osu: harding-hospital huge system with expanding opportunities inpatient units (53-adult beds,...
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OSU: Harding-Hospital
Huge System with Expanding Opportunities• Inpatient Units (53-adult beds,
20-adolescent beds)• ED Annex (16-bed behavioral
crisis unit)• CALM (8-bed observation unit)• Psych Consultation Team
• ECT/TMS Clinics• IOP & Partial Hospitalization
Units• Talbot Hall (Off-Campus)• Brain Spine Hospital 2016
• Med-Psych Unit (15-bed)
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The Ohio State University Wexner Medical Center., n.d.
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Needs Assessment
Typical non-trauma sensitive environments– High use of rules to manage safety– High use of Seclusion/Restraint – High rates of injury (patients and staff) – Low satisfaction (patients and staff) – Poorly defined Processes
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TIC Enculturation Plan
Followed Dr. Huckshorn’s Guide;
Reducing Seclusion & Restraint Use in Mental Health Settings: Core Strategies
for Prevention
Leadership Commitment
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Core Strategy 1
Become Trauma-InformedImprove QA Resources Review each S/R Event
Workforce Development
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Core Strategy 3
• TIC Consult (Huckshorn) - February 2013• Initial Training (NCTIC) - August 2013• Supplemental Training
• Annual Digital Trainer (OSU)• New Hire Orientation (Harding)• Formal Quality Reviews of S/R Episodes
• Recruiter Screen for Trauma Sensitive Candidates
Core Strategy 4
SAFETY GUIDELINES FOR TRAUMA-INFORMED APPROACHES AND PATIENT DIRECTED SUPPORT -
January 2014 • TIC Overview• P4 Comfort Plan• Comfort Boxes• Behavioral Support Teams
• Ekahau Safety Badges
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Prevention Tools
Core Strategy 4
• New Furniture (Adolescent Unit)• Sensory Room Project (Adolescent Unit)• Personalized Comfort Box & WRAP Plans• Level of care Initiative• ICU/Step Down• General Psych
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Prevention Tools (Continued)
ReferencesThe Ohio State University Wexner Medical Center. (n.d.). OSU Harding Hospital. Retrieved from http://wexnermedical.osu.edu/patient-care/locations-and-parking/osu-harding-hospital
University of South Florida. (n.d.). Creating trauma-informed care environments: Organizational self-assessment for trauma-informed care practices in youth residential settings . Retrieved from http://www.cfbhn.org/assets/TIC/youthresidentialself%20assess%20Fillable%20FORM%20%282%29.pdf
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