The materials below were reviewed for Readiness for Dissemination. The implementation
point of contact can provide information regarding implementation of the intervention
and the availability of additional, updated, or new materials.
Cain, L., & Gross, D. (Directors). (2007). Behind closed doors--The story of four women struggling to reconcile violence within the psychiatric system [DVD]. Baltimore, MD: Maryland Disability Law Center, Gallery 144 Productions, and Sister Witness International.
Haimowitz, S., Urff, J., & Huckshorn, K. A. (2006). Restraint and seclusion: A risk management guide. Retrieved from http://www.nasmhpd.org/docs/publications/docs/2006/R-S%20RISK%20MGMT%2010-10-06.pdf
Huckshorn, K. A. (n.d.). Six Core Strategies for reducing seclusion and restraint use: Draft example policy and procedure on debriefing for seclusion and restraining reduction projects. Alexandria, VA: National Association of State Mental Health Program Directors.
Human Services Research Institute. (2005). Inventory of seclusion and restraint reduction interventions: Reviewer's guide and worksheets. Cambridge, MA: Author.
National Association of State Mental Health Program Directors. (2008). Paving new ground: A dialogue with peers and family members [DVD]. Alexandria, VA: Author.
National Association of State Mental Health Program Directors. (2009). Creating violence free and coercion free mental health treatment: Video training for the reduction of seclusion and restraint. [DVD]. Alexandria, VA: Author.
Substance Abuse and Mental Health Services Administration. (2010). Leaving the door open: Alternatives to seclusion and restraint [DVD]. Rockville, MD: Author.
Training materials [CD-ROM]:
- National Association of State Mental Health Program Directors. (2009). Training curriculum for the reduction of seclusion and restraint. Alexandria, VA: Author.
- Supplemental materials, including quality assurance tools
- Training PowerPoint slides
Two-day training agenda template
Readiness for Dissemination Ratings by Criteria (0.0-4.0 scale)
External reviewers independently evaluate the intervention's Readiness for Dissemination
using three criteria:
- Availability of implementation materials
- Availability of training and support resources
- Availability of quality assurance procedures
For more information about these criteria and the meaning of the ratings, see Readiness for Dissemination.
Training and Support
The implementation materials are comprehensive and organized into step-by-step modules. Training materials are clear and straightforward, with well-defined learning objectives provided for each module. The content conveyed during training is supported by citations and materials to facilitate systemwide implementation. Extensive consultation and technical assistance are available to support implementation at new sites. The quality assurance tools are comprehensive and of high quality and promote both fidelity and outcome monitoring.
The written materials are not packaged in a manner that facilitates ease of use. It is unclear how new sites initiate access to program materials or training resources, and no standard written document outlines implementation requirements. Implementation materials lack a standardized format and organization, which may contribute to confusion among some users. The amount of information expected to be incorporated in the 2-day training may be daunting to some implementers. Written materials and the training provide very little guidance on implementing the available quality assurance system.