TY - JOUR AB - In child and adolescent inpatient, residential and day-treatment facilities, the use of physical restraints and the occurrence of critical incidents are a significant problem. Restraints may sometimes be necessary if a child exhibits dangerous aggressive behavior, but may also be misused or overused, and have been shown to be preventable in many cases. This study aims to investigate if the implementation of the Neurosequential Model of Therapeutics (NMT) has an effect on the annual number of physical restraint incidents in a residential treatment facility for children with complex mental health disorders. Data before and after NMT implementation were collected from the agency's restraint records. The results showed that post-NMT implementation, there was a substantial and sustained reduction in restraint incidents, with a Cohen's d value of 2.03, indicating a very large effect. Limiting restraint use in treating children with complex mental health disorders can foster a safer and more therapeutic environment, with potential improvements in treatment outcomes. This study demonstrated a substantial drop in restraint incidents following the implementation of the Neurosequential Model in a residential facility for children aged 7–13. This reduction is presumably pivotal for children with complex mental health disorders, making treatment less coercive and offering promise for settings in which restraint incidents are a concern. [ABSTRACT FROM AUTHOR] Copyright of Youth (2673-995X) is the property of MDPI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) AN - 181939859 AU - Bakken, Ann-Karin Nielsen AU - Johannessen, Kaja Næss AU - Hambrick, Erin P. AU - Solbakken, Ole André C1 - 2025-02-19 CN - SocINDEX uppdatering 2025-02-19 DB - sih DO - 10.3390/youth4040101 DP - EBSCOhost IS - 4 KW - Involuntary treatment Mental illness Institutional care Restraint of patients Periodic health examinations child mental health critical incidents NMT physical restraints residential treatment LB - NEW M3 - Article N1 - Bakken, Ann-Karin Nielsen 1; Email Address: ann-karin@snu-senteret.no; Johannessen, Kaja Næss 1; Hambrick, Erin P. 2; Email Address: erinhambrick@gmail.com; Solbakken, Ole André 3; Email Address: o.a.solbakken@psykologi.uio.no; Affiliations: 1 : SNU Senter for Nevrobiologisk Utviklingspsykologi, Dalbekkveien 46, 0682 Oslo, Norway; 2 : Department of Psychology and Counseling, University of Missouri, Kansas City, MO 64110, USA; 3 : Department of Psychology, University of Oslo, 0313 Oslo, Norway; Source Info: Dec2024, Vol. 4 Issue 4, p1582; Thesaurus Term: Involuntary treatment; Thesaurus Term: Mental illness; Thesaurus Term: Institutional care; Subject Term: Restraint of patients; Subject Term: Periodic health examinations; Author-Supplied Keyword: child mental health; Author-Supplied Keyword: critical incidents; Author-Supplied Keyword: NMT; Author-Supplied Keyword: physical restraints; Author-Supplied Keyword: residential treatment; Number of Pages: 9p; Document Type: Article; Full Text Word Count: 5163 PY - 2024 SN - 2673995X SP - 1582-1590 ST - Reduction in Restraint and Critical Incidents in a Norwegian Residential Treatment Facility for Children Aged 7–13 Following the Implementation of the Neurosequential Model of Therapeutics T2 - Youth (2673-995X) TI - Reduction in Restraint and Critical Incidents in a Norwegian Residential Treatment Facility for Children Aged 7–13 Following the Implementation of the Neurosequential Model of Therapeutics UR - https://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=181939859&site=ehost-live VL - 4 ID - 25 ER - TY - JOUR AB - BACKGROUND: Adolescents have the right to be involved in decisions affecting their healthcare. More knowledge is needed to provide quality healthcare services that is both suitable for adolescents and in line with policy. Shared decision-making has the potential to combine user participation and evidence-based treatment. Research and governmental policies emphasize shared decision-making as key for high quality mental healthcare services. OBJECTIVE: To explore adolescents' experiences with user participation and shared decision-making in mental healthcare inpatient units. METHOD: We carried out ten in-depth interviews with adolescents (16-18 years old) in this qualitative study. The participants were admitted to four mental healthcare inpatient clinics in Norway. Transcribed interviews were subjected to qualitative content analysis. RESULTS: Five themes were identified, representing the adolescents' view of gaining trust, getting help, being understood, being diagnosed and labeled, being pushed, and making a customized treatment plan. Psychoeducational information, mutual trust, and a therapeutic relationship between patients and therapists were considered prerequisites for shared decision-making. For adolescents to be labeled with a diagnosis or forced into a treatment regimen that they did not initiate or control tended to elicit strong resistance. User involvement at admission, participation in the treatment plan, individualized treatment, and collaboration among healthcare professionals were emphasized. CONCLUSIONS: Routines for participation and involvement of adolescents prior to inpatient admission is recommended. Shared decision-making has the potential to increase adolescents' engagement and reduce the incidence of involuntary treatment and re-admission to inpatient clinics. In this study, shared decision-making is linked to empowerment and less to standardized decision tools. To be labeled and dominated by healthcare professionals can be a barrier to adolescents' participation in treatment. We suggest placing less emphasis on diagnoses and more on individualized treatment. AD - Centre for Resilience in Healthcare, Faculty of Health Science, University of Stavanger, Norway. Department of Psychiatry, Stavanger University Hospital, Norway. Department of Public Health, Faculty of Health Science, University of Stavanger, Norway. AN - 33564630 AU - Bjønness, S. AU - Grønnestad, T. AU - Storm, M. C2 - PMC7863730 DO - 10.21307/sjcapp-2020-014 DP - NLM ET - 20200919 KW - adolescent inpatient mental health qualitative study shared decision-making user participation L1 - internal-pdf://3980552390/Bjonness 2020.pdf LA - eng N1 - 2245-8875 Bjønness, Stig Grønnestad, Trond Storm, Marianne Journal Article Poland 2021/02/11 Scand J Child Adolesc Psychiatr Psychol. 2020 Sep 19;8:139-148. doi: 10.21307/sjcapp-2020-014. eCollection 2020. PY - 2020 SN - 2245-8875 SP - 139-148 ST - I'm not a diagnosis: Adolescents' perspectives on user participation and shared decision-making in mental healthcare T2 - Scand J Child Adolesc Psychiatr Psychol TI - I'm not a diagnosis: Adolescents' perspectives on user participation and shared decision-making in mental healthcare VL - 8 ID - 1 ER - TY - JOUR AB - Purpose: The purpose of this study was to examine the effectiveness of a trauma-informed approach that was adapted for psychiatric residential treatment (PRT) for children aged 5–17. Methods: Data were extracted from case files of 100 youths who received traditional PRT and 105 youths who received trauma-informed PRT (TI-PRT). Outcome measures included change in functional impairment, physical restraints and locked seclusion room incidents, length of time in care, and discharge placement type. Results: Results of a repeated measures analysis of variance demonstrated that youth who received TI-PRT experienced greater improvements in functional impairment. Results of a zero-inflated Poisson showed that youth in TI-PRT had fewer seclusion room incidents. Finally, the average length of time in care was significantly shorter for the TI-PRT group. Discussion: The results support trauma-informed PRT as a promising approach for helping youth achieve greater stability in functioning and for addressing issues of long-standing concern in residential care settings. (PsycINFO Database Record (c) 2017 APA, all rights reserved) AN - 2017-18740-001 AU - Boel-Studt, Shamra Marie DO - 10.1177/1049731515614401 IS - 3 L1 - internal-pdf://3901516505/Boel-Studt och medförfattare 2017.pdf PY - 2017 SP - 273-282 ST - A quasi-experimental study of trauma-informed psychiatric residential treatment for children and adolescents T2 - Research on Social Work Practice TI - A quasi-experimental study of trauma-informed psychiatric residential treatment for children and adolescents UR - https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2017-18740-001&site=ehost-livesboelstudt@fsu.edu VL - 27 ID - 2 ER - TY - JOUR AB - This mixed-method exploratory inductive study examined incarcerated youths' and staff members' perceptions of a new community-focused therapeutic model in a large youth prison. Via 18 focus groups (N = 141) and facility-wide surveys (N = 248), both youth and staff shared perceptions of specific structural components of the model designed to change their relationship to one another, such as consistent staffing, higher staff-resident ratios, and program features designed to enhance rapport. Both groups also provided rich descriptions of the altered interpersonal dynamics related to connection and caring, two of the five C's of Positive Youth Development (PYD), that were facilitated through those structural changes. Findings suggest