Medication self-administration: an outcome-oriented, consumer-driven program

Article Abstract:

Mohawk Valley Psychiatric Center in Utica, NY instituted a medication self-administration program designed to train psychiatric patients to medicate themselves. The program consists of an assessment by a nurse who assigns the patient to one of three skill levels based upon observed knowledge and abilities. The patient then enters the training curriculum at a level determined by the nurse's assessment. The curriculum teaches the patient how to gather drug information, obtain and self-administer medications. The pilot program seems successful so far, despite a lack of hard data.

Research, Patient education, Psychotherapy patients, Self medication

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Reducing high-risk interventions for managing aggression in psychiatric settings

Article Abstract:

The Mohawk Valley Psychiatric Center's Dept of Nursing has instituted a patient anger management program to reduce the use of seclusion and restraints in controlling aggressive patients. Forms called anger management assessment tools enable patients and staff to cooperatively assess and manage patient anger by a variety of behavioral options, such as giving the patient time alone in a special room. A chart outlining anger management options is prominently posted in patient areas. Since the program's implementation, the use of restraints and seclusion has dropped by 75%.

Management, Safety and security measures, Prevention, Anger, Psychiatric hospital care, Psychiatric hospital patients, Violence in hospitals, Hospital violence

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Striving toward a best practice model for a restraint-free environment

Article Abstract:

Advances in understanding of mental health and Illness Indicate That Seclusion, Restraint and Forced Medication are not the best practice models for many high-risk health care settings. A new practice model was developed with the cooperation of consumer advocates and patients that allows for alternate responses toward aggression and recognizes that anger is a reasonable response under the circumstances. The new model attempts to treat patients with dignity and respect, while avoiding situations likely to increase tension, to reduce aggressive responses.

Psychological aspects, Practice, Mental health, Patients, Aggressiveness (Psychology)

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