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Reduction in Afternoon Seclusion and Physical Restraint Minutes Following the Introduction of Additional Daily Snack

Volume 2, Issue 3

February 2025

Closing the Gap: The implementation of an afternoon snack was shown to decrease staff reliance on seclusion and restraints in a psychiatric inpatient setting. By providing patients with structured and supportive intervention, the hospital was able to manage challenging behaviors more effectively while improving safety for both patients and staff. 

Promoting Positive Patient Outcomes: This intervention not only decreased seclusion and restraint use but also improved patient satisfaction. The snack program offered a small but meaningful way to engage patients, help them manage hunger-related stress, and established a calmer environment that promoted better overall health outcomes for patients. 

Optimizing Resources: The snack program is a cost-effective intervention that requires minimal resources but delivers many benefits. By reducing the need for seclusion and restraints, the hospital was able to improve both patient care and staff safety, optimizing the use of resources while enhancing the therapeutic environment. 

Assessing Tobacco Treatment Engagement in Assertive Community Treatment Programs

Volume 2, Issue 4

April 2025

Closing the Gap: The prevalence of tobacco use among individuals with Serious Mental Illness (SMI) is nearly twice that of the general population. Individuals with SMI die several years earlier, on average, compared to individuals without mental illness, and smoking is a major contributing factor. There is often a lack of tobacco treatment provision and utilization in mental and behavioral health settings. This is particularly evident within Assertive Community Treatment (ACT) programs that provide services for people living with SMI.  

 

Promoting Positive Patient Outcomes:  

ACT providers felt capable of providing treatment and showed strong intentions to deliver tobacco treatment. However, providers felt a lack of social or professional support for providing treatment. The ACT consumers report positive attitudes and intentions towards engaging in tobacco treatment but are not necessarily planning to do so. Consumers were infrequently advised to stop tobacco use. Additionally, consumers are exposed to hazardous levels of secondhand smoke. 

 

Optimizing Resources:  

Promoting tobacco-free policies and tobacco treatment within ACT programs increases the likelihood of patients stopping tobacco use. This decreases financial burden and increases health outcomes for patients.