the model's intentional redefinition of resident-staff relationships directly contributed to meaningful resident and staff experiences. Perceptions of those relationships—rarely explored in the extant literature—were examined and illustrated through focus group data. This study illuminates the subjective experiences of both groups as they put the model into practice and reveals key insights about therapeutic correctional programs based on PYD in secure facilities that have important implications for juvenile correctional theory, research, practice, and policy. (PsycInfo Database Record (c) 2023 APA, all rights reserved) AN - 2023-40021-005 AU - Brubaker, Sarah Jane AU - Cleary, Hayley M. D. DO - 10.1177/0306624X211065586 IS - 4 L1 - internal-pdf://0738094238/brubaker-cleary-2021-connection-and-caring-thr.pdf N1 - Elizabeth Åhsberg (2024-01-04 23:46:28)(Screen): community-focused therapeutic model , ungdomars + personals upplevelser, youth-prison = SIS? rätt setting?; PY - 2023 SP - 373-397 ST - Connection and caring through a therapeutic juvenile corrections model: Staff and youth resident perceptions of structural and interpersonal dimensions T2 - International Journal of Offender Therapy and Comparative Criminology TI - Connection and caring through a therapeutic juvenile corrections model: Staff and youth resident perceptions of structural and interpersonal dimensions UR - https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2023-40021-005&site=ehost-livesbrubaker@vcu.edu VL - 67 ID - 3 ER - TY - JOUR AB - OBJECTIVE: There are few data to guide management of agitated and aggressive psychiatrically hospitalized children. Available studies do not account for setting, age, sex, diagnosis, admission reason, or clinical intervention. Seclusion, restraint, and physical holds (S/R/H) are usually the only outcome measure. In this study, we examine changes in PRN (pro re nata, or "as needed") psychotropic medication use to manage severe aggression on a children's psychiatric inpatient unit, comparing rates before and after a behavior modification program (BMP) was discontinued., METHOD: We compare 661 children (aged 5-12 years) in 5 cohorts over 10 years, 510 (77%) of whom were admitted for aggressive behavior. PRN use per 1,000 patient-days was the primary outcome measure, but S/R/H was also examined. We use the following as predictors: BMP status, full- or half-time child and adolescent psychiatrist (CAP) oversight, diagnosis, age, length of stay, and neuroleptic use., RESULTS: Children admitted for aggression had high rates of externalizing disorders (79%), low rates of mood (27%) and anxiety (21%) disorders, and significantly higher rates of PRN and S/R/H (p < .001) use. Rate of PRN use was significantly lower (p < .001) when the BMP was present (mean [SD], 163 [319] per 1,000 patient-days) than when it was absent (483 [569]; p < .001). Higher PRN use was predicted by BMP absence, neuroleptic treatment, and young patient age (p < .001), and by half-time CAP oversight (p = .002)., CONCLUSION: In this sample of young children with primarily externalizing disorders, data support the effectiveness of a BMP in lowering rates of PRN and S/R/H use. Copyright © 2019 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved. AU - Carlson, Gabrielle A. AU - Chua, Jaclyn AU - Pan, Katherine AU - Hasan, Tahsin AU - Bied, Adam AU - Martin, Andres AU - Klein, Daniel N. DO - 10.1016/j.jaac.2019.07.940 IS - 5 L1 - internal-pdf://2462019203/Carlson och medförfattare 2020.pdf N1 - Elizabeth Åhsberg (2023-12-20 00:23:17)(Screen): förekomst av tvångsåtgärder under 10 år, barn + unga, fråga 1 + 3?; PY - 2020 RN - Köpt för 55.62 SP - 632-641.e4 ST - Behavior Modification Is Associated With Reduced Psychotropic Medication Use in Children With Aggression in Inpatient Treatment: A Retrospective Cohort Study T2 - Journal of the American Academy of Child and Adolescent Psychiatry TI - Behavior Modification Is Associated With Reduced Psychotropic Medication Use in Children With Aggression in Inpatient Treatment: A Retrospective Cohort Study UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med17&NEWS=N&AN=31381991 VL - 59 ID - 4 ER - TY - JOUR AB - Children with autism spectrum disorder (ASD) are frequently hospitalized within general psychiatric settings, which are not usually designed to meet their needs. An initial evaluation of a care pathway developed for youth with ASD receiving services in a general psychiatric inpatient unit (ASD-CP) showed promise in improving outcomes while using few resources (Kuriakose et al. in J Autism Dev Disord 48:4082-4089, 2018). As sustainability of inpatient psychiatric initiatives is imperative but rarely investigated, this study examined the stability of ASD-CP outcomes during an 18-month follow-up period (n = 15) compared to the 18-month initial evaluation (n = 20) and 18-month pre-implementation (n = 17) periods. Decreased use of crisis interventions, including holds/restraints and intramuscular medication use, was sustained in the 18 months after the initial implementation period. Implications and limitations are discussed. AU - Cervantes, Paige AU - Kuriakose, Sarah AU - Donnelly, Lauren AU - Filton, Beryl AU - Marr, Mollie AU - Okparaeke, Eugene AU - Voorheis, Katherine AU - Havens, Jennifer AU - Horwitz, Sarah DO - 10.1007/s10803-019-04029-6 IS - 8 L1 - internal-pdf://3512299842/Cervantes och medförfattare 2019.pdf N1 - Elizabeth Åhsberg (2024-01-16 18:21:01)(Screen): vårdförlopp för barn med autism; PY - 2019 SP - 3173-3180 ST - Sustainability of a Care Pathway for Children and Adolescents with Autism Spectrum Disorder on an Inpatient Psychiatric Service T2 - Journal of autism and developmental disorders TI - Sustainability of a Care Pathway for Children and Adolescents with Autism Spectrum Disorder on an Inpatient Psychiatric Service UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med16&NEWS=N&AN=31065864 https://link.springer.com/article/10.1007/s10803-019-04029-6 VL - 49 ID - 5 ER - TY - JOUR AB - Adolescents in residential treatment settings have symptoms that prevent them from participation in normal youth activities, which in turn prevent development of social skills and competencies. A sports-based intervention called 'Do the Good' (DtG) was designed for this population using trauma-informed treatment principles. This paper describes the intervention model and presents outcome data. A total of 88 female residential students aged 12 to 21 participated, including 62 students voluntarily enrolled in the sports league and 26 treatment-as-usual (TAU) comparisons. Positive behaviors (e.g., helping peers, perseverance) during games were observed and coded for sports league participants and their coaches. Mental health charts of DtG and TAU participants were reviewed for behavior and symptoms prior to program participation, and again post-program. Girls in the sports league exhibited reductions in restraints and time-outs, as well as internalizing and externalizing symptoms. These data provide evidence that sports-based interventions present a promising adjunctive approach for traumatized youth. (PsycINFO Database Record (c) 2017 APA, all rights reserved) AN - 2013-30199-001 AU - D'Andrea, Wendy AU - Bergholz, Lou AU - Fortunato, Andrea AU - Spinazzola, Joseph DO - 10.1007/s10896-013-9533-x IS - 7 L1 - internal-pdf://1533703435/D'Andrea och medförfattare 2013.pdf N1 - Elizabeth Åhsberg (2024-01-27 01:57:13)(Screen): Do the Good' (DtG), kolla utfall; PY - 2013 SP - 739-749 ST - Play to the whistle: A pilot investigation of a sports-based intervention for traumatized girls in residential treatment T2 - Journal of Family Violence TI - Play to the whistle: A pilot investigation of a sports-based intervention for traumatized girls in residential treatment UR - https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2013-30199-001&site=ehost-livedandreaw@newschool.edu https://link.springer.com/article/10.1007/s10896-013-9533-x VL - 28 ID - 6 ER - TY - JOUR AB - Purpose: Serious juvenile delinquency is a significant and costly problem in the society. However, custodial environments often exacerbate current problems and promote recidivism. Girls' delinquency, in particular, may call for trauma-informed approaches within organizations that serve the most serious offenders. The purpose of this paper is to explore whether implementation of a trauma-informed intervention that aims to change the therapeutic stand of the organization, the Sanctuary Model®, corresponded with improved indicators of physical and psychological safety of staff and youth at a female secure juvenile justice facility. Design/methodology/approach: This study utilizes quantitative administrative and performance-based standards (PbS) data routinely collected at the facility. Findings: Findings suggest that the facility was a safer place for both residents and staff after implementation of the model. Its safety indicators also compare favorably to those of the juvenile justice correctional field in general. Research limitations/implications: This study was constrained by a number of limitations, including lack of some desirable detail on the PbS measures and on a comparable field group of girls' facilities. It is also hard to assess the impact of other concurrent changes in the