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SAMHSA’s Award-Winning Newsletter
May/June 2010, Volume 18, Number 3 

Ending Seclusion and Restraint: Facilities Honored for Leading the Way

A recognition ceremony, hosted by SAMHSA, recently honored the efforts of a select group of behavioral health facilities for making remarkable strides towards preventing seclusion and restraint practices.

SAMHSA Administrator Pamela S. Hyde, J.D., related her personal experiences as a consumer advocate in the 1970s. “I walked into seclusion and restraint rooms and talked to people in four-point restraints, without clothes. At that time, I couldn’t stop the seclusion and restraint, but I could advocate for the patients’ safety and dignity,” she said.

“If these images don’t go away for me, imagine the trauma that those individuals experienced and carried with them their entire lives,” she said.

Recognizing Progress

SAMHSA invited facilities to apply for national recognition and the opportunity to share their experiences. Awardees had to demonstrate reduction in use of seclusion and restraint as well as consumer involvement.

Ten facilities were selected from around the Nation by a rigorous peer review process:

  • Taunton State Hospital, Taunton, MA
  • Salem Hospital, Psychiatric Medicine Center, Salem, OR
  • Andrew McFarland Mental Health Center, Springfield, IL
  • Kindred Hospital Northeast Stoughton, Neurorehabilitation Units, Stoughton, MA
  • Elgin Mental Health Center, Elgin, IL
  • Kindred Hospital Park View-Springfield, Psychiatric Rehabilitation Unit, Springfield, MA
  • Noble Hospital, Fowler Unit, Westfield, MA
  • Cherokee Mental Health Institute, Cherokee, IA
  • Northern Nevada Adult Mental Health Services, Sparks, NV
  • A group application encompassing eight child/adolescent-serving facilities in MA

The facilities serve diverse populations, including adults, children, and those in forensic treatment.

Consumer Perspective

Lauren Spiro, M.A., Director of the National Coalition of Mental Health Consumer/Survivor Organizations discussed the human impact of seclusion and restraint, which she endured during a hospitalization for schizophrenia at age 16.

“Looking back, I now know that what I needed most was to be treated with dignity and respect,” she said. “I needed someone to talk with me and engage me in dialogue because I was stuck in a monologue.”

SAMHSA’s work to reduce and eliminate the use of seclusion and restraint practices in behavioral health care settings is a key part of SAMHSA’s Trauma and Justice Strategic Initiative.

Photo of  two representatives of behavioral health facilities honored for preventing seclusion and restraint Photo of SAMHSA’s Paolo del Vecchio and presenter Lauren Spiro

Sam McCord, R.N. (left), Director of Nursing at Northern Nevada Adult Mental Health Services, talks with another honoree.

SAMHSA’s Paolo del Vecchio, M.S.W. (left), and Lauren Spiro, M.A., (right), Director of the National Coalition of Mental Health Consumer/Survivor Organizations.



  Cover Story & Related Articles  
Promoting Wellness in Early Childhood

Promoting Wellness in Early Childhood

Project LAUNCH focuses on children from birth to age 8.


  From the Administrator  
Your Responses to What's in a Term?

Your Responses to “What’s in a Term?”

Comments are continuing to arrive in SAMHSA’s email reader-response box. Thank you! Read the responses so far.

Your Comments, Ideas, Personal Stories . . .

Your Comments, Ideas, Personal Stories . . .

SAMHSA has received more than 150 emails in response to the Administrator’s call for comments. Read selected responses.


  Health Reform  

Affordable Care Act: Implications for Behavioral Health

The Act improves services for people who have mental health and substance use disorders.



  Suicide Prevention in American  
  Indian Communities  
Helping Youth “Live To See the Great Day That Dawns”

Helping Youth “Live To See the Great Day That Dawns”

AI/AN youth are 10 times more likely to attempt suicide.

First-Person: Commitment, Hope, Community

Collaborating across tribes helped create a needed publication for AI/AN youth.



  Teens & Substance Abuse  
Adolescents Do What Every Day?

Adolescents Do What Every Day?

A day in the life may include more than texting and homework.

Tobacco Sales to Minors Increasing?

Tobacco Sales to Minors Increasing?

Sales of tobacco to minors increased nationally in 2009.

Youth Smoking & Maternal Risk Factors

Youth Smoking & Maternal Risk Factors

If a mother smokes, does that affect her teen?

Teen Smoking: New Data

Trends in young people’s smoking habits.



  Treatment  
TIP 49 in Your Pocket

TIP 49 in Your Pocket

Pocket “Quick Guides” for counselors and physicians.

By Metro Area: Treatment Data

By Metro Area: Treatment Data

Activities in 27 metro areas include Baltimore and San Diego — Metro Briefs.


  Awards  
PRISM Awards Honor Films, Television

PRISM Awards Honor Films, Television

Kudos for the realistic depiction of substance abuse and mental illness in film and TV.


  Staff in the News  
Leadership Award to Kana Enomoto

Leadership Award to Kana Enomoto

The Arthur S. Flemming Awards honors SAMHSA’s Kana Enomoto.


  Ending Seclusion & Restraint  

Organizations Making a Difference

SAMHSA honors facilities for reducing these practices.



  Drug Abuse Warning Network  
  (DAWN)  

Rise in Nonmedical Use of Pain Relievers

Emergency visits double for prescription opioid pain relievers.



  Recovery Month  
Toolkits, Posters Available

Toolkits, Posters Available

For September, planning materials at RecoveryMonth.gov.



  


Substance Abuse & Mental Health Services Administration – 1 Choke Cherry Road – Rockville, MD 20857
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