A protocol for a smoke-free mental health facility

It is not uncommon for staff of mental health facilities to have diverging opinions regarding the tobacco use of their patients. Surveys have shown that a significant proportion of staff believe that the smoke free policies are harsh and difficult to implement in health facilities where patient compliance is a matter of serious concern (Lawn, 2004, Wye et al., 2010). Intra-staff disputes and arguments with patients as to how to implement these policies, if at all, occur frequently. This protocol was developed at the request of staff at a mental health facility for HIV AIDS patients afflicted with dementia. Staff were concerned about imminent smoke-free regulations that would impact on their unit.

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Eliminating Tobacco Use in Mental Health Facilities

JAMA ◽

10.1001/jama.299.5.571 ◽

2008 ◽

Vol 299 (5) ◽

pp. 571 ◽

Cited By ~ 44

Author(s):

Jill M. Williams

Keyword(s):

Mental Health ◽

Tobacco Use ◽

Health Facilities ◽

Mental Health Facilities

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Comparison of Users and Nonusers of a Community Mental Health Facility

PsycEXTRA Dataset ◽

10.1037/e473742008-351 ◽

1968 ◽

Author(s):

Lucille Nahemow

Keyword(s):

Mental Health ◽

Community Mental Health ◽

Health Facility ◽

Mental Health Facility

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Profiling persons reported missing from hospitals versus mental health facilities

International Journal of Police Science & Management ◽

10.1177/14613557211021868 ◽

2021 ◽

pp. 146135572110218

Author(s):

Lorna Ferguson

Keyword(s):

Mental Health ◽

Risk Management ◽

Logistic Regression ◽

Descriptive Analysis ◽

Health Facilities ◽

Significant Issue ◽

Missing Persons ◽

Mental Health Facilities ◽

Municipal Police ◽

Location Type

Missing person reports from hospitals and mental health facilities are a significant issue impacting patients, communities, and health and police sectors. Research on missing persons seldom considers the type of location from where people go missing, which can be troublesome due to the increased chances for experiencing harm during an episode from hospitals and mental health facilities. When location type is studied, these often remarkably different places are frequently blended together in analyses and discussions. This conflation has implications for research and the development of effective police preventive responses. To begin to address this gap, this study uses descriptive analysis and logistic regression to examine the descriptive and predictive profiles of those reported missing from hospitals versus those reported missing from mental health units. For this, data are taken from a sample of 916 closed missing person cases reported to a Canadian municipal police service over five years. Results suggest there are significant differences in both the descriptive and predictive profiles of individuals reported missing from these two location types, such as individuals with varying mental health and cognitive issues going missing from each place, respectively. Given the findings, the implications for research, policing, and risk management are discussed.

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Design features that reduce the use of seclusion and restraint in mental health facilities: a rapid systematic review

BMJ Open ◽

10.1136/bmjopen-2020-046647 ◽

2021 ◽

Vol 11 (7) ◽

pp. e046647

Author(s):

Sanne Oostermeijer ◽

Catherine Brasier ◽

Carol Harvey ◽

Bridget Hamilton ◽

Cath Roper ◽

...

Keyword(s):

Mental Health ◽

Physical Environment ◽

Critical Appraisal ◽

Physical Restraint ◽

Health Facilities ◽

Rapid Review ◽

Cochrane Library ◽

Design Features ◽

Mental Health Facilities

Increasing efforts are being made to prevent and/or eliminate the use of seclusion and restraint in mental health facilities. Recent literature recognises the importance of the physical environment in supporting better outcomes in mental health services. This rapid review scoped the existing literature studying what physical design features of mental health facilities can reduce the use of seclusion and physical restraint.DesignA rapid review of peer-reviewed literature.MethodsPeer-reviewed literature was searched for studies on architectural design and the use of restraint and seclusion in mental health facilities. The following academic databases were searched: Cochrane Library, Medline, PsycINFO, Scopus and Avery for English language literature published between January 2010 and August 2019. The Joanna Briggs Institute’s critical appraisal tool was used to assess the quality of included studies.ResultsWe identified 35 peer-reviewed studies. The findings revealed several overarching themes in design efforts to reduce the use of seclusion and restraint: a beneficial physical environment (eg, access to gardens or recreational facilities); sensory or comfort rooms; and private, uncrowded and calm spaces. The critical appraisal indicated that the overall quality of studies was low, as such the findings should be interpreted with caution.ConclusionThis study found preliminary evidence that the physical environment has a role in supporting the reduction in the use of seclusion and restraint. This is likely to be achieved through a multilayered approach, founded on good design features and building towards specific design features which may reduce occurrences of seclusion and restraint. Future designs should include consumers in a codesign process to maximise the potential for change and innovation that is genuinely guided by the insights of lived experience expertise.

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