Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines

Resource List of Websites

Prevention, Assessment & Alternative Approaches
Website Link
BC Mental Health and Addictions Services
·         Short-Term Assessment of Risk and Treatability (START)
COMBI - The Centre for Outcome Measurement in Brain Injury:
·         ABS forms & training, testing.
Comfort Rooms - A Preventative Tool Used to Reduce the Use of Restraint and
Seclusion in Facilities that Serve Individuals With Mental Illness
·         Ideas & Instructions for Implementation
Consult - Physical Restraints
  • Protocols and topics
  • try this issues: Avoiding Restraints in Older Adults with Dementia
Gentle Persuasive Approach Curriculum
  • Report
Ontario Association of Non Profit Homes and Services for Seniors(OANHSS):
Policy & Procedures Training Packages (Examples) for:
  • Falls Prevention & Management Program
  • Responsive Behaviours
  • Minimizing Restraining and the Use of Personal Assistance Services Devices (PASD) 
Massachusetts Department of Mental Health (DMH)
  • Restraint/Seclusion Reduction Initiative
    • Age appropriate child, adolescent and adult interview tools
Putting the P.I.E.C.E.STM Together
o   Framework for assessment, tools & education
Substance Abuse and Mental Health Services Administration (SAMHSA) toolkit:
  • Toolkit for training of direct-care staff of adult clients with serious mental illness emotional disturbances in strategies for
    • Prevention and elimination of seclusion and restraint
    •  Approach focused on consumer well-being
  • Trauma-Informed Care & Trauma Services
Te Pou- The National Centre of Mental Health Research, Information & Workforce:
  • On sensory modulation information and prevention tools to help limit the use of seclusion and restraint.
Tidal Model
  • Philosophy, framework information
Texas Medical Foundation: TMF Health Quality Institute (Long Term Care)
Wellness Recovery Action Plan® (WRAP®) – Mary Ellen Copeland
De-Escalation & Crisis Management
Chief Psychiatrist, Victoria, Australia
  • On line training resources for seclusion/restraint, trauma informed care, leadership & organizational change.
CPI: Crisis, Prevention, Intervention:
  • International training organization on best practices for safe behaviour management that focuses on prevention and non violent crisis intervention.
FDA Food and Drug Administration
  • Guide to Bed Safety
  • Physical Restraint definitions
Health Canada:
  • Guidance Document Adult Hospital Beds: Patient Entrapment Hazards, Side Rail Latching Reliability, and Other Hazards.
  • Safety Information on the Use of Waist and Torso Patient Restraints
Psychiatric Patient Advocacy Office (PPAO)
  • Restraint, Physical, Chemical, Seclusion
The University of Iowa:
  • Resident Restraint Free Care Flyer
Canadian Mental Health Association
  • Ministry of Health and Long Term Care: 
    • Ontario Mental Health Act (1990)
    • Health Care Consent Act (1996)
College of Nurses of Ontario
  • Standard on Restraints
Ministry of Health and Long-Term Care
Long-Term Care Homes Act, 2010
  • Legislation regarding restraints in long-term care (MOH-LTC- Ontario, Canada) Sections: 30-36
Ministry of Health and Long-Term Care
Patient’s Restraint Minimization Act (2001)
  • Legislation regarding restraint use in hospital and facilities (Ministry of Health and Long Term Care [MOH-LTC] – Ontario, Canada)
Advancing Excellence in Americas Nursing Homes
  • Quality Improvement Resources – Tools Tracking the Use of Restraints
National Association of State Mental Health Program Directors (NASMHD)
  • United States of America (USA) organization representing 50 states, 4 territories, and the District of Columbia providing:
    • Policy, publications and links to Mental Health agencies.
    • Tools: Six Core Strategies© to reduce the use of seclusion and restraint planning tool
    • White Papers: Restraint and Seclusion: A Risk Management Guide
Hogg Foundation for Mental Health
  • Advances mental health wellness for Texas, USA
    • Resource Library includes Debriefing and Seclusion and Restraint Tools, References and Training presentations