facility. Future research that addresses these issues would be useful in further determining the utility of the model. Originality/value: This study is the first to examine the impact of a structured trauma-informed organizational change intervention based on therapeutic communities principles, namely the Sanctuary Model, on staff and youth in a secure juvenile justice facility. Findings may be of value to practitioners, administrators, policy makers, and researchers in the corrections field. (PsycINFO Database Record (c) 2017 APA, all rights reserved) AN - 2015-50906-002 AU - Elwyn, Laura J. AU - Esaki, Nina AU - Smith, Carolyn A. DO - 10.1108/TC-11-2014-0038 IS - 4 L1 - internal-pdf://2208069359/Elwyn och medförfattare 2015.pdf N1 - Uliana Hellberg (2024-01-24 22:10:41)(Screen): tvångsåtgärder?; Elizabeth Åhsberg (2024-01-11 04:07:12)(Screen): trauma-informed intervention, rätt setting?; PY - 2015 RN - Köpt för $34.62 SP - 209-218 ST - Safety at a girls secure juvenile justice facility T2 - Therapeutic Communities TI - Safety at a girls secure juvenile justice facility UR - https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2015-50906-002&site=ehost-liveNEsaki@jdam.org VL - 36 ID - 7 ER - TY - JOUR AB - Juvenile justice facilities have historically struggled with creating and maintaining safe, therapeutic environments. The need to maintain order has often led to practices that diminish and traumatize residents rather than enable healing and development. Efforts to create change in institutional settings face a range of implementation challenges and constraints that include lack of leadership, lack of follow through, and entrenched staff practices and attitudes (Aarons, 2006). Using descriptive information gathered at a secure juvenile justice facility for girls in Pennsylvania that implemented a trauma informed organizational change model, the Sanctuary Model®, this study seeks to understand what changed in the facility during and immediately after the implementation of the model. We also seek to understand what factors, other than the model itself, were perceived as critical to model implementation and positive change. © 2017 Taylor & Francis Group, LLC. AD - Otto Pond Analytics, Middletown, NY, United States ANDRUS, Sanctuary Institute, Yonkers, NY, United States School of Social Welfare, University at Albany State University of New York, Albany, NY, United States AU - Elwyn, L. J. AU - Esaki, N. AU - Smith, C. A. C1 - 2025-02-19 CN - Scopus citering uppdatering 2025-02-19 DB - Scopus DO - 10.1080/23303131.2016.1200506 IS - 2 J2 - Hum. Serv. Organ. Manag. leadersh. gov. KW - Juvenile justice institutions organizational change organizational culture process evaluation trauma-informed LA - English LB - NEW M3 - Article N1 - Export Date: 19 February 2025; Cited By: 19; Correspondence Address: N. Esaki; ANDRUS, Sanctuary Institute, Yonkers, 1156 North Broadway, 10701, United States; email: NEsaki@jdam.org PY - 2017 SN - 23303131 (ISSN) SP - 106-118 ST - Importance of Leadership and Employee Engagement in Trauma-Informed Organizational Change at a Girls' Juvenile Justice Facility T2 - Human Service Organizations Management, Leadership and Governance TI - Importance of Leadership and Employee Engagement in Trauma-Informed Organizational Change at a Girls' Juvenile Justice Facility UR - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84978173464&doi=10.1080%2f23303131.2016.1200506&partnerID=40&md5=e6a80f91f0e899d70bff508df3edf18a VL - 41 ID - 26 ER - TY - JOUR AB - OBJECTIVE: Effects of collaborative problem-solving (CPS) approaches on an inpatient adolescent psychiatric unit were investigated during this study, modeling Dr. Ross Greene's CPS theory, which considers that cognitive deficits are associated with adolescent behavioral dysfunction; his research, treatment, and subsequent results on similar units were notably successful., PROBLEM: The staff viewed prestudy, negative behavior modification and resultant punitive consequences as culturally acceptable. New York State's Office of Mental Health (OMH) disapproved these strategies, necessitating cultural transformation and alteration of routine responses to patients' maladaptive behaviors., METHOD: The study incorporates quantitative, comparative, quasi-experimental design, utilizing retrospective staff surveys and hospital medical records to compare behavioral outcomes and staff perceptions during pre- and post-training phases of this 5-year study., RESULTS: A significant decrease in punitive strategies and techniques (p = .001), reduction in behaviors related to the need for restraints, and significant decline in self-inflicted injury (p = .005), length of stay (p = .001), and need for security staff involvement (p = .001) were noted. Copyright © 2016 Wiley Periodicals, Inc. AU - Ercole-Fricke, Eugenia AU - Fritz, Paul AU - Hill, Linda E. AU - Snelders, Jill DO - 10.1111/jcap.12149 IS - 3 L1 - internal-pdf://3788929142/Child Adoles Psych Nursing - 2016 - Ercole‐Fri.pdf N1 - Elizabeth Åhsberg (2023-12-28 20:13:45)(Screen): gemensam problemlösning?; PY - 2016 SP - 127-34 ST - Effects of a Collaborative Problem-Solving Approach on an Inpatient Adolescent Psychiatric Unit T2 - Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc TI - Effects of a Collaborative Problem-Solving Approach on an Inpatient Adolescent Psychiatric Unit UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=27580658 VL - 29 ID - 8 ER - TY - JOUR AB - This article reports outcomes of Trauma Affect Regulation: Guide for Education and Therapy (TARGET), a group and milieu intervention, in three juvenile detention facilities, controlling for site, length of stay, ethnicity, number of arrests, mental health and traumatic stress problems, and cohort effects. Linear multiple regression results showed that every session of TARGET received in the first seven days of detention was associated with 54% fewer disciplinary incidents and 72 fewer minutes of disciplinary seclusion ( p < .001) for each youth during the modal stay (14 days) in detention. TARGET group participation was unrelated to recidivism, but recidivism declined significantly following implementation of TARGET. Implementing TARGET in juvenile detention facility milieus might improve safety, reduce punitive sanctions, and potentially reduce recidivism. AN - 104565123. Language: English. Entry Date: 20120620. Revision Date: 20231107. Publication Type: Journal Article AU - Ford, Julian D. AU - Hawke, Josephine DO - 10.1080/10926771.2012.673538 IS - 4 L1 - internal-pdf://4172577323/Ford och medförfattare 2012.pdf N1 - Elizabeth Åhsberg (2024-01-03 18:59:24)(Screen): Trauma Affect Regulation: Guide for Education and Therapy (TARGET), juvenile detention facilities = SIS?; PY - 2012 SP - 365-384 ST - Trauma Affect Regulation Psychoeducation Group and Milieu Intervention Outcomes in Juvenile Detention Facilities T2 - Journal of Aggression, Maltreatment & Trauma TI - Trauma Affect Regulation Psychoeducation Group and Milieu Intervention Outcomes in Juvenile Detention Facilities UR - https://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=104565123&site=ehost-live VL - 21 ID - 9 ER - TY - JOUR AB - [Correction Notice: An Erratum for this article was reported in Vol 9(1) of Journal of Child & Adolescent Trauma (see record [rid]2017-00625-004[/rid]). In the original article, there was an error in the original abstract. The correct abstract is provided.] Despite the importance of the therapeutic relationship between staff and youth in residential care, and the critical role such relationships play in addressing trauma and promoting resilience, there is a dearth of information on how to improve the quality of those relationships. This pilot evaluation study examined the impact of a play-based, trauma-informed training program for staff working in shelters for unaccompanied migrant youth. The play-based training is specifically designed to foster collaborative relationships and well-being among participants.We assessed staff's beliefs about relational capacities, job satisfaction, and adverse incidents at four sites piloting the program, complemented by qualitative interviews. We found statistically significant improvement in group beliefs about safety, trust, intimacy, and control; group beliefs about the shelters' capacity to address mental health issues; job satisfaction; and reduction in the incidence of restraints. These findings support the usefulness of therapeutic playmaking skills for residential care staff working with vulnerable and traumatized youth, particularly when combined with clinical methods for addressing trauma. (PsycINFO Database Record (c) 2017 APA, all rights reserved) AN - 2017-00625-003 AU - Hidalgo, José AU - Maravić, Melissa Culhane AU - Milet, René C. AU - Beck, James C. DO - 10.1007/s40653-015-0076-6 IS - 1 L1 - internal-pdf://0355826610/Hidalgo och medförfattare 2016.pdf internal-pdf://2058648888/Hidalgo-2016-Promoting collaborative relations.pdf N1 - Elizabeth Åhsberg (2024-01-17 01:40:40)(Screen): migranter, ensamkommande; PY - 2016 SP - 17-28 ST - Promoting collaborative relationships in residential care of vulnerable and traumatized youth: A playfulness approach integrated with trauma systems therapy T2 - Journal of Child & Adolescent Trauma TI - Promoting collaborative