Page 102 - Reduction of coercive measures
P. 102
Chapter 5
Abstract
Background
There is little information on the effects of action that care organizations take to reduce the use of coercive measures.
Specific aims
To test the efficacy of a multi-component program on the reduction of coercive measures. The program focused on increasing awareness and registration at the organizational level, multidisciplinary consulting at the residential care unit level, and multidisciplinary intervention at the resident level.
Method
30 Residential units participated in a clustered randomized trial. Reduction was tested on N = 428 coercive measures applied to 107 residents, using the organization-wide registration system.
Findings
Units assigned to the experimental group reported a stronger reduction of coercive measures than units in the control group (40% versus 20%, p = .009). No differential effects were found for type of coercive measure.
Discussion
Multidisciplinary consulting at care unit level appears a promising strategy to test in a wider array of settings.
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