With the encouragement and support of the Substance Abuse and Mental Health Services Administration (SAMHSA), the Center for Mental Health Services (CMHS), dedicated consumers, mental health providers, and a host of advocacy organizations, successful efforts to reduce seclusion and restraint usage are being replicated across the country. To help facilitate this large-scale culture change, and to assist in the implementation of proven seclusion and restraint reduction practices, the National Association of State Mental Health Program Directors (NASMHPD), through its National Technical Assistance Center for State Mental Health Planning (NTAC), sponsored six regional trainings for the National Executive Training Institute: Creating Violence Free and Coercion Free Mental Health Treatment Environments for the Reduction of Seclusion and Restraint.

This training curriculum contains prepared presentations and accompanying reference lists for more than a dozen training modules. Each module was created to address specific aspects of a seclusion and restraint reduction project.

This curriculum is also intended as a resource for use in statewide and local initiatives. Though it is a work-in-progress, this curriculum is current and comprehensive, and is appropriate for use by systems that are currently in the initial stages of addressing the reduction of seclusion and restraint within their operations. The training curriculum is designed to evolve over time as future improvements, recommendations, and best practices are incorporated.

1. Acknowledgements

2. Overview of National Initiative to Promote Recovery, Resiliency & Trauma Informed Care
    l Presentation (Power Point)  l Slide Handouts (PDF)    l References (PDF)

3. Strength-based/Resiliency-based Approaches
    l Presentation (Power Point) l Slide Handouts (PDF)    l Resources/References

4. Current Assumptions Regarding Physical Intervention, Seclusion and Restraint Use
    l Presentation (Power Point)  l Slide Handouts (PDF)    l References (PDF)

5. Treating Traumatized Individuals: Neurobiological & Psychological Effects of Trauma
    l Presentation (Power Point)  l Slide Handouts (PDF)    l References (PDF)

6. Leadership Toward Organizational Change
   A Core Strategy ©
    l Presentation (Power Point)  l Slide Handouts (PDF)    l References (PDF)

7. Trauma Informed Care - An Overview of Fundamental Concepts
    l Presentation (Power Point)  l Slide Handouts (PDF)    l References (PDF)

8. Workforce Development: Elevating the Importance of Seclusion & Restraint
   A Core Strategy ©
    l Presentation (Power Point)  l Slide Handouts (PDF)    l References (PDF)

9. Seclusion & Restraint Prevention Tools
   A Core Strategy ©
    l Presentation (Power Point)  l Slide Handouts (PDF)    l References (PDF)

10. Debriefing Activities
    A Core Strategy ©
     l Presentation (Power Point)  l Slide Handouts (PDF)    l References (PDF)

11. Seclusion & Restraint Prevention Tools
    A Core Strategy ©
     l Presentation (Power Point)  l Slide Handouts (PDF)    l References (PDF)

12. Developing a Prevention Action Plan
     l Presentation (Power Point)  l Slide Handouts (PDF)   

13. Other Resources
    l A Snapshot of Six Core Strategies for the Reduction of Seclusion & Restraint ©
    l Six Core Strategies to Reduce the Use of Seclusion & Restraint Planning Tool ©
    l Six Core Strategies to Reduce the Use of Seclusion & Restraint -  Debriefing ©
    l Sample Child/Adolescent Safety/Calming Tools