relationships in residential care of vulnerable and traumatized youth: A playfulness approach integrated with trauma systems therapy UR - https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2017-00625-003&site=ehost-livejahmd@mac.com https://link.springer.com/article/10.1007/s40653-015-0076-6 https://link.springer.com/content/pdf/10.1007/s40653-015-0076-6.pdf VL - 9 ID - 10 ER - TY - JOUR AB - BACKGROUND: Decrease in coercive measures can lead to increased exposure to antipsychotics and benzodiazepines. This is not desirable as these drugs are associated with harmful side effects and reduced life expectancy., AIM: To quantify and compare the use of antipsychotic and anxiolytic medications in connection with the implementation of a programme to reduce coercion and restraint., METHODS: Observational study in a general psychiatric ward comparing psychopharmacological treatment after implementation of non-pharmacological interventions to reduce coercion and mechanical restraint with a historical reference cohort from the same ward., RESULTS: Data from 101 admissions after implementation of interventions were compared with data from 85 admissions in a historical reference cohort. Mean defined daily doses of antipsychotics, benzodiazepines or the total amount of both showed no difference before and after implementation of the programme. Standardised regression coefficients (beta) from a mixed effects linear regression model, adjusted for age, gender, length of admission, involuntary admission and history of substance abuse showed that neither total dose of antipsychotics (adjusted beta: .05, 95% confidence interval (CI): -0.20 to 0.31), total dose of benzodiazepines (adjusted beta: -.13, 95%CI: -.42 to 0.16) nor total amount of both drugs (adjusted beta: .00, 95%CI: -.26 to 0.21) increased after implementation., CONCLUSION: Decrease in coercive measures from 2013 to 2016 has not lead to significant increases in the use of antipsychotic medication or benzodiazepines. The interventions are useful in establishing restraint-free wards, and careful monitoring of the psychopharmacological treatment is important for patient safety. AU - Højlund, Mikkel AU - Hogh, Lene AU - Bojesen, Anders Bo AU - Munk-Jorgensen, Povl AU - Stenager, Elsebeth DO - 10.1177/0020764018760650 IS - 3 L1 - internal-pdf://3155852897/Hojlund och medförfattare 2018.pdf N1 - Elizabeth Åhsberg (2024-01-03 19:58:08)(Screen): om samband olika tvångsåtgärder, kolla population (vara vuxna?) + intervention (programme to reduce coercion); PY - 2018 SP - 258-265 ST - Use of antipsychotics and benzodiazepines in connection to minimising coercion and mechanical restraint in a general psychiatric ward T2 - The International journal of social psychiatry TI - Use of antipsychotics and benzodiazepines in connection to minimising coercion and mechanical restraint in a general psychiatric ward UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med15&NEWS=N&AN=29480051 VL - 64 ID - 11 ER - TY - JOUR AB - Youth with autism spectrum disorder (ASD) are psychiatrically hospitalized at high rates. Though specialized psychiatric units are effective, few specialized units exist. The ASD Care Pathway (ASD-CP) was developed as a scalable approach to improving care in general psychiatric units through staff training and a package of autism-specific intervention strategies. An evaluation of the effectiveness of the ASD-CP in a public hospital child psychiatric service compared 18 months (n = 17) versus 18 months (n = 20) post implementation. Average length of hospital stay decreased 40% (22.4-13.4 days) and use of crisis interventions decreased 77% (holds/restraints; 0.65/day to 0.15/day), though each result only approached statistical significance (p = 0.07; 0.057). This study provides preliminary evidence for improved outcomes after implementation of an ASD-CP. AU - Kuriakose, Sarah AU - Filton, Beryl AU - Marr, Mollie AU - Okparaeke, Eugene AU - Cervantes, Paige AU - Siegel, Matthew AU - Horwitz, Sarah AU - Havens, Jennifer DO - 10.1007/s10803-018-3666-y IS - 12 L1 - internal-pdf://1783726040/Kuriakose och medförfattare 2018.pdf N1 - Elizabeth Åhsberg (2024-01-14 18:43:54)(Screen): vårdförlopp vid autism; PY - 2018 SP - 4082-4089 ST - Does an Autism Spectrum Disorder Care Pathway Improve Care for Children and Adolescents with ASD in Inpatient Psychiatric Units? T2 - Journal of autism and developmental disorders TI - Does an Autism Spectrum Disorder Care Pathway Improve Care for Children and Adolescents with ASD in Inpatient Psychiatric Units? UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med15&NEWS=N&AN=29971653 https://link.springer.com/article/10.1007/s10803-018-3666-y VL - 48 ID - 12 ER - TY - JOUR AB - WHAT IS KNOWN ON THE SUBJECT: Restraining and secluding health consumers for safety reasons continue to be used in psychiatric inpatient facilities even though they have no therapeutic value and have negative effects on consumers, families and staff. Six Core Strategies (6CS) for reducing seclusion and restraint have been developed to address this problem but there are very few effectiveness studies in inpatient adolescent psychiatric facilities., WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE: We used a mixed methods approach to evaluate the implementation of 6CS in an adolescent psychiatric facility. The implementation was successful. It eliminated the use of seclusion, substantially reduced the use of restraints and significantly reduced staff absenteeism. Using thematic analysis on feedback surveys, we identified five dominant themes that described consumers' and carers' experiences during their stay at the facility: communication, service delivery, flexibility, consistency and internal feeling states., WHAT ARE THE IMPLICATIONS FOR PRACTICE: This study provides support for the feasibility of a comprehensive and broad-based intervention program such as 6CS to reduce seclusion and restraint practices in inpatient mental health facilities. This study also demonstrates the value of using surveys to gather consumer and carer feedback and improve outcomes for service users., ABSTRACT: Introduction Seclusion and restraint practices are routinely used in psychiatric facilities but are controversial for ethical, legal and safety reasons, and can cause significant harm to consumers, staff and organisations. Six Core Strategies (6CS) for reducing seclusion and restraint were developed to address this problem but very few studies have examined their effectiveness in adolescent settings. Aim/Question To evaluate the implementation of 6CS in an adolescent inpatient psychiatric facility. Method We retrieved archival data from an acute adolescent psychiatric ward that implemented the 6CS. Using a mixed methods approach, we evaluated outcomes on the use of seclusion and restraint, nursing staff sick leave and feedback surveys. Results Findings showed an elimination of seclusion, and a significant reduction in restraint use and staff absenteeism in the 12 months after project implementation. Thematic analysis of feedback survey responses identified communication, service delivery, flexibility, consistency and internal feeling states as dominant themes in consumers' and carers' experience on the unit. Discussion The 6CS is feasible and may be effective in reducing seclusion and restraint, which in turn may have a positive impact on staff wellbeing. Implications for Practice Implementation of the 6CS with executive support, combined with staff and programmatic changes at a local level is recommended. Copyright © 2023 The Authors. Journal of Psychiatric and Mental Health Nursing published by John Wiley & Sons Ltd. AU - Lee-Aube, Angel AU - Vakili, Alexandra AU - Padhi, Ashwini AU - Joseph, Sumithira AU - Norcott, Julie AU - Yap, Keong DO - 10.1111/jpm.13000 L1 - internal-pdf://4026302955/Psychiatric Ment Health Nurs - 2023 - Lee‐Aube.pdf N1 - Elizabeth Åhsberg (2023-12-20 01:59:56)(Screen): six core strategies, psykiatri fråga 1; PY - 2023 ST - Reducing seclusion and restraint in an acute adolescent psychiatric ward: A feasibility study T2 - Journal of psychiatric and mental health nursing TI - Reducing seclusion and restraint in an acute adolescent psychiatric ward: A feasibility study UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medp&NEWS=N&AN=38059413 ID - 13 ER - TY - JOUR AB - This article describes a nonrandomized program evaluation study of a trauma-focused intervention for youth incarcerated for felony-level offenses in a juvenile justice setting. Thirty-eight youth previously assigned to two mental health units were provided with Treatment as Usual (TAU) plus a one day trauma training for staff, while 36 youth placed on three mental health units during the same time frame were provided with the intervention, which included TAU combined with environmental modifications, additional trauma training for staff, and Trauma Affect Regulation: Guide for Education and Therapy group for youth. Results showed significant reductions in depression, youth threats toward staff, use of physical restraints, and seclusion rates for youth on the intervention program units when compared with youth on the TAU program units. The youth involved in the intervention program also reported greater hope and optimism. [ABSTRACT