Restraint & Seclusion Elimination

Links to information, research, and resources to eliminate and reduce restraint and seclusion

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Supporting trauma-informed and violence-free programs

Kiva Centers is committed to providing education and resources to end the use of restraint, seclusion, and coercion. Below are some links to information and research that support trauma-informed and violence-free programs. Please check our site often for updates.
Questions? Contact us at (508) 751-9600 for information.

Restraint, Seclusion, and Coercion Elimination Resources

The National Center for Trauma Informed Care and Alternates to Seclusion and Restraint at SAMHSA 
“Roadmap to Seclusion and Restraint Free Mental Health Services”.   A 2-day free training curriculum on how mental health providers can reduce and eventually eliminate the use of restraint and seclusion.  Peer advocates played a major role in writing this national curriculum.
“Paving New Ground: Peers Working in Inpatient Settings” Manual developed by peers nationally who are involved in the development of these roles.
Witness Justice. This organization focuses on help and healing for victims of violence.
Massachusetts organization that investigate allegations of abuse and neglect, including complaints around the use of restraint/seclusion:
Disability Law Center
11 Beacon Street, Suite 925, Boston, Massachusetts, 02108 , 617) 723-8455 / (800) 872-9992 Voice (617) 227-9464 / (800) 381-0577 TTY
Mental Health Legal Advisors Committee
399 Washington Street, 4th Floor, Boston, MA, 02108, 617-338-2345  Email:
Hartford Courant “Deadly Restraint: A 5 Part  Series”
Recovery Not Restraints – in memory of Jeffery Christopher. Read about the reality of restraints, real stories, alternatives, and opporitunities to share your stories and thoughts.
“Alliance to Present Restraint, Aversion Intervention and Seclusion” APRAIS – established in 2004 by leading education, research and advocacy organizations with a common goal: to eliminate the use of dangerous and dehumanizing practices as a means of managing challenging behavior.


PLEASE NOTE:  These resources and any others within the Kiva Centers website are not intended as a recommendation of any of the websites or services listed, but are provided for informational purposes only. These resource listings intentionally focus more on alternatives to medical model approaches and ways of thinking, not because we are against more familiar and medical perspectives and approaches but because we are aware that many people aren’t provided the opportunity to explore alternatives. Often, information on less standard approaches can be very difficult to find. Ultimately, we support people in their efforts to be fully informed and to choose the path that is best for them.