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SAMHSA Initiative to Reduce and Eliminate Seclusion and Restraint

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Inventory of Seclusion and Restraint Reduction Interventions (ISRRI)

The ISRRI is a tool for measuring, in standardized form, the nature, and extent of interventions implemented for the purpose of reducing seclusion and restraint at a particular facility.

The ISRRI is a type of instrument known as a fidelity scale. Fidelity scales are developed to measure the extent to which a program in practice adheres to a prescribed treatment model. Fidelity scales are useful for explaining program impacts, identifying critical components (“active ingredients”), and guiding replication of interventions, as well as for self-evaluation and accountability. Because implementation is measured as a scale (fidelity score), it allows assessment of the effect of the degree of implementation as it varies across sites. The ISRRI is a new scale developed specifically for the SIG project.

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