OSU: Harding-Hospital Huge System with Expanding Opportunities Inpatient Units (53-adult beds, 20-adolescent beds) Inpatient Units (53-adult beds, 20-adolescent.

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

Meaningful Data

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Core Strategy 2

DefineMeasureAnalyzeImproveControl

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)

Core Strategy 5

• Patient Experience Council • Parent Partner Initiative (NCH)

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Peer Support

Core Strategy 6

3-Step Process1. Patient 2. Staff 3. Team

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Debriefing Tools

Areas of Needs

1. Training2. P&P Revision3. Champions 4. System reassessment

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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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