The Office of Mental Retardation’s Plan to Support Elimination of Restraint through Positive Practices - Chapter 1. National Perspective. Elimination and reduction of restraint is a national trend.
“…It is now a priority for SAMSA to work with States…to ultimately eliminate the use of seclusion and restraint…There is a wealth of research that physical force, bodily immobilization and isolation inherent in the practices of seclusion and restraint are dehumanizing…” Substance Abuse & Mental Health Services Administration. Administrator Charles Curie
Restraints are used only when absolutely necessary and for safety reasons.
Restraints are not used as, or meant to be punishment
Patients are restrained for such trivial “offenses” as refusing to move to another dining room table.
People who have been secluded or restrained typically experience a sense of punishment.National Perspective
MR Bulletin 00-06-09
Effective May 1, 2006
Although the intent of this Bulletin is to guide activities toward the eventual elimination of restraints throughout the entire MR Service system, the bulletin does not prohibit their use. Restraint is to be considered only as a last resort and in situations where any person’s immediate health and safety are in jeopardy. This bulletin offers best practice suggestions that are part of an OMR plan to incrementally reduce the incidents of restraint.
OMR Recommends Providers develop procedures that outline specific steps to be taken for the elimination of restraint components in any individual’s plan and approval of individual specific plans that contain the following positive components:
Sharon Lipscomb Michele O’Toole
300 Liberty Avenue 100 Lackawanna Ave.
Pittsburgh, PA 15222 Scranton, PA 18503
Central RegionSoutheast Region
William Bruaw Kathleen Gerrity
430 Willow Oak Bldg. 1400 Spring Garden St.
Harrisburg, PA 17105 Philadelphia, PA 19130
717-705-8266 215-560-2247OMR Contacts