FROM AUTHOR] Copyright of Journal of Child & Adolescent Trauma is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) AN - 78299531 AU - Marrow, Monique T. AU - Knudsen, Kraig J. AU - Olafson, Erna AU - Bucher, Sarah E. DO - 10.1080/19361521.2012.697105 IS - 3 L1 - internal-pdf://3127215196/Marrow och medförfattare 2012.pdf N1 - Elizabeth Åhsberg (2024-01-10 19:54:54)(Screen): trauma-focused intervention, ungdomsfängelse? motsvarar SIS?; PY - 2012 SP - 257-270 ST - The Value of Implementing TARGET within a Trauma-Informed Juvenile Justice Setting T2 - Journal of Child & Adolescent Trauma TI - The Value of Implementing TARGET within a Trauma-Informed Juvenile Justice Setting UR - https://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=78299531&site=ehost-live https://link.springer.com/article/10.1080/19361521.2012.697105 VL - 5 ID - 14 ER - TY - JOUR AB - OBJECTIVE: This study examined usage patterns of restraint and seclusion before and after the implementation of collaborative problem solving (CPS), a manualized therapeutic program for working with aggressive children and adolescents., METHODS: The clinical setting was a 15-bed psychiatric inpatient unit for school-age children. A total of 755 children were hospitalized for a total of 998 admissions from fiscal years 2003 to 2007 (median age=11 years; 64% boys). Data were collected for three years before and 1.5 years after the six-month implementation of the CPS model of care., RESULTS: There were 559 restraint and 1,671 seclusion events during the study period. After implementation of the CPS model there was a reduction in the use of restraints (from 263 events to seven events per year, representing a 37.6-fold reduction, slope [beta]=-.696) and seclusion (from 432 to 133 events per year, representing a 3.2-fold reduction, beta=-.423). The mean duration of restraints decreased from 41+/-8 to 18+/-20 minutes per episode, yielding cumulative unitwide restraint use that dropped from 16+/-10 to .3+/-.5 hours per month (a 45.5-fold reduction, beta=-.674). The mean duration of seclusion decreased from 27+/-5 to 21+/-5 minutes per episode, yielding cumulative unitwide seclusion use that dropped from 15+/-6 to 7+/-6 hours per month (a 2.2-fold reduction; p for trend .01 or better for all slopes). During the early phases of implementation there was a transient increase in staff injuries through patient assaults., CONCLUSIONS: CPS is a promising approach to reduce seclusion and restraint use in a child psychiatric inpatient setting. Future research and replication efforts are warranted to test its effectiveness in other restrictive settings. AU - Martin, Andres AU - Krieg, Heidi AU - Esposito, Frank AU - Stubbe, Dorothy AU - Cardona, Laurie DO - 10.1176/appi.ps.59.12.1406 IS - 12 L1 - internal-pdf://2629207492/martin-et-al-2015-reduction-of-restraint-and-s.pdf N1 - Elizabeth Åhsberg (2023-12-21 22:45:57)(Screen): gemensam problemlösning (CPS); PY - 2008 SP - 1406-12 ST - Reduction of restraint and seclusion through collaborative problem solving: a five-year prospective inpatient study T2 - Psychiatric services (Washington, D.C.) TI - Reduction of restraint and seclusion through collaborative problem solving: a five-year prospective inpatient study UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med7&NEWS=N&AN=19033167 VL - 59 ID - 15 ER - TY - JOUR AB - Implementing trauma-informed care (TIC) in youth-serving spaces is a growing priority in the juvenile legal system, including in youth detention facilities. This study examines implementation of the six principles of TIC using in-depth interviews with detained girls (n = 25) and survey data from detention facilities in the United States (n = 44). In general, we find facilities understood and applied TIC. However, girls' experiences highlight the paradox of implementing "trauma-informed” practices in a punishment-oriented setting. Despite the efforts made by system actors to implement TIC, findings demonstrate there are still important avenues for systems change. © The Author(s) 2025. AD - John Jay College of Criminal Justice, New York, NY, United States University of Missouri–St Louis, St Louis, MO, United States AU - McKenna, N. C. AU - Anderson, V. R. C1 - 2025-02-19 CN - Scopus citering uppdatering 2025-02-19 DB - Scopus DO - 10.1177/15570851251313786 J2 - Fem. Crim. KW - detention juvenile justice trauma trauma-informed care youth LA - English LB - NEW M3 - Article N1 - Export Date: 19 February 2025; Cited By: 0; Correspondence Address: N.C. McKenna; Department of Law, Police Science, & Criminal Justice Administration, John Jay College of Criminal Justice, New York, 524 W 59th St, United States; email: nmckenna@jjay.cuny.edu PY - 2025 SN - 15570851 (ISSN) ST - Paradox and Punishment: Implementing Trauma-Informed Care in Juvenile Detention Facilities T2 - Feminist Criminology TI - Paradox and Punishment: Implementing Trauma-Informed Care in Juvenile Detention Facilities UR - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85215119638&doi=10.1177%2f15570851251313786&partnerID=40&md5=e5d231cfedb2e43f2beec264196eab3a ID - 28 ER - TY - JOUR AB - The experiences of children related to conflict and crisis management in child mental health settings, especially those aged 12 and below, have been rarely studied. This study examined the moral experiences of children related to conflict and crisis management and the related use of restraint and seclusion in a child mental health setting. A 5‐month focused ethnography using a participatory hermeneutic framework was conducted in a day hospital programme for children with severe disruptive disorders within a mental health institute. Children considered restraints and seclusion could help them feel safe in certain instances, for example if another child was being aggressive towards them or in exceptional cases to prevent self‐injury. However, their own experiences of being restrained were predominantly negative, especially if not knowing the reason for their use, which they then found unfair. Some of the children emphasized the punitive nature of the use of restraints and seclusion, and most children disagreed with these practices when used as a punishment. Children's perspectives also highlighted the limits of the use of a uniform de‐escalation approach by the staff to manage crises. Children considered discussing with the staff and developing a relationship with them as more helpful in case of a crisis then the use of a de‐escalation approach or coercive strategies. (PsycInfo Database Record (c) 2023 APA, all rights reserved) AN - 2018-06942-001 AU - Montreuil, Marjorie AU - Thibeault, Catherine AU - McHarg, Linda AU - Carnevale, Franco A. DO - 10.1111/inm.12444 IS - 5 L1 - internal-pdf://1903003638/Int J Mental Health Nurs - 2018 - Montreuil -.pdf N1 - Elizabeth Åhsberg (2023-12-28 21:11:27)(Screen): barns upplevelser av psykiatrisk vård + förslag på vad som är bättre (samtal + relation); PY - 2018 SP - 1440-1448 ST - Children's moral experiences of crisis management in a child mental health setting T2 - International Journal of Mental Health Nursing TI - Children's moral experiences of crisis management in a child mental health setting UR - https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2018-06942-001&site=ehost-liveORCID: 0000-0002-0238-025Xmarjorie.montreuil@mail.mcgill.ca VL - 27 ID - 16 ER - TY - JOUR AB - Interventions aimed at changing behavior without addressing underlying trauma-based issues may have limited efficacy in rehabilitation in an incarceration setting. Trauma-informed care and therapies can assist in reducing violent and delinquency behaviors but are only recently being incorporated into current rehabilitation practices. This study postulates that one reason for the lack of trauma-informed and responsive rehabilitation programs could be the difficulty in standard evaluation and comparison due to their complex and varied components and methods. This study aimed to examine the programs currently in place and determine shared themes among current practices to help find commonality. Once common themes are identified, program efficacy can be better studied leading to successful methods spreading to other locations or organizations. The primary methodology for finding common themes was interviewing subject matter experts and analyzing their program descriptions. A study sample (n = 12) comprised of experts currently or formerly in roles of implementation for trauma-informed programs in correctional facilities. They were interviewed with key informant questionnaires and their responses were recorded and assessed using constant comparison methods. This study found five common themes within existing programs: recipient mind-set, ancillary relations, program foundations, intentions, and resistance. This led to a generalized practice model with four steps, including identifying societal barriers, initial personal assessment, program implementation, and evaluation. [ABSTRACT FROM AUTHOR] Copyright of Journal of Aggression, Maltreatment & Trauma is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) AN - 161831500 AU - Mueller, Savanah AU - Hart, Mark AU - Carr, Cary C1 - 2025-02-19 CN - CJA uppdatering 2025-02-18 DB - i3h DO - 10.1080/10926771.2021.2008082 DP - EBSCOhost IS - 1/2 KW - ADVERSE childhood