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Data: Statewide Seclusion/Restraint Episodes

Episodes per 1000 Pt Days. 16. 14. 12. 10. 8. 6. 4. 2. 0. Jul-05. Jul-07. Jul-06. Apr-05. Apr-06. Apr-07. Oct-04. Oct-05. Oct-06. Oct-07. Jan-08. Jan-05. Jan-06. Jan-07. Massachusetts Department of Mental Health

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Data: Statewide Seclusion/Restraint Episodes

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  1. Episodes per 1000 Pt Days 16 14 12 10 8 6 4 2 0 Jul-05 Jul-07 Jul-06 Apr-05 Apr-06 Apr-07 Oct-04 Oct-05 Oct-06 Oct-07 Jan-08 Jan-05 Jan-06 Jan-07 Massachusetts Department of Mental Health SAMHSA State Infrastructure Grant “Alternatives to Restraint and Seclusion” October 2004-September 2007 (plus 1 year no cost extension – 9/08) Target population: Adult, inpatient state operated facilities: Six state hospitals, 5 CMHCs, 3 adolescent units at Taunton and Westborough Data: Statewide Seclusion/Restraint Episodes Calculation: (Sum of all episodes of restraint divided by sum of all patient days in the reporting period) multiplied by 1000.

  2. Percent Change: (Jan05-Mar08) 65% reduction episodes 48% reduction patients restrained 65% reduction episodes / 1000 pt. days Reduction success: Commissioner priority Revised Massachusetts regulations Strong training program Sensory integration Comfort rooms in all facilities Grant Advisory Committee OTA Site Visits and mini site visits Increased consumer input MA DMH SIG 04 - 07

  3. MA DMH LESSONS LEARNED • Need ongoing support after grant funding; • Two hospitals receiving SIG consultant on-site reviews reduced significantly more than the others – other hospitals needed this type of support;

  4. MA DMH: The two state hospitals that received NASMHPD/OTA Site Visits Taunton State Hospital 10 adult units, 1 adolescent unit Westborough State Hospital 5 adult units, 2 adolescent unit Reduction results: Reduction results: (highest value to lowest value) 23.47 (April 2005) to 0.73 (January 2008) = 96.9% (highest value to lowest value) 28.63 (February 2005) to 1.75 (February 2008) = 93.5%

  5. Taunton State Hospital Number of Episodes of R-S 100 90 80 70 60 50 40 30 20 10 0 Feb-06 Feb-07 Feb-08 Feb-05 Jun-05 Oct-04 Jun-06 Jun-07 Oct-05 Oct-06 Oct-07 SumOfNumIntrv

  6. Taunton State Hospital PRIMARY FOCUS AREAS (Strong Steering Committee & Plan): • Leadership • Workforce Development: Recovery theme focus; staff empowerment/respect • Witnessing/Debriefing • Using Data to Inform Practice • Primary Prevention Tools: Big focus on Sensory

  7. Westborough State Hospital PRIMARY FOCUS AREAS (Strong Steering Committee & Plan): • Leadership • Using Data to Inform Practice • Primary Prevention Tools: Big focus on Sensory • Workforce Development • Debriefing

  8. Taunton State Hospital Number of Episodes of R-S 100 90 80 70 60 50 40 30 20 10 0 Feb-06 Feb-07 Feb-08 Feb-05 Jun-05 Oct-04 Jun-06 Jun-07 Oct-05 Oct-06 Oct-07 SumOfNumIntrv

  9. Roberta Guez, Hospital Administrator Taunton State Hospital 60 Hodges Ave Taunton, MA 02780-3034 508-977-3300 Roberta.Guez@state.ma.us Joel Skolnick, COO Westborough State Hospital Lyman Street Westborough MA 01581 508-616-2869 Joel.Skolnick@dmh.state.ma.us Contact for Taunton & Westborough

  10. Contact for MA DMH Initiative Primarily Adult Hospitals Bill Scott, Director of Restraint Elimination Division of Clinical and Professional Services DMH Central Office M029 25 Staniford Street Boston, Massachusetts  02114 617-626-8110 Fax: 617-626-8330 William.Scott2@MassMail.State.MA.US

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