Restraint Reduction Planning Checklist
The Restraint Reduction Network (RRN) Training Standards requires that training providers have a Restraint Reduction Plan, which details “measurable outcomes and actions that support the reduction of the use of restrictive practices.” (RRN, 1.4.4.)
NAPPI uk provides a checklist to enable client-partners to identify their position regarding restraint reduction initiatives. There is no pass mark, rather it is a means to establish a baseline against which their progress can be monitored. NAPPI uk have incorporated an adaption of the Six Core Strategies@ as identified by Huckshorn (NASMHPD, 2008).
The checklist is part of our overall cloud based RRN implementation system. This system provides easy access for the individuals tasked with completing the initial checklist and then results, along with action plans, which can be shared with the wider organisation. The greatest benefit comes from the ability to review progress at intermittent times decided by the client and see the measurable outcomes in bar-graph format.
Six Core Strategies are:
- Leadership in organisational culture change
- Using data to inform practice
- Workforce development
- Inclusion of families and peers
- Specific reduction interventions (using risk assessment, trauma assessment, crisis planning, sensory modulation and customer services).
- Rigorous debriefing
Completion of this checklist will usually be overseen by the “named person”, although they can reallocate to a more appropriate individual. Ideally the checklist should be completed by a committee who oversees restraint monitoring and reduction. However, if there is no such committee in place, then a good starting point would be for it to completed, with an action point to form a committee to review the accuracy of the initial scores.
The involvement of services users is recommended and encouraged. If there are no appropriately experienced and trained service users who can be invited onto the committee, then an action point could be to advertise, recruit and train service users in preparation for their meaningful involvement in this important task.
For assistance in completion of the Restraint Reduction Checklist please contact one of our team on 01723 353353 or email firstname.lastname@example.org.