experiences CORRECTIONAL institutions EVALUATION of human services programs PRISONERS PERSONAL space SOCIAL norms MOTIVATION (Psychology) EMOTIONAL trauma EVIDENCE-based medicine INTERVIEWING INTROSPECTION HUMAN services programs COMPARATIVE studies ORGANIZATIONAL goals QUESTIONNAIRES DESCRIPTIVE statistics AUTONOMY (Psychology) THEMATIC analysis REHABILITATION PSYCHOLOGICAL resilience UNITED States incarceration programming resilience Trauma-informed LB - NEW M3 - Article N1 - Mueller, Savanah 1; Email Address: savanahbmueller@gmail.com; Hart, Mark 2; Carr, Cary 3; Affiliations: 1 : Social & Behavioral Sciences, University of Florida, College of Public Health and Health Professions, USA; 2 : Director of Digital Learning, Duke University; 3 : PhD Student of the College of Public Health and Health Professions, University of Florida, Social & Behavioral Sciences; Source Info: Jan/Feb2023, Vol. 32 Issue 1/2, p242; Subject Term: ADVERSE childhood experiences; Subject Term: CORRECTIONAL institutions; Subject Term: EVALUATION of human services programs; Subject Term: PRISONERS; Subject Term: PERSONAL space; Subject Term: SOCIAL norms; Subject Term: MOTIVATION (Psychology); Subject Term: EMOTIONAL trauma; Subject Term: EVIDENCE-based medicine; Subject Term: INTERVIEWING; Subject Term: INTROSPECTION; Subject Term: HUMAN services programs; Subject Term: COMPARATIVE studies; Subject Term: ORGANIZATIONAL goals; Subject Term: QUESTIONNAIRES; Subject Term: DESCRIPTIVE statistics; Subject Term: AUTONOMY (Psychology); Subject Term: THEMATIC analysis; Subject Term: REHABILITATION; Subject Term: PSYCHOLOGICAL resilience; Subject: UNITED States; Author-Supplied Keyword: incarceration; Author-Supplied Keyword: programming; Author-Supplied Keyword: rehabilitation; Author-Supplied Keyword: resilience; Author-Supplied Keyword: Trauma-informed; Number of Pages: 20p; Illustrations: 1 Diagram, 1 Chart; Document Type: Article PY - 2023 SN - 10926771 SP - 242-261 ST - Resilience Building Programs in U.S. Corrections Facilities: An Evaluation of Trauma-Informed Practices in Place T2 - Journal of Aggression, Maltreatment & Trauma TI - Resilience Building Programs in U.S. Corrections Facilities: An Evaluation of Trauma-Informed Practices in Place UR - https://search.ebscohost.com/login.aspx?direct=true&db=i3h&AN=161831500&site=ehost-live VL - 32 ID - 29 ER - TY - JOUR AB - OBJECTIVE: Despite a call for the reduction and ultimate elimination of the use of seclusion and restraint, research on reduction of these practices in behavioral programs has been limited. This study sought to examine the effectiveness of a modified version of the Positive Behavioral Interventions and Supports (M-PBIS) implemented in a youth psychiatric inpatient unit to reduce use of seclusion and restraint., METHODS: This naturalistic, prospective study covered a four-year period (1,485 admissions)., RESULTS: The number of seclusion and restraint events, mean duration of events, and percentage of patients placed in seclusion or restraint were reduced, as was the overall seclusion rate for the unit. Furthermore, there was a significant reduction in the use of pro re nata (PRN) medications for agitation., CONCLUSIONS: These findings suggest that M-PBIS is a promising intervention to use in youth psychiatric inpatient units to reduce seclusion and restraint and PRNs. AU - Reynolds, Elizabeth K. AU - Grados, Marco A. AU - Praglowski, Nancy AU - Hankinson, Jessica C. AU - Deboard-Lucas, Renee AU - Goldstein, Laura AU - Perry-Parrish, Carisa K. AU - Specht, Matthew W. AU - Ostrander, Rick DO - 10.1176/appi.ps.201500039 IS - 5 L1 - internal-pdf://0034245130/reynolds-et-al-2016-use-of-modified-positive-b.pdf N1 - Elizabeth Åhsberg (2023-12-20 01:19:35)(Screen): beteendeinsats i psykiatri under 4 år, fråga 1; PY - 2016 SP - 570-3 ST - Use of Modified Positive Behavioral Interventions and Supports in a Psychiatric Inpatient Unit for High-Risk Youths T2 - Psychiatric services (Washington, D.C.) TI - Use of Modified Positive Behavioral Interventions and Supports in a Psychiatric Inpatient Unit for High-Risk Youths UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=26876659 VL - 67 ID - 17 ER - TY - JOUR AB - Safewards reduces conflict and containment on adult inpatient wards but there is limited research exploring the model in Children and Young People (CYP) mental health services. We investigated whether Safewards can be successfully implemented on twenty CYP wards across England. A process and outcomes evaluation was employed, utilizing the Integrated Promoting Action on Research Implementation in Health Sciences (i-PARiHS) framework. Existing knowledge and use of Safewards was recorded via a self-report benchmarking exercise, verified during visits. Implementation of the 10 Safewards components on each ward was recorded using the Safewards Organizational Fidelity measure. Data from 11 surveys and 17 interviews with ward staff and four interviews with project workers were subject to thematic analysis and mapped against the four i-PARiHS constructs. Twelve of the 20 wards implemented at least half of the Safewards interventions in 12 months, with two wards delivering all 10 interventions. Facilitators and barriers are described. Results demonstrated Safewards is acceptable to a range of CYP services. Whilst implementation was hindered by difficulties outlined, wards with capacity were able and willing to implement the interventions. Results support the commissioning of a study to evaluate the implementation and outcomes of Safewards in CYP units. AU - Simpson, Alan AU - Ali, Rubbia A. AU - Chadwick, Madeleine AU - Foye, Una AU - Brennan, Geoff C1 - 2025-02-19 CN - Medline uppdatering 2025-02-18 DB - Ovid MEDLINE(R) DO - 10.1080/01612840.2024.2347507 IS - 6 KW - Humans Child Adolescent England *Outcome and Process Assessment, Health Care Male Female Psychiatric Department, Hospital/og [Organization & Administration] LB - NEW PY - 2024 SE - Simpson, Alan. Care in Long Term Conditions Research Division, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK. Simpson, Alan. Health Service and Population Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. Ali, Rubbia A. Care in Long Term Conditions Research Division, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK. Chadwick, Madeleine. Care in Long Term Conditions Research Division, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK. Foye, Una. Health Service and Population Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. Brennan, Geoff. Care in Long Term Conditions Research Division, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK. Brennan, Geoff. Mental Health Programmes, Royal College of Nursing, London, UK. SN - 1096-4673 0161-2840 SP - 563-579 ST - Implementing Safewards on Children and Young People's Wards: A Process and Outcomes Evaluation T2 - Issues in mental health nursing TI - Implementing Safewards on Children and Young People's Wards: A Process and Outcomes Evaluation UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med25&NEWS=N&AN=38829922 https://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med25&DO=10.1080%2f01612840.2024.2347507 http://sfxeu06.hosted.exlibrisgroup.com/sbu?sid=OVID:medline&id=pmid:38829922&id=doi:10.1080%2F01612840.2024.2347507&issn=0161-2840&isbn=&volume=45&issue=6&spage=563&pages=563-579&date=2024&title=Issues+in+Mental+Health+Nursing&atitle=Implementing+Safewards+on+Children+and+Young+People%27s+Wards%3A+A+Process+and+Outcomes+Evaluation.&aulast=Simpson VL - 45 Y2 - 20240603// ID - 60 ER - TY - JOUR AB - Policymakers increasingly emphasize the importance of achieving meaningful participation of children living in residential care. To achieve the goal of participation, children must be adequately informed, have opportunities to express themselves freely and to be heard, and be given the opportunity to influence decisions about their lives. This study investigated the views and experiences of both children and staff with respect to children's participation in residential facilities in Norway. We conducted both focus‐group and individual interviews with 6 children and 18 staff members at different facilities. Qualitative interview data were analysed using the dimensions of meaningful participation: informing, hearing and involving. The study offers three main findings. First, children's initiatives determine if staff inform them of their rights, with two exceptions: children are presented with information by staff when they arrive at a facility and/or after staff use coercion that requires protocols. Second, staff members expressed the importance of listening to children's opinions in a standardized way, following bureaucratic guidelines and structures. Third, several children stated that, no matter what they say, they cannot change the minds of staff members. These findings reveal that the dimensions of meaningful participation (informing, hearing and involving) are not all fully present at these facilities. Further research is needed to determine how to achieve in practice the policy goal of participation of children in residential care. [ABSTRACT FROM AUTHOR] Copyright of Child & Family Social Work is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) AN - 172389566 AU - Slaatto, Ane AU - Baugerud, Gunn Astrid AU - Mellblom, Anneli V. DO - 10.1111/cfs.13090 L1 - internal-pdf://0705334316/Slaatto och medförfattare 2023.pdf N1 - Elizabeth Åhsberg (2024-01-16 18:41:20)(Screen): upplevelser av delaktighet, rätt utfall? barn + personal, Norge; PY - 2023 SP - 1 ST - ‘I never win': How children and staff in residential facilities experience meaningful participation T2 - Child & Family Social Work TI - ‘I never win': How children and staff in residential facilities experience meaningful participation UR - https://search.ebscohost.com/login.aspx?direct=true&db=aph&AN=172389566&site=ehost-live ID - 18 ER - TY - JOUR AB - In inpatient and residential youth facilities, staff concerns over actual and potential aggression and conflict frequently affect both the quality of care and staff wellbeing. This study investigated 1) staff perceptions of safety at the residential facilities where they work, and 2) staff experiences with the Basic Training Program in Safety and Security, initiated by the Norwegian Directorate of Children, Youth and Family Affairs (Bufdir), to enhance prevention and management of aggression and conflict. We conducted three focus-group interviews at three different public residential facilities with a total of 18 staff members who work daily with youth. Findings show that staff regard safety as essential and perceive enhanced safety as linked to predictability, stability, team coordination, education and training, organizational support, and trusting and supportive relationships. They also indicate that staff regard the training program as having improved their feelings of safety, enhancing awareness of conflict situations before, during and after they occur, and contributing to more systematic work processes and cooperative and coordinated teamwork. These findings have implications for all facilities providing care and treatment to youth. (PsycInfo Database Record (c) 2022 APA, all rights reserved) AN - 2021-88583-001 AU - Slaatto, Ane AU - Mellblom, Anneli V. AU - Kleppe, Lise Cecilie AU - Baugerud, Gunn Astrid DO - 10.1080/0886571X.2021.1978035 IS - 2 L1 - internal-pdf://0941198990/Safety in Residential Youth Facilities Staff.pdf N1 - Elizabeth Åhsberg (2024-01-10 19:58:04)(Screen): personals erfarenheter, Basic Training Program in Safety and Security, fråga 2?; PY - 2022 SP - 212-237 ST - Safety in residential youth facilities: Staff perceptions of safety and experiences of the 'basic training program in safety and security' T2 - Residential Treatment for Children & Youth TI - Safety in residential youth facilities: Staff perceptions of safety and experiences of the 'basic training program in safety and security' UR - https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2021-88583-001&site=ehost-liveORCID: 0000-0002-3550-7018anejacob@oslomet.no VL - 39 ID - 19 ER - TY - JOUR AB - Trauma informed care (TIC) emphasizes the importance of professionals maintaining an emotionally regulated state. We interviewed eight staff members in a residential care unit for children and adolescents where TIC had been implemented, about situations wherein they experienced difficulty regulating their own emotions. We identified three major narratives in informants' descriptions: (1) 'Are we doing the right things?', (2) 'My childhood issues surfaced', and (3) 'Missing togetherness with trusted others.' The narratives illustrate the emotional strain that can be evoked when working in residential child welfare settings, and within TIC frameworks, and point to potential challenges to resolve when implementing TIC in similar organizations. (PsycInfo Database Record (c) 2022 APA, all rights reserved) AN - 2021-46479-001 AU - Steinkopf, Heine AU - Nordanger, Dag AU - Stige, Brynjulf AU - Milde, Anne Marita DO - 10.1080/0145935X.2021.1918541 IS - 2 L1 - internal-pdf://2508493039/Steinkopf och medförfattare 2022.pdf N1 - Uliana Hellberg (2024-01-24 02:53:34)(Screen): koppling till tvångsåtgärder?; Elizabeth Åhsberg (2024-01-18 20:12:37)(Screen): personals upplevelser av Trauma informed care (TIC) ; PY - 2022 SP - 187-205 ST - Experiences of becoming emotionally dysregulated: A qualitative study of staff in youth residential care T2 - Child & Youth Services TI - Experiences of becoming emotionally dysregulated: A qualitative study of staff in youth residential care UR - https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2021-46479-001&site=ehost-liveORCID: 0000-0002-3329-3204heine.steinkopf@rvtssor.no VL - 43 ID - 20 ER - TY - JOUR AB - BACKGROUND: Dialectical behaviour therapy (DBT) is an evidence-based treatment for adolescents targeting suicidal and non-suicidal self-injurious behaviours. Research supports DBT's efficacy in inpatient settings, but implementation and sustainability are understudied., AIMS: This study is a follow-up of a previous study by Tebbett-Mock et al and examines the efficacy and sustainability of an adolescent DBT inpatient unit within a psychiatric hospital in the Northeast. We hypothesised that adolescents who received DBT in our follow-up group (DBT Group 2) would not have statistical difference (ie, greater or fewer) of the following compared with the first group of patients who received DBT on the unit the year prior (DBT Group 1) and would have significantly fewer of the following compared with the treatment as usual (TAU) group: (1) constant observation hours for suicidal ideation, self-injury and aggression; (2) incidents of suicide attempts, self-injury and aggression; (3) restraints; (4) seclusions; (5) days hospitalised; (6) times readmitted to the unit within 30 days of discharge., METHODS: We conducted a retrospective chart review for adolescents receiving inpatient DBT (DBT Group 1, n=425; DBT Group 2, n=393) and a historical control group (TAU, n=376). The chi2 tests and one-way analysis of variance were conducted as preliminary analyses to examine group differences on diagnosis, gender and age. Kruskal-Wallis H tests were conducted to examine group differences on outcomes. Mann-Whitney U tests were used as post hoc analyses., RESULTS: Patients in DBT Group 2 were comparable to DBT Group 1 for the number of constant observation hours for self-injury (U=83 432.50, p=0.901), restraints (U=82 109, p=0.171) and days hospitalised (U=83 438.5, p=0.956). Patients in DBT Group 2 had a significantly greater number of incidents of suicide attempts compared with DBT Group 1 (U=82 662.5, p=0.037) and of self-injury compared with patients in DBT Group 1 (U=71724.5, p<0.001) and TAU (U=65649.0, p<0.001)., CONCLUSIONS: Results provide support for adolescent inpatient DBT compared with TAU and highlight staff turnover and lack of training as potential barriers to sustainability and efficacy. Copyright © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. AU - Tebbett-Mock, Alison Ann AU - McGee, Madeline AU - Saito, Ema DO - 10.1136/gpsych-2020-100452 IS - 4 L1 - internal-pdf://2817364770/Tebbett-Mock-2021-Efficacy and sustainability.pdf N1 - Elizabeth Åhsberg (2024-01-17 01:41:43)(Screen): DBT mot suicid; PY - 2021 SP - e100452 ST - Efficacy and sustainability of dialectical behaviour therapy for inpatient adolescents: a follow-up study T2 - General psychiatry TI - Efficacy and sustainability of dialectical behaviour therapy for inpatient adolescents: a follow-up study UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=pmnm6&NEWS=N&AN=34423253 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8327801/pdf/gpsych-2020-100452.pdf VL - 34 ID - 21 ER - TY - JOUR AB - OBJECTIVE: Dialectical behavior therapy (DBT) is an evidence-based treatment that targets suicidal behavior and nonsuicidal self-injury (NSSI) and has been adapted for adolescents. Given the seriousness of these behaviors, many adolescents are psychiatrically hospitalized, but minimal research has been conducted on specific interventions during hospitalization. The goal of this study was to evaluate DBT versus treatment as usual (TAU) for adolescents on an acute-care psychiatric inpatient unit., METHOD: We conducted a retrospective chart review for adolescents receiving inpatient DBT (n = 425) and for a historical control group treated on the same unit before DBT (ie, TAU, n = 376). Both chi2 and t tests were conducted as preliminary analyses to examine differences between groups on diagnosis, sex, and age. Mann-Whitney U tests were conducted to examine differences between groups on outcome variables. The potential benefit of cost savings was analyzed., RESULTS: Patients who received DBT had significantly fewer constant observation (CO) hours for self-injury; incidents of suicide attempts and self-injury; restraints; and days hospitalized compared to patients who received TAU. Statistically significant differences were not found between DBT and TAU groups for number of CO hours for aggression, incidents of aggression toward patients or staff, seclusions, or readmissions. A cost analysis determined that $251,609 less was spent on staff time for CO hours with DBT compared to TAU., CONCLUSION: Results provide support for the implementation of DBT in an acute-care adolescent psychiatric inpatient unit for adolescents. Clinical implications, study limitations, and future research directions are discussed. Copyright © 2019 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved. AU - Tebbett-Mock, Alison