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This book presents an evidence-based framework for replacing harmful, restrictive behavior management practices with safe and effective alternatives. The first half summarizes the concept and history of restraint and seclusion in mental health applications used with impaired elders, children with intellectual disabilities, and psychiatric patients. Subsequent chapters provide robust data and make the case for behavior management interventions that are less restrictive without compromising the safety of the patients, staff, or others. This volume presents the necessary steps toward the gradual elimination of restraint-based strategies and advocates for practices based in client rights and ethical values. Topics featured in this volume include: The epidemiology of restraints in mental health practice. Ethical and legal aspects of restraint and seclusion. Current uses of restraint and seclusion. Applied behavior analysis with general characteristics and interventions. The evidence for organizational interventions. Other approaches to non-restrictive behavior management. Reducing Restraint and Restrictive Behavior Management Practices is a must-have resource for researchers, clinicians and practitioners, and graduate students in the fields of developmental psychology, behavioral therapy, social work, psychiatry, and geriatrics.
Explore the realities behind the headlines concerning children who have been isolated or physically restrained in schools, sometimes resulting in injury or even death. The editors address the legal and ethical issues underlying these practices, and, more importantly, what can be done to move schools away from potentially harmful treatment of children. This valuable resource explores the array of practices and approaches that provide effective and safe ways to prevent and reduce conflict, de-escalate conflict and aggressive behavior and train educators in crisis intervention.
NATIONAL BESTSELLER From a leading child psychologist comes this groundbreaking new understanding of children’s behavior, offering insight and strategies to support both parents and children. Nominated for Malcolm Gladwell, Susan Cain, Adam Grant, and Daniel H. Pink's Next Big Idea Club Over her decades as a clinical psychologist, Dr. Mona Delahooke has routinely counseled distraught parents who struggle to manage their children’s challenging, sometimes oppositional behaviors. These families are understandably focused on correcting or improving a child’s lack of compliance, emotional outbursts, tantrums, and other “out of control” behavior. But, as she has shared with these families, a perspective shift is needed. Behavior, no matter how challenging, is not the problem but a symptom; a clue about what is happening in a child’s unique physiologic makeup. In Brain-Body Parenting, Dr. Delahooke offers a radical new approach to parenting based on her clinical experience as well as the most recent research in neuroscience and child psychology. Instead of a “top-down” approach to behavior that focuses on the thinking brain, she calls for a “bottom-up” approach that considers the essential role of the entire nervous system, which produces children’s feelings and behaviors. When we begin to understand the biology beneath the behavior, suggests Dr. Delahooke, we give our children the resources they need to grow and thrive—and we give ourselves the gift of a happier, more connected relationship with them. Brain-Body Parenting empowers parents with tools to help their children develop self-regulation skills while also encouraging parental self-care, which is crucial for parents to have the capacity to provide the essential “co-regulation” children need. When parents shift from trying to secure compliance to supporting connection and balance in the body and mind, they unlock a deeper understanding of their child, encouraging calmer behavior, more harmonious family dynamics, and increased resilience.
This book is the first to systematically describe the key components necessary to ensure successful implementation of Collaborative Problem Solving (CPS) across mental health settings and non-mental health settings that require behavioral management. This resource is designed by the leading experts in CPS and is focused on the clinical and implementation strategies that have proved most successful within various private and institutional agencies. The book begins by defining the approach before delving into the neurobiological components that are key to understanding this concept. Next, the book covers the best practices for implementation and evaluating outcomes, both in the long and short term. The book concludes with a summary of the concept and recommendations for additional resources, making it an excellent concise guide to this cutting edge approach. Collaborative Problem Solving is an excellent resource for psychiatrists, psychologists, social workers, and all medical professionals working to manage troubling behaviors. The text is also valuable for readers interested in public health, education, improved law enforcement strategies, and all stakeholders seeking to implement this approach within their program, organization, and/or system of care.
The rules of patient restraint and seclusion have changed. Is your staff up to speed? As of January 2007, CMS requires that your hospital comply with new Conditions of Participation for patient restraint and seclusion. The new requirements focus on patient rights and include additional staff training requirements regarding restraint and seclusion.Don t take chances with reimbursement and patient rights. Equip every member of your staff with "The CMS Restraint Training Requirements Handbook. "Sold in packs of 25, these portable handbooks are a necessary resource for easily and effectively informing your staff about the new CMS restraint and seclusion rules. This staff training tool explains the specifics of the new training requirements, including the following prescriptive requirements: Application of restraints Implementation of seclusion Monitoring of patients in restraint/seclusion Assessment of patients in restraint/seclusion Providing care for a patient in restraint or seclusion Concise and easy-to-use, the handbook also includes sample competency assessment skill sheets for staff who are involved in restraint and seclusion. "The CMS Restraint Training"" Requirements Handbook" offers a cost-effective and convenient way to ensure your staff knows how to comply with the latest rules. "
This volume explores different models of regulating the use of restrictive practices in health care and disability settings. The authors examine the legislation, policies, inspection, enforcement and accreditation of the use of practices such as physical, mechanical and chemical restraint. They also explore the importance of factors such as organisational culture and staff training to the effective implementation of regulatory regimes. In doing so, the collection provides a solid evidence base for both the development and implementation of effective approaches to restrictive practices that focus on their reduction and, ultimately, their elimination across health care sectors. Divided into five parts, the volume covers new ground in multiple respects. First, it addresses the use of restrictive practices across mental health, disability and aged care settings, creating opportunities for new insights and interdisciplinary conversations across traditionally siloed sectors. Second, it includes contributions from research academics, clinicians, regulators and mental health consumers, offering a rich and comprehensive picture of existing regulatory regimes and options for designing and implementing regulatory approaches that address the failings of current systems. Finally, it incorporates comparative perspectives from Australia, New Zealand, the Netherlands, Germany and England. The book is an invaluable resource for regulators, policymakers, lawyers, clinicians, consumer advocates and academics grappling with the use and regulation of restrictive practices in mental health, disability and aged care contexts.
When he was twenty-four years old, Clifford Whittingham Beers was interred in a mental asylum. He remained there for three years, battling his mental illness. In his autobiography, A Mind That Found Itself, he recounts the civil war that took place in his mind. The publication of this book in 1908 caused huge public outcry and began an inquiry into the state of mental health care. It contributed significantly to the beginnings of the modern mental health movement. As part of our mission to publish great works of literary Fiction and nonFiction, Sheba Blake Publishing Corp. is extremely dedicated to bringing to the forefront the amazing works of long dead and truly talented authors.