RT Journal Article SR Electronic T1 Resource Document on the Use of Restraint and Seclusion in Correctional Mental Health Care JF Journal of the American Academy of Psychiatry and the Law Online JO J Am Acad Psychiatry Law FD American Academy of Psychiatry and the Law SP 417 OP 425 VO 35 IS 4 A1 Metzner, Jeffrey L. A1 Tardiff, Kenneth A1 Lion, John A1 Reid, William H. A1 Recupero, Patricia Ryan A1 Schetky, Diane H. A1 Edenfield, Bruce M. A1 Mattson, Marlin A1 Janofsky, Jeffrey S. YR 2007 UL http://jaapl.org/content/35/4/417.abstract AB This resource document discusses the use of seclusion or restraint for purposes of mental health intervention in correctional facilities. Correctional mental health standards essentially state that seclusion or restraint, when used for health care purposes, should be implemented in a manner consistent with current community practice. The community practice was significantly impacted and revised during July 1999, after the Health Care Financing Administration defined rules for the use of seclusion and restraint in facilities that participate in Medicare and Medicaid. Since few correctional facilities are Medicare or Medicaid participants, these rules had little impact on the use of seclusion or restraint for mental health care purposes in correctional systems. Consequently, many correctional health care systems have not developed policies, procedures, or practices that are consistent with current community practice. This document provides guidance in remedying such problems, with a focus on areas relevant to timeframes, settings, and monitoring.