SAMHSA Strategic Action Plan

PURPOSE

To provide training, technical assistance and other support to States, providers, facilities, and consumers and families in order to reduce, and ultimately eliminate, seclusion and restraint in mental health and substance abuse care.   Deaths due to seclusion and restraint are estimated at approximately 150 per year across the Nation.  In addition to the very real risk of death and injury, individuals who have experienced previous physical or sexual abuse, can suffer further traumatization when subject to these practices.

PERFORMANCE MEASURES

Long-Term Measures

• Reduce, and work toward eliminating, the use of seclusion and restraint in mental health and substance abuse services through the awarding of State Seclusion and Restraint SIGs (Data Source: Seclusion and Restraint SIG, Baseline: 8 States, 2006)

• Increase the number of States and facilities adopting and implementing alternatives to the use of seclusion and restraint (Data Source:  Seclusion and Restraint SIG, Baseline: 8 States, 2006; Number of facilities included in Seclusion and Restraint SIG: TBD, 2006)

Annual Measures

• Increase number of consumers, providers, facilities, States, and others trained to use alternatives to seclusion and restraint for all ages (Data Source:  Trainings provided by Seclusion and Restraint SIG, Baseline: TBD, 2006; SR Resource Center Trainings, number of training materials distributed, Baseline: TBD, 2006)

• Increase the number of candidate programs to NREPP that propose alternatives to seclusion and restraint (Data Source:  NREPP Submissions, Baseline:  TBD, 2007)

• Increase the number of  SAMHSA grant announcements that address seclusion and restraint  (Data Source:  SAMHSA grant announcements/SAMHSA Grants Information Management System, Baseline:  TBD, 2006)

POLICY AND PROGRAM PARAMETERS –
including drivers:

The following are policy and program parameters that are addressed or reflected in the action plan:

• Final Report of the President’s New Freedom Commission on Mental Health

• Crossing the Quality Chasm

• Secretary’s Patient Safety Goals

• The Federal Action Agenda: First Steps

KEY ACTIVITIES –
FY 06-07:

• Continue systemic training/technical assistance efforts, through the SIG programs and Addictions roundtable, designed to change policy/practices to reduce and ultimately eliminate the use of seclusion and restraint and expand the focus of these trainings to address children and the elderly.

• Facilitate the development of Federal regulations, including finalizing Part I regulations with CMS and other Federal partners, on seclusion and restraint standards. 

• Propose a performance measure for use of seclusion and restraint among grantees. 

• Develop pilot language for SAMHSA’s grant announcements addressing the reduction of seclusion and restraint.

• Ensure that seclusion and restraint is a focus, as appropriate, in SAMHSA’s four redwood programs: Mental Health Transformation SIG, Access to Recovery, Strategic Prevention Framework SIG, and COSIG.  (Track State and community grant activities, technical assistance and outcomes.)

• Increase the number of candidate programs submitted for review in NREPP that propose alternatives to seclusion and restraint.

• Partner with the Workforce matrix group to ensure that seclusion and restraint is a key priority in the SAMHSA workforce development strategy.

• Expand focus on treatment settings where children and adolescents and the elderly are at risk for use of seclusion and restraint (i.e. in unregulated residential treatment facilities, therapeutic boarding schools, nursing facilities and elder care, etc.)

As Matrix Lead, I agree to the incorporation of the concepts, strategies, and goals outlined in this Action Plan into my performance contract.