Relationship Between Seclusion and Restraint Reduction and Assaults in Pennsylvania’s Forensic Services Centers: 2001–2010

Abstract

Decreasing the use of containment procedures had a positive effect on reducing assaults. Leadership, data transparency, use of clinical alerts, workforce development, policy changes, and discontinuation of psychiatric use of PRN orders were all contributing factors. A philosophical change toward a recovery model of psychiatric care and services was the driving force behind this transformation.