A. AU - Saito, Ema AU - McGee, Madeline AU - Woloszyn, Patricia AU - Venuti, Maria DO - 10.1016/j.jaac.2019.01.020 IS - 1 L1 - internal-pdf://4098004136/Tebbett-Mock och medförfattare 2020.pdf N1 - Elizabeth Åhsberg (2023-12-28 20:18:41)(Screen): DBT; PY - 2020 RN - Köpt för $55.62 SP - 149-156 ST - Efficacy of Dialectical Behavior Therapy Versus Treatment as Usual for Acute-Care Inpatient Adolescents T2 - Journal of the American Academy of Child and Adolescent Psychiatry TI - Efficacy of Dialectical Behavior Therapy Versus Treatment as Usual for Acute-Care Inpatient Adolescents UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med17&NEWS=N&AN=30946973 VL - 59 ID - 22 ER - TY - JOUR AB - Young people in residential out-of-home care are one of the most traumatised, vulnerable, and disadvantaged groups in the Australian community. Residential care workers are trained in trauma-informed practice, to provide quality care to young people in residential care through a trauma-informed lens. However, limited research exists on perceptions of residential care workers on the implementation of trauma-informed practice in the Australian context, and whether it is sufficient to support young people in residential care. This qualitative study used interpretative phenomenological analysis to better understand worker perceptions and experiences when implementing trauma-informed practice in residential care, and explore any perceived barriers or recommendations to implementation in this context. Seven participants were recruited and interviewed. The results demonstrated that workers apply some elements of trauma-informed practice into everyday practice, such as self-awareness, providing a safe environment, and giving the young person choice and control. However, participants perceived that they lacked the training to support positive behaviour changes and engaging young people with trauma to develop adaptive skills to become more independent. It was also found that participants rarely referenced or identified their own trauma-informed actions and aligned these principles to practical aspects of their role, even when incidental trauma-informed approaches were being used. Understanding the experiences of residential care workers provides insight into the functional day-to-day delivery of trauma-informed practice, demonstrating which aspects are translatable, and which areas workers may benefit from further training to improve practical and contextualised application. (PsycInfo Database Record (c) 2024 APA, all rights reserved) AD - Berger, Emily, School of Educational Psychology and Counselling, Faculty of Education, Monash University, 19 Ancora Imparo Way, Clayton, VIC, Australia, 3800 AN - 2024-70372-001 AU - Vamvakos, Christopher AU - Berger, Emily C1 - 2025-02-19 CN - PsycInfo uppdatering 2025-02-18 DB - psyh DO - 10.1016/j.childyouth.2024.107513 DP - EBSCOhost KW - residential care worker perceptions trauma-informed practice out-of-home care At Risk Populations Institutional Attendants Health Personnel Attitudes Residential Care Institutions Trauma-Informed Care LB - NEW N1 - School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton, VIC, Australia. Release Date: 20240502. Publication Type: Journal (0100), Peer Reviewed Journal (0110). Format Covered: Electronic. Document Type: Journal Article. Language: English. Major Descriptor: At Risk Populations; Institutional Attendants; Health Personnel Attitudes; Residential Care Institutions; Trauma-Informed Care. Classification: Professional Personnel Attitudes & Characteristics (3430). Population: Human (10); Male (30); Female (40). Location: Australia. Age Group: Adulthood (18 yrs & older) (300). Methodology: Empirical Study; Interview; Qualitative Study. References Available: Y. Page Count: 11. ArtID: 107513. Issue Publication Date: Apr, 2024. Publication History: First Posted Date: Feb 28, 2024; Accepted Date: Feb 27, 2024; Revised Date: Jul 3, 2023; First Submitted Date: Dec 18, 2022. Copyright Statement: Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). The Authors. 2024. PY - 2024 SN - 0190-7409 1873-7765 SP - 1-11 ST - Residential care worker perceptions on the implementation of trauma-informed practice T2 - Children and Youth Services Review TI - Residential care worker perceptions on the implementation of trauma-informed practice UR - https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2024-70372-001&site=ehost-live VL - 159 ID - 30 ER - TY - JOUR AB - BACKGROUND/AIM: The introduction of sensory rooms within acute psychiatric settings provides a therapeutic space that promotes emotional self-regulation and reduces distress and disruptive behaviours. The current research investigated the clinical benefit of a sensory room within an adolescent psychiatric unit. It examined whether guided sensory room use can reduce distress for adolescents and identified characteristics of sensory room users. Seclusion rates 12 months pre- and post-sensory room introduction were compared., METHODS: The matched sample comprised 56 sensory room users and 56 sensory room non-users, aged 12-18 years (M = 15.35, SD = 1.35). Sensory room users were administered a pre- and post-measure of distress. Further demographic and clinical data were collected from hospital files and results analysed., RESULTS: Adolescents' distress was reduced following sensory room use. The greatest reduction of distress was predicted by a history of aggression. Female gender was associated with sensory room use, as was the presence of an anxiety disorder. There was no significant difference in seclusion rates after introducing the sensory room., CONCLUSIONS: Sensory rooms could provide occupational therapists with a valuable tool for reducing distress for adolescents in psychiatric units, especially for those with a history of aggression. Results suggested that female adolescents or adolescents with anxiety disorders may be particularly receptive to using the sensory room. This research provides evidence that can inform occupational therapists when tailoring therapeutic treatment strategies and guide the development of prevention and management of emotional dysregulation and aggression within adolescent psychiatric settings. Copyright © 2017 Occupational Therapy Australia. AU - West, Monique AU - Melvin, Glenn AU - McNamara, Francis AU - Gordon, Michael DO - 10.1111/1440-1630.12358 IS - 3 L1 - internal-pdf://2347800252/Aus Occup Therapy J - 2017 - West - An evaluat.pdf N1 - Elizabeth Åhsberg (2023-12-28 19:39:44)(Screen): sensoriska rum; PY - 2017 SP - 253-263 ST - An evaluation of the use and efficacy of a sensory room within an adolescent psychiatric inpatient unit T2 - Australian occupational therapy journal TI - An evaluation of the use and efficacy of a sensory room within an adolescent psychiatric inpatient unit UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med14&NEWS=N&AN=28138979 VL - 64 ID - 23 ER - TY - JOUR AB - PROBLEM: The Safewards' model identifies factors that can lead to conflict and addresses these factors, using ten interventions, within inpatient mental health wards aiming to reduce "conflict and containment." The Department of Health (2014) and Care Quality Commission (2017) supported the use of Safewards to reduce restrictive practice across all mental health settings in the UK, but its application to adolescent mental health remains relatively unexplored. This study therefore aims to address the research question: "What are the factors influencing the success of ten Safewards' interventions when implemented onto an acute adolescent ward?", METHODS: Eight healthcare assistants and two nurses who had attended Safewards' training participated in semi-structured interviews four months after Safewards was introduced to an acute adolescent ward. The interviews were transcribed verbatim and analyzed using thematic analysis. Data analysis was conducted inductively by developing data-driven themes., FINDINGS: Many of the factors influencing Safewards' success in adolescent mental health (e.g., acuity; dependence on nonregular staffing; lack of leadership and operating procedures) paralleled the evidence found in adult services., CONCLUSIONS: This study contributes new information by implementing "mutual help" and "calm down" principles with adolescents, as well as discussing barriers of operational procedures and benefits of patient involvement. Copyright © 2022 The Authors. Journal of Child and Adolescent Psychiatric Nursing published by Wiley Periodicals LLC. AU - Yates, Nicholas J. AU - Lathlean, Judith DO - 10.1111/jcap.12365 IS - 3 L1 - internal-pdf://2689833245/Yates-2022-Exploring factors that influence su.pdf N1 - Elizabeth Åhsberg (2023-12-22 02:35:51)(Screen): safe wards; PY - 2022 SP - 218-229 ST - Exploring factors that influence success when introducing "The Safewards Model" to an acute adolescent ward: A qualitative study of staff perceptions T2 - Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc TI - Exploring factors that influence success when introducing "The Safewards Model" to an acute adolescent ward: A qualitative study of staff perceptions UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med21&NEWS=N&AN=35080065 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9544454/pdf/JCAP-35-218.pdf VL - 35 ID - 24 ER -