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- Clinicians and Advocates Discuss the Challenges of Seclusion
Clinicians and Advocates Discuss the Challenges of Seclusion
After a federal initiative to eliminate restraint and seclusion, the Massachusetts Department of Mental Health's (DMH) received funding to address this challenging issue.
DMH felt it was critical to obtain input from clinicians, patients, families, staff, and advocates such as The Transformation Center, a nonprofit organization of people with mental health conditions and their advocates, most of whom had either been restrained or secluded or had a family member restrained or secluded.
Although discussion about policy had been possible, multiple attempts to have more personal conversations about the deeply complex and highly emotional issue failed. There were numerous complicating factors, starting with the fact that clinicians, patients and advocates had never talked about the issue from a personal perspective. There was real danger of people feeling re-traumatized as they discussed these intense and sometimes traumatic experiences.
Finally, the issue was complicated by long-standing questions and concerns about these techniques as an effective and necessary means of keeping patients from hurting themselves, staff, and each other.
A Dialogue About Mental Health
Essential Partners (then the Public Conversations Project) facilitated a dialogue with senior members of the clinical and administrative DMH staff, most of whom had authorized, administered, and/or witnessed restraints and seclusion, as well as representatives from The Transformation Project.
In essence, EP's charge was to help mental health advocates, people living with mental health conditions, and clinical staff speak about these emotionally charged experiences and develop the trust needed to work together to reduce the use of restraint and seclusion in Massachusetts.
Transformation and Collaboration
Through in-depth work with each group separately, Essential Partners helped participants open up about their hopes and fears. This prepared them for a series of subsequent dialogues.
When the groups finally came together, they were able to share their personal stories and listen to each other in a new way. Relationships were transformed, communication was changed, and the two groups not only worked together, but went on to jointly design and hold a conference.
Related Impact Stories
Testimonials
Cricket Fuller, The Christian Science MonitorThis wasn’t a policy debate [about guns]. Instead, two people whose backgrounds and views diverged in almost every way possible shared a moment of honesty that struck at the heart of the matter.
Boston, Massachusetts
Linda Gryczan, MediatorInstead of demonizing and dehumanizing the other, we built a deeper connection. The fact that we disagree matters much less. It matters much more that we are neighbors in this community.
Montana Mediation Association
Imam Sani IsahThrough this training, we will have more people in the stream of work that we do and become better equipped with the know-how, skills and techniques. But most important, together we will sow a seed that will germinate and become a source of the antidote to terrorism, fanaticism, bigotry and extremism.
Nigeria
Windor DorkoAs a former rebel, I really believe that if we had known about dialogue, perhaps we would not have had a civil war.
Liberia
Program ParticipantThis is a different tool for engagement. It’s not about you, it’s about others. It involves the art of listening and sincerely talking from the heart
Interfaith Mediation Centre, Nigeria
Louise O’Kane, Community Places[Essential Partners’] technique is used to explore contentious or divisive issues. So looking at renewable energy we thought this was an ideal opportunity to explore all the complexities of that issue. I found it a really useful method, and although this is the first time we’ve used it I am sure we’ll be using it again.
Northern Ireland, UK
Nicki Glasser, Policy CoordinatorWhat surprised me was how much you could transform a relationship during a three-hour conversation.
Transformation Center, Massachusetts
Program ParticipantThe highlight for me was the interconnectedness of the participants’ views, mutual respect, and range of experiences within the group
Montana
Program ParticipantThis is a new idea, so many people speaking from their hearts. People can come together...if people can understand, they can change their hearts; then this can bring about more change.
Interfaith Mediation Centre, Nigeria
Bill Scott, Project DirectorThere was a remarkable change in the way we were able to communicate with one another following the facilitated conversations.
Massachusetts Department of Mental Health
Misty Stoll, School Board TrusteeI ran for my local school board in 2018 and was elected. I use the skills in our meetings, whether I’m chairing the meeting or not. This makes the meetings much more productive. We don’t go over the same topics over and over again.
Wyoming
Belle AbayaWhat is special about Essential Partners' approach is that it promotes authenticity, reduces defensiveness, increases curiosity, and boosts connectedness.
The Conflict Resolution Group Foundation, Philippines
Bob Bordone, Expert and AuthorEssential Partners does the best work in the field of dialogue and communication.
Harvard Negotiation & Mediation Clinical Program, Co-Founder
Rebekah Shrestha, SVPEssential Partners has played a catalytic role in our ability to facilitate dialogue time and time again, and we could not have done this work without them.
