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Office of Mental Health

Stories of Success/Models for Culture Change

This section presents the experiences of mental health providers that have successfully used the Six Core Strategies and similar approaches to transform their service cultures to promote positive environments and significantly reduce their use of restraint and seclusion. Included here are the stories from: the facilities that participated in PARS and those that received PARS awards; individual providers and provider associations from around the country; and the State of Massachusetts. The final subsection reviews the national initiative to reduce the use of restraint and seclusion and shows the success of this initiative as evidenced by hospitals in several different states, through PowerPoints generated by faculty of the NASMHPD Office of Technical Assistance.

The PARS Experience

Presentation and Resource Name Form
The House of the Good Shepherd Presentation - Lessons Learned PDF Document
Brylin Hospital Presentation - Lessons Learned PowerPoint Document
Western New York Children's PC - Lessons Learned PowerPoint Document
South Beach Presentation - Lessons Learned PowerPoint Document
St. Joseph's Villa RTF - Lessons Learned PowerPoint Document

Stories of Service Providers from Around the Country

Presentation and Resource Name Form
Massachusetts - Three Rivers Progam: Paradigm Shifting PowerPoint Document
New York - Andrus Children's Center - From Restraint to Creating Sanctuary PowerPoint Document
New York - Reducing the Use of Seclusion and Restraint in Psychiatric Emergency and Adult Inpatient Services -
Improving Patient-Centered Care
PDF DocumentLeaving OMH site
New York - The Arc of Delaware County - Publications on Proactive Behavior Management and Going Restraint-Free Leaving OMH site
Ohio - The Village Network - Knox County Children's Resource Center -
Creating and Supporting Coercion-Free and Violence-Free Treatment Environments
PowerPoint Document
Pennsylvania - Chambersburg Hospital - Reducing Restraints and Eliminating Seclusion: Struggles and Strategies PowerPoint Document

State Initiatives

Presentation and Resource Name Form
Massachusetts - To Be the Best Healing Environment PowerPoint Document
Massachusetts - Youth Position Statement on Restraint / Seclusion - Youth Version Word DocumentLeaving OMH site
Massachusetts - Youth Position Statement on Restraint / Seclusion - Adult Version Word DocumentLeaving OMH site

The National Initiative - Results

Presentation and Resource Name Form
Best Practices in the Prevention of Restraint / Seclusion PowerPoint Document
Preventing Violence, Trauma, and the Use of Seclusion and Restraint in Mental Health Settings PDF DocumentLeaving OMH site
Preventing the Need for Restraint and Seclusion: Summation of Key Results of SAMHSA's National Initiative PowerPoint Document

The Sanctuary Model

Presentation and Resource Name Form
The Sanctuary Model Leaving OMH site