De-Escalation and Safety Intervention in Mental Health Crisis

<p>The aims of this CNL Internship Project are to decrease the number of incidents in which patients are escorted out of the clinic via staff or SFPD due to violent/aggressive behavior, are put on a 5150 hold, or who are absent without official leave (AWOL) or leave against medical advice (AMA) by 70% within 12 months of initiating an evidence-based staff training program on therapeutic communication and de-escalation techniques and implementing a de-escalation and safety intervention protocol and to achieve 100% improvement in staff perception of preparedness to manage escalating patient events and maintain safety. This project is being implemented in a psychiatric urgent care clinic San Francisco, where rest and rehabilitation is provided for individuals experiencing an exacerbation of a mental illness.</p> <p>Staff education and training in-service sessions were conducted regarding de-escalation techniques and the utilization of an evidence-based, standardized de-escalation and safety protocol. Results from a Likert-type scale survey administered before and after training in-service sessions and implementation of the De-Escalation and Safety Intervention protocol revealed significant improvement in staff perception of preparedness individually and as a team to safely manage escalating patient crises as well as in usefulness of the protocol. Results from a post-teaching effectiveness survey revealed 100% of staff feel strongly (5/5) that the de-escalation techniques taught and the implementation of the standardized protocol are effective methods to incorporate into practice. Results regarding 70% decrease in adverse patient discharges are still pending as post-implementation patient discharge data collection is in progress until April 2018.</p>

Name thesis:degree_name

Master of Science in Nursing (MSN)

Level thesis:degree_level

Project/Capstone - Global access

Year dc:date.available

2017

Author dc:creator

• Mitz, Rebecca N

Repository record dc:identifier

https://repository.usfca.edu/capstone/498

OAI identifier oai:identifier

oai:repository.usfca.edu:capstone-1516