203233 Measuring trauma-informed care systems change to reduce seclusion & restraint

Wednesday, November 11, 2009: 1:30 PM

Felicia Griffin-Fennell, PhD , Research Division, CT Department of Mental Health and Addiction Services, Hartford, CT
Linda K. Frisman, PhD , CT Dept Mental Health & Addiction Services, Research Division MS # 14 RSD, Hartford, CT
In an effort to reduce the rates of seclusion and restraint use within two of Connecticut's state psychiatric hospitals, the state mental health system has adopted Community Connection's model of trauma-informed systems change. Core to this approach are the concepts of safety, trustworthiness, choice, collaboration, and empowerment. To quantify the effects of integrating trauma-informed principles within both hospitals, staff and consumer rating scales were developed to tap into the ward climate and interpersonal atmosphere of the targeted units and to measure change in these areas, as reflected in consumer and staff attitudes and feelings. This presentation will describe the process of scale development and administration to the consumers on the affected wards. We will also compare findings from the first two observation waves (baseline and first post-test) with respect to each domain of trauma-informed care, and present information on scale validity and reliability. These findings will also be compared with reductions in violence on the wards, including seclusion, physical restraint, chemical restraint, and staff injury due to assault.

Learning Objectives:
Describe the process of scale development Describe evolution of consumer and staff attitudes with trauma-informed systems change

Keywords: Hospitals, Public Mental Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Having earned my doctoral degree in clinical psychology from the University of Connecticut in 2007, I am currently a postdoctoral fellow for both the Research Division of the Connecticut Department of Mental Health & Addictions Services and the School of Social Work from the University of Connecticut. I serve as the evaluation coordinator/project director for the evaluation of the reduction of restraint and seclusion state incentive grant within the state of Connecticut. I have presented papers and posters at a number of conferences and annual meetings, including the American Psychological Association, American Psychological Society, and Annual Winter Roundtable on Cultural Psychology and Education at Teachers College, Columbia University.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.