To further our understanding of the impact of these new administrative reforms and associated clinical interventions we aimed in this study to examine demographic characteristics associated with the use of seclusion and restraint among psychiatrically hospitalized youths and also to quantify changing trends over a two year period in the rates . Sullivan am rivera j profile of a comprehensive psychiatric emergency program in a new york city municipal hospital psychiatric q 200071123 138 6 american academy of child and adolescent psychiatry practice parameter for the assessment and treatment of children and adolescents with suicidal behavior. Background agitation and aggression in children and adolescents in the emergency department ed can be dangerous and distressing for patients families and staff 1 agitation and aggression can disrupt care cause injury or necessitate use of physical restraint of youth presenting to the ed for psychiatric care 6 10 require restraint 2 3 at least 30 children in the united states . Psychiatric inpatient unit for school age children a total of 755 children were hospitalized for a total of 998 admissions from fiscal years 2003 to 2007 median age11 years 64 boys data were collected for three years before and 15 years after the six month implementation of the cps model of care results there were 559 restraint and . Anger control 3 adaptive behaviors 45 and interpersonal self aware ness and symptom reduction 67 we describe a program to reduce the use of restraint that was imple mented on three psychiatric units of a university hospital one unit served youths aged 12 to 17 years another served a general adult population
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