PubMed · 3851325
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L Whyte. Backchat. Time to think.. https://pubmed.ncbi.nlm.nih.gov/3851325/
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This study examines the association between gradual improvements in direct care staffing and seclusion/restraint reliance at a public psychiatric hospital. Over a 2-year period, increases in the number of staff members relative to the number of persons receiving care were significantly related to decreases in reliance on seclusion and mechanical restraint for managing challenging behavior problems. The results provide support for the premise that, in addition to education, training and competence of direct care staff the simple number of staff members in relation to number of individuals they assist, is a relevant area of concern.
Physical control (mechanical restraint and locked seclusion) of psychiatric patients has received increasing scrutiny, and better understanding of the timing of physical control would allow for more informed choices about its implementation. This study examined temporal regularities in the use of physical control at a general psychiatric hospital over a period of 8.6 years. As hypothesized, physical control was not randomly distributed through time but instead showed positive autocorrelation; yearly, weekly, and daily cycles; and higher frequency at patients' smoking, meal, and medication times. These results are discussed in the context of physical control research, theory, and policy.
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