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>> endobj 37 0 obj << /Type /StructElem /S /P /ActualText (Two themes were found to support the entailed program) /Pg 7 0 R /K [56] >> endobj 38 0 obj << /Type /StructElem /S /P /P 165 0 R /ActualText ( Strategies for Behavior Improvement:) /Pg 7 0 R /K [57] >> endobj 39 0 obj << /Type /StructElem /S /P /P 166 0 R /ActualText (A multi-factor approach, implementing more than one approach of strategies, such as education and de-escalation training, to minimize the use of restraints and aggressive behavior \(Brewer et al.,2017\).) /Pg 7 0 R /K [58] >> endobj 40 0 obj << /Type /StructElem /S /P /P 167 0 R /ActualText (Implementing a Token Economy to increase behavior and confidence \(Hickey et al., 2018\). ) /Pg 7 0 R /K [59] >> endobj 41 0 obj << /Type /StructElem /S /P /P 168 0 R /ActualText (Incorporating various types of positive reinforcement techniques \(Gunaretnam et al.,2021\). ) /Pg 7 0 R /K [60 61] >> endobj 42 0 obj << /Type /StructElem /S /P /P 169 0 R /ActualText (The Need for Education and Awareness:) /Pg 7 0 R >> endobj 43 0 obj << /Type /StructElem /S /P /P 170 0 R /ActualText (Increasing knowledge and education within the staff improves the environment. ) /Pg 7 0 R /K [62] >> endobj 44 0 obj << /Type /StructElem /S /P /P 171 0 R /ActualText (Expanding these aspects has been shown to increase confidence to incorporate new strategies.\(Jones et al.,2023; Liang & Huang, 2023\)) /Pg 7 0 R /K [63] >> endobj 45 0 obj << /Type /StructElem /S /P /P 172 0 R /ActualText (Gaps:) /Pg 7 0 R >> endobj 46 0 obj << /Type /StructElem /S /P /P 173 0 R /ActualText (Minimal data stating if the methods stated above have been implemented and utilized to show efficiency within mental health settings) /Pg 7 0 R /K [64] >> endobj 47 0 obj << /Type /StructElem /S /P /P 174 0 R /ActualText (Limited data on Positive Reinforcement techniques in psychiatric facilities; only de-escalation strategies) /Pg 7 0 R /K [65] >> endobj 48 0 obj << /Type /StructElem /S /H3 /T (Learning 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by 1.23 points) /Pg 7 0 R /K [93] >> endobj 92 0 obj << /Type /StructElem /S /P /P 200 0 R /ActualText (Likely their interest will be to execute) /Pg 7 0 R /K [94] >> endobj 93 0 obj << /Type /StructElem /S /P /P 201 0 R /ActualText (Average mean scores increased by 1.02 points) /Pg 7 0 R /K [95] >> endobj 94 0 obj << /Type /StructElem /S /P /ActualText (Qualitative Data:) /Pg 7 0 R /K [66] >> endobj 95 0 obj << /Type /StructElem /S /P /ActualText (Three themes were coded and found during the data analysis) /Pg 7 0 R /K [67] >> endobj 96 0 obj << /Type /StructElem /S /P /P 202 0 R /ActualText (Target Population ) /Pg 7 0 R /K [68] >> endobj 97 0 obj << /Type /StructElem /S /P /P 203 0 R /ActualText (Appropriate for the pediatric population; however, interest was made in modifying and adapting for the adult population.) /Pg 7 0 R /K [69] >> endobj 98 0 obj << /Type /StructElem /S /P /P 204 0 R /ActualText ( The Need for Holistic Measures ) /Pg 7 0 R /K [70] >> endobj 99 0 obj << /Type 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scan QR code) /Pg 7 0 R /K [84] >> endobj 105 0 obj << /Type /StructElem /S /P /P 209 0 R /ActualText (Completed Positive Reinforcement Program Manual) /Pg 7 0 R /K [53] >> endobj 106 0 obj << /Type /StructElem /S /P /P 210 0 R /ActualText (In-service powerpoint presentation ) /Pg 7 0 R /K [54] >> endobj 107 0 obj << /Type /StructElem /S /P /P 211 0 R /ActualText ( Educational handouts and resources ) /Pg 7 0 R /K [55] >> endobj 108 0 obj << /Type /StructElem /S /Figure /P 20 0 R /Pg 7 0 R >> endobj 109 0 obj << /Type /StructElem /S /P /ActualText (Discussion:) /Pg 7 0 R /K [86] >> endobj 110 0 obj << /Type /StructElem /S /P /ActualText (Overall, this project was created as the first foundation to begin the next steps for future direction. This may include moving forward with an additional implementation process that can be conducted by the OT staff or current capstone student at the DCE site. This process can continue to bring awareness and education to other staff members at the facility to bring everyone together in using this new strategy to help reduce physical and chemical restraints. ) /Pg 7 0 R /K [87] >> endobj 111 0 obj << /Type /StructElem /S /H3 /T (Discussion and Implications) /E (Discussion and Implications) /Pg 7 0 R /K [9] >> endobj 112 0 obj << /Type /StructElem /S /P /ActualText (Implications for OT) /Pg 7 0 R /K [76] >> endobj 113 0 obj << /Type /StructElem /S /P /P 212 0 R /ActualText (Opportunities for the field of mental health ) /Pg 7 0 R /K [77] >> endobj 114 0 obj << /Type /StructElem /S /P /P 213 0 R /ActualText (Improve individual's well-being and wellness) /Pg 7 0 R /K [78] >> endobj 115 0 obj << /Type /StructElem /S /P /P 214 0 R /ActualText (Increased knowledge and awareness of staff members ) /Pg 7 0 R /K [79] >> endobj 116 0 obj << /Type /StructElem /S /P /P 215 0 R /ActualText (Advocating for the OT profession ) /Pg 7 0 R /K [80] >> endobj 117 0 obj << /Type /StructElem /S /H3 /T (Acknowledements) /E (Acknowledements) /Pg 7 0 R /K [85] >> endobj 118 0 obj << /Type /StructElem /S /P /ActualText (I would like to express my deepest appreciation to my faculty and site mentor for their unconditional guidance and invaluable patience and feedback. I am also grateful for my family and friends; thank you for the continuous love and support you have given me throughout my journey. This endeavor would not have been possible without you all. ) /Pg 7 0 R /K [81] >> endobj 119 0 obj << /Type /StructElem /S /H3 /T (References) /E (References) /Pg 7 0 R /K [82] >> endobj 120 0 obj << /Type /StructElem /S /Figure /P 20 0 R /Pg 7 0 R >> endobj 121 0 obj << /ca 1 /BM /Normal >> endobj 122 0 obj << /CA 1 /ca 1 /LC 0 /LJ 0 /LW 8 /ML 4 /SA true /BM /Normal >> endobj 123 0 obj << /CA 1 /ca 1 /LC 0 /LJ 0 /LW 1 /ML 4 /SA true /BM /Normal >> endobj 124 0 obj << /ca .6 /BM /Normal >> endobj 125 0 obj << /ca .25 /BM /Normal >> endobj 126 0 obj << /Length 42254 /Type /XObject /Subtype /Image /Width 450 /Height 450 /ColorSpace /DeviceGray /BitsPerComponent 8 /Filter /FlateDecode >> stream x]?^;ETDn,Tnl1AQ0@E/ w'sݝټ{>;]ܥz8TP#t Vnܱmظj_ǎxGz_J_ u];@/xi趗ot 7]PM*:п8ºA^ֈ"fiZm ڶmYfQs^񔆊$0x_?K*7,aD*StIqí3Ĕ;&\mX\:_+o}jȟ/Z}ahܴlo?.vGM9Z-dY#4yWHUrt!.؞ vv-Z)=ɤ[όص|Wo?uUukVG?~'sqDku5 1`u|wC};|zE=mU蹞rxk\wDR.77om=./`OM҈}%L= T_f3"# \Ϋ͇?wסcE #;bO7{s\'ۥ(L/5D\X 1a>=³y.x|[DaA&oF/ONx %fa=sޞM.ҏyfzL_[t^T=S ?>OysLj%c]6;Ԕ`Oveл0w9쁸:@jf:6Z1lڭ$\Yw|ZQGǽmSV/; t,&Bv;āݻhoN^<ջ(g hB0-@+B_.'-zM:_8.gEQDŹu)m4{rP3j҇Xuѫ[ hT5r#1ӢEq;C'Mnqh=Vj05ԛ~ߚT޺`viZιzns I@Toʮ4>[_:"BJccd4缝\9uB5ߑ ~ȫj/-9{gprEjdՈd]*pXkǶeO+nT"߅gJ޻2#~6_@(X,ٶ?M삶_љSHD']5)8g:͔w70 𸣁Z}Ez.˔%:՟ BxwL}2"mKHMʌE(Hgo^KaP \ޓfRx w4'OtxS>%m&%!Se@97T:ͦ 9Υ_̷t2$ ֞Q1,n %|$0ogoHP5eA &a$q˘+w]pqxZGyj:4!a5^"F.&6p# l4p$3:;D/>tH+p\V(2qZnBb" }Іo$~ ".&i!%5Bd6OlqlZ^RZS0 %?d,Ie1GLJns^Zc$ǶpI>פ`u[oc[d[iF:z(4Jɯn ~U#"W(_I.m p d Biu}ThrN` IH{?d[m ˡxÄq0TVkOeh▓Ȧ$ t#Y*W*N& [ì=1J=v+blmsYDk{[*c m-Ec ~?0[tЁK %tBK9h#Sx1(Kkp]E?cF}kUp@VѨŔv,94mavjEƂu} ~٨2ˬ~C€kZ'B^DADVmUmY6v|zƉ֊plHk>bC mc! 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