Belfer Center for Innovation & Social Impact and Office of Strategic Planning, 92NY
Veronique Cavaillier, Director of Eastern Trade CouncilI think Essential Partners' training should be mandatory in every legislature. I think it should be a requirement.
The Council of State Governments
Belle AbayaWhat is special about Essential Partners' approach is that it promotes authenticity, reduces defensiveness, increases curiosity, and boosts connectedness.
The Conflict Resolution Group Foundation, Philippines
Etionette Nshirmirimana, Burundian Master TrainerI realized that by using the “dialogue” approach, people could talk of what is deep in their heart, especially things that have harmed them.
Burundi
Anjali Bal, Associate Professor of MarketingOne of the things that we talked about was the ability to hear another person’s point of view, even if our minds aren’t changed. We have to remember that any sort of movement is movement. If we don’t acknowledge small movement, then we just stay on two different sides, and it’s all black and white, and we don’t hear each other.
Babson College, MA
Beth MendozaDialogue gets more results. It makes decision-making easier. It makes creating participation easier … our greatest organizational impact has been more contributions as well as more effective and efficient meetings.
Moraine Park Technical College, Wisconsin
Patrick Hale, director of Multicultural and Identity ProgramsOne of the things that’s so crucial to even fostering dialogue around diversity, equity, and inclusion is creating opportunities for folks to engage in deep reflective self-awareness.
Babson College, MA
Program ParticipantThe highlight for me was the interconnectedness of the participants’ views, mutual respect, and range of experiences within the group
Montana
Kim Davidson, OmbudsI’ve gained not only confidence but tools. The Essential Partners training was worth every penny.
Oberlin College, Ohio
Program ParticipantBefore, I thought all dialogue that does not culminate in solution was considered equivalent to failure. Now I see that dialogue is a stage complete in itself.
Burundi
Belle AbayaAuthentic conversations will lead people to reflect on their own thinking and transform their perspectives to include that of others.
The Conflict Resolution Group Foundation, Philippines
Luke Zubrod, Director of Strategic InitiativesWhen there's an element of conflict, oftentimes we gravitate toward debate as a way of contending toward some decision or outcome. Dialogue is a much different proposition. The emphasis of dialogue is in understanding the other person's perspective, making sure they have the opportunity to feel heard.
Chatham Financial, Pennsylvania
Romeo McCauley, Project PartnerI learned that I can build relationships, that I can be connected to anybody who I want to be connected to, no matter how difficult it is
Liberia
Lauren Cobb, Task Force MemberI now lead teams with a different language, using different processes, and with a different awareness of team dynamics. [I’ve seen] relationships grow and deepen, unity and commitment remain high, and mutual respect established and fostered.
Glendale Presbyterian Church, California
Janet Harris, Winthrop Rockefeller InstituteThe learning we received from Essential Partners has helped us open up space for people to have difficult conversations in a different way. The more we do this, the more we realize that dialogue has to be a part of all our work.
Arkansas
Program ParticipantI did not anticipate having as many concrete takeaways as I do. I feel there is an immense practical application.
Program ParticipantI did not anticipate having as many concrete takeaways as I do. I feel there is an immense practical application.
Seth Karamage, MediatorI am amazed at what came out—the way people shared their stories. This is not like a role-play; it really touched me.
Interfaith Mediation Centre, Nigeria
Undergraduate StudentI notice that my classmates take much more care when speaking about people who practice other religions. They make fewer assumptions, and they’re more careful with their words to make sure to avoid unintentional connotations.
Bridgewater College, Virginia
Bob Bordone, Expert and AuthorEssential Partners does the best work in the field of dialogue and communication.
Harvard Negotiation & Mediation Clinical Program, Co-Founder
Belle AbayaTogether, we married our ideas to create a dialogue model that took into consideration our young people’s particular needs, and our culture.
The Conflict Resolution Group Foundation, Philippines
Janele Nelson, Mission DirectorIn these divisive times, Essential Partners has given my local YMCA and now the national YMCA a means to build bridges through dialogue, re-establishing foundations for constructive change to occur.
YMCA of Pierce & Kitsap Counties (WA)
Program ParticipantThis is the best adult learning experience I have had in the past five years. I wanted to learn new skills—I did!
Douglas Stone, Sheila Heen, and Bruce PattonWe owe a debt of gratitude to Laura Chasin and her collaborators at Essential Partners… From them, we have learned about the transformative power of telling one’s story and speaking to the heart of the matter.
Difficult Conversations
Matthew Sandikie, Project PartnerThis has been quite different from other discussions in Liberia about peace. While many processes have been about how to reform ex-combatants, this was about how we may hold our own views but live together peacefully.
Liberia
Rebekah Shrestha, SVPEssential Partners has played a catalytic role in our ability to facilitate dialogue time and time again, and we could not have done this work without them.
Belfer Center for Innovation & Social Impact and Office of Strategic Planning, 92NY
Janele Nelson, Mission DirectorIn these divisive times, Essential Partners has given my local YMCA and now the national YMCA a means to build bridges through dialogue, re-establishing foundations for constructive change to occur.
YMCA of Pierce & Kitsap Counties (WA)
Douglas Stone, Sheila Heen, and Bruce PattonWe owe a debt of gratitude to Laura Chasin and her collaborators at Essential Partners… From them, we have learned about the transformative power of telling one’s story and speaking to the heart of the matter.
Difficult Conversations
Program ParticipantI am now open to new views and can moderate my impulse to debate or persuade others of different views
Montana
Romeo McCauley, Project PartnerI learned that I can build relationships, that I can be connected to anybody who I want to be connected to, no matter how difficult it is
Liberia
Andrew Wulf, PrincipalThe community dialogue was instrumental in helping us create a new policy around class rank. Though a controversial topic in the community, the dialogue EP helped us run ensured all voices were heard and valued. Regardless of how people felt with the final result, one parent summed it up best for us, ‘sometimes the process is more important than the outcome’.
Newburyport High School
Undergraduate StudentI have never heard people talk so openly about race, especially in a class setting. Everyone was respectful and honest at the same time. The dialogue structure helped me learn about my peers and helped me feel more comfortable than I ever have about discussing controversial issues.
Gordon College, Massachusetts
Anjali Bal, Associate Professor of MarketingWe talked about where we are in the world right now, so we talked quite a bit about polarization. Essential Partners showed how these conversations are becoming more taxing and challenging because of that polarization. These were some first steps in terms of how we can start to have those conversations.
Babson College, MA
Program ParticipantI felt an amazing sense of accomplishment when the Essential Partners training ended; that I'd done something important for my community and something important for me.
Massachusetts
Meirav Solomon ’20Dialogue not only teaches you how to interact and understand more deeply those around you, it also teaches you more about the world around you and yourself. I think dialogue is super important to my growth as a student, a global citizen and a human being. I have learned to listen, I have learned to speak out, I have learned how to access my stretch zone (where I feel uncomfortable speaking but not turned off) and I have learned where my limits are.
Cary Academy, NC
Peter Cooke, Immigration Dialogue ParticipantThere’s a real difference to people who are coming to meetings. They say, wow this is so different. They all said how people were more on the ball, more congenial. Now people see growing the economy as a way to unify the receiving community and immigrant communities.
New Hampshire
Nicki Glasser, Policy CoordinatorWhat surprised me was how much you could transform a relationship during a three-hour conversation.
Transformation Center, Massachusetts
Program ParticipantBefore, I thought all dialogue that does not culminate in solution was considered equivalent to failure. Now I see that dialogue is a stage complete in itself.
Burundi
Kate CellThe thing that always feels like magic to me—and I’ve used it in several meetings that I’ve had since—is how the practitioners start by setting out pacts or agreements.
Union of Concerned Scientists, Massachusetts
Program ParticipantI am now open to new views and can moderate my impulse to debate or persuade others of different views
Montana
Bill Scott, Project DirectorThere was a remarkable change in the way we were able to communicate with one another following the facilitated conversations.
Massachusetts Department of Mental Health
Misty Stoll, School Board TrusteeI ran for my local school board in 2018 and was elected. I use the skills in our meetings, whether I’m chairing the meeting or not. This makes the meetings much more productive. We don’t go over the same topics over and over again.
Wyoming
Misty Stoll, School Board TrusteeThe Sheridan Community has changed in the best way since the Essential Partners training. The Center for a Vital Community has been holding monthly dialogues. I’m going to facilitate the upcoming one. What’s great is that we’re attracting a much more diverse group of participants. There are always the regulars who come, but now we’re also getting conservative Republicans to come as well—politicians come, even the Sheriff comes.
Wyoming
Program ParticipantI felt an amazing sense of accomplishment when the Essential Partners training ended; that I'd done something important for my community and something important for me.
Massachusetts
Program ParticipantI read this comment from the 14th Dalai Lama: "Every change of mind is first of all a change of heart.” It seems appropriate for what we are doing.
Bayview, Michigan
Kim Davidson, OmbudsI’ve gained not only confidence but tools. The Essential Partners training was worth every penny.
Oberlin College, Ohio
Program ParticipantThis is the best adult learning experience I have had in the past five years. I wanted to learn new skills—I did!