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  1. Rape, Cyndy MSN, RN, ACNS-BC
  2. Mann, Tammy BSN, RN
  3. Schooley, John MHA/MBA, BSN, RN, NEA-BC
  4. Ramey, Jana MHA, RN, NE-BC


With a recent decrease in community resources for the mental health population, acute care facilities must seek creative, cost-effective ways to protect and care for these vulnerable individuals. This article describes 1 facility's journey to maintaining patient and staff safety while reducing cost. Success factors of this program include staff engagement, environmental modifications, and a nurse-driven, sitter-reduction process.