Facility managers working in behavioral health centers, psychiatric hospitals, correctional institutions, and similar environments carry the vital responsibility of creating safe, functional spaces. Among the most critical components of a risk-managed facility is the use of ligature