Workplace Essentials (WE) Recipient Rights: Use of Restraint and Seclusion in an Inpatient Setting
This course explains the proper use of restraint and seclusion in inpatient psychiatric settings, outlining when these interventions may be used and the standards that guide them. You’ll learn how federal regulations and the Michigan Mental Health Code work together to protect the rights, safety, and dignity of individuals during these high-risk situations. Through clear examples and practical guidance, the course reinforces the importance of using the least restrictive measures first, documenting every step, and understanding the responsibilities of both nursing and medical staff when restraint or seclusion is necessary.
This module provides a detailed overview of standards and expectations for staff involved in restraint and seclusion, including:
-
Definitions and Distinctions between restraint, seclusion, and less restrictive interventions
-
Conditions for Use: When and how restraint or seclusion may be applied
-
Less Restrictive Alternatives: Time out and therapeutic de-escalation
-
Prohibited Uses: What restraint and seclusion are not to be used for
-
Physician Authorization and Time Limits: Required steps, orders, and renewals
-
Monitoring and Documentation: Staff responsibilities and assessment intervals
-
Patient Entitlements: Ongoing care, safety, and humane treatment requirements
-
Staff Competency: Training, assessment, and compliance expectations
This course is designed for professionals working in inpatient psychiatric hospitals or other facilities governed by both the Michigan Mental Health Code and federal regulations (42 CFR). It is also relevant for nurses, clinical staff, and administrators responsible for training and oversight of restraint and seclusion procedures.
After completing this module, learners will be able to:
-
Define restraint and seclusion and explain how they differ.
-
Describe when restraint and seclusion may be used in an inpatient setting.
-
Explain staff responsibilities once restraint or seclusion are initiated.
-
Identify required timeframes for restraint and seclusion orders and renewals.
-
Understand the role of trained staff in ensuring safety, monitoring, and documentation.
Michael D. Clark
MSW - Director
Michael Clark, MSW, is a member of the Motivational Interviewing Network of Trainers (MINT). Michael has trained groups throughout the United States, as well as Europe, Canada, the Caribbean, and Micronesia.
With over 30 articles and a new book to his credit, Michael has important information to share about motivating challenging clients. The Center has associate trainers that have provided training to national audiences for juvenile justice, substance abuse, mental health, criminal justice/corrections, child welfare, education and specialty courts.
Course Progress
Course Content
This content is unavailable
Enroll in the course to access
What People Are Saying
My experience with this module was enlightening. I received clarification on some issues I assumed that I knew. I now have a better understanding due to my participation in this course."
