and home settings. There was a 99% decrease in restraint frequency, a 97% decrease in staff injury from a restraint, a 64% decrease in client-induced staff injury, and an increase in client goal mastery 133% from 2003 to 2016. Trauma-informed, less restrictive treatment methods provided safer treatment for individuals with a variety of disabilities, while increasing mastery of individualized goals. It also saved the organization over $16 million in lost time expenses, turnover costs, and workers’ compensation policy costs. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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