Discharge Protocols for Community Services Boards and State Mental Health Facilities

Author(s):  
PEDIATRICS ◽  
1962 ◽  
Vol 29 (6) ◽  
pp. 1035-1036

New Appointment for Dr. Caroline Chandler Dr. Caroline A. Chandler has joined the staff of the National Institute of Mental Health as a Consultant in the fields of mental retardation and pediatric-psychiatric services, Dr. Robert H. Felix, Director of the Institute, announced in April of this year. In her new position as Consultant in Community Mental Health with the Community Services Branch, Dr. Chandler will provide consultative and technical services in these two fields, and will also assist local and state mental health organizations in planning, organizing, and developing improved community mental health services.


Author(s):  
Lorna Ferguson

Missing person reports from hospitals and mental health facilities are a significant issue impacting patients, communities, and health and police sectors. Research on missing persons seldom considers the type of location from where people go missing, which can be troublesome due to the increased chances for experiencing harm during an episode from hospitals and mental health facilities. When location type is studied, these often remarkably different places are frequently blended together in analyses and discussions. This conflation has implications for research and the development of effective police preventive responses. To begin to address this gap, this study uses descriptive analysis and logistic regression to examine the descriptive and predictive profiles of those reported missing from hospitals versus those reported missing from mental health units. For this, data are taken from a sample of 916 closed missing person cases reported to a Canadian municipal police service over five years. Results suggest there are significant differences in both the descriptive and predictive profiles of individuals reported missing from these two location types, such as individuals with varying mental health and cognitive issues going missing from each place, respectively. Given the findings, the implications for research, policing, and risk management are discussed.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e046647
Author(s):  
Sanne Oostermeijer ◽  
Catherine Brasier ◽  
Carol Harvey ◽  
Bridget Hamilton ◽  
Cath Roper ◽  
...  

Increasing efforts are being made to prevent and/or eliminate the use of seclusion and restraint in mental health facilities. Recent literature recognises the importance of the physical environment in supporting better outcomes in mental health services. This rapid review scoped the existing literature studying what physical design features of mental health facilities can reduce the use of seclusion and physical restraint.DesignA rapid review of peer-reviewed literature.MethodsPeer-reviewed literature was searched for studies on architectural design and the use of restraint and seclusion in mental health facilities. The following academic databases were searched: Cochrane Library, Medline, PsycINFO, Scopus and Avery for English language literature published between January 2010 and August 2019. The Joanna Briggs Institute’s critical appraisal tool was used to assess the quality of included studies.ResultsWe identified 35 peer-reviewed studies. The findings revealed several overarching themes in design efforts to reduce the use of seclusion and restraint: a beneficial physical environment (eg, access to gardens or recreational facilities); sensory or comfort rooms; and private, uncrowded and calm spaces. The critical appraisal indicated that the overall quality of studies was low, as such the findings should be interpreted with caution.ConclusionThis study found preliminary evidence that the physical environment has a role in supporting the reduction in the use of seclusion and restraint. This is likely to be achieved through a multilayered approach, founded on good design features and building towards specific design features which may reduce occurrences of seclusion and restraint. Future designs should include consumers in a codesign process to maximise the potential for change and innovation that is genuinely guided by the insights of lived experience expertise.


2006 ◽  
Vol 30 (3) ◽  
pp. 169-176 ◽  
Author(s):  
Nick Kontodimopoulos ◽  
Thalia Bellali ◽  
Georgios Labiris ◽  
Dimitris Niakas

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