Psychiatric Quarterly

, Volume 76, Issue 1, pp 51–65

Reducing Restraints: Alternatives to Restraints on an Inpatient Psychiatric Service—Utilizing Safe and Effective Methods to Evaluate and Treat the Violent Patient


    • Elmhurst Hospital CenterMt. Sinai School of Medicine
  • Janet Bezmen
    • Elmhurst Hospital Center
  • Charles T. Barron
    • Elmhurst Hospital CenterMt. Sinai School of Medicine
  • James Rivera
    • Elmhurst Hospital CenterMt. Sinai School of Medicine
  • Linda Curley-Casey
    • Elmhurst Hospital Center
  • Dominic Marino
    • Elmhurst Hospital CenterMt. Sinai School of Medicine

DOI: 10.1007/s11089-005-5581-3

Cite this article as:
Sullivan, A.M., Bezmen, J., Barron, C.T. et al. Psychiatr Q (2005) 76: 51. doi:10.1007/s11089-005-5581-3

This paper describes the violence safety program instituted at Elmhurst Hospital Center in Queens, New York City in 2001, which significantly reduced the use of restraints and seclusion department wide, while providing a safe and therapeutic environment for patient recovery. The hospital service and program instituted is described, followed by restraint and seclusion data since 1998, and the program’s results through 2003. Concurrent data in areas that could be affected by a reduction in restraint and seclusion such as self-injurious behaviors and altercations; use of emergency medication; use of special observation and length of stay data are also presented. In addition, types and frequency of alternative methods utilized to avoid restraints and seclusion are described.


restraintseclusionreductionalternative methods
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© Springer Science+Business Media, Inc. 2005