CAMH's Best Practice Guideline Implementation

Purpose and Scope

The purpose of this best practice guideline (BPG) is to provide evidence-based recommendations for registered nurses and registered practical nurses related to the care of individuals who are at risk for behaviours that may result in harm to self/others and lead to the possible use of restraints (physical, chemical, environmental). Unless otherwise indicated in the guideline, the discussion focus is on physical restraint.
 
This guideline focuses on three areas:
1.    assessment, prevention and alternative approaches
2.    de-escalation interventions and crisis management
3.    restraint use focused on client safety

Purpose and Scope

The purpose of this best practice guideline (BPG) is to provide evidence-based recommendations for nurses and members of the interprofessional team, organizations and the health system. These recommendations support safe and effective transitions in care for pediatric and adult persons and their support network.

This BPG is to be used by nurses and members of the interprofessional team across the continuum of care (e.g., primary care, home and community care, mental health and substance use health settings, acute care, rehabilitation, long-term care, correctional facilities and shelters), in all domains of practice (e.g., clinical care, administration, education, policy and research) supporting persons and their support network during transitions in care. It is also to be used by organizations that employ nurses and members of the interprofessional team, including health and social service organizations and academic institutions.

Purpose and scope

The purpose of this guideline is to promote the evidence-based cultural and equitable practices associated with people-centred care, and to help health and social service providers acquire the knowledge, skills and judgment necessary to become more adept with people-centred care. The recommendations and good practice statements will assist health and social service providers to learn about and from people accessing health and social services, develop an authentic relationship with people, and co-design a plan of care. The recommendations will also better align with and support the evolving health and social care landscape to embed the philosophy of people-centred care.

Purpose and Scope

This best practice guideline (BPG) outlines recommendations for the assessment and care of delirium, dementia and depression in older adults. The focus is on the provision of effective, compassionate and dignified care, and on managing any presenting signs, symptoms or behaviours. 

Nurses and other members of the interprofessional health-care team can use this BPG to enhance the quality of their practice pertaining to delirium, dementia and depression in older adults, and to optimize clinical outcomes by using evidence-based practices. The recommendations apply to foundational clinical care provided by nurses and other health-care providers in a range of community and health-care settings.

Purpose and Scope

The purpose of this best practice guideline is to provide nurses and the interprofessional team across all care settings with evidence-based recommendations related to assessment and interventions for individuals aged 11 years and older who use substances and may be at risk for or experiencing a substance use disorder. 

The scope of this guideline includes effective assessment and management interventions, education, organization, and policy recommendations for improving access to care for these individuals.

This guideline provides evidence-based recommendations for nurses and other members of the interprofessional team across all care settings who are assessing and providing interventions to individuals who use substances and may be at risk for or experiencing a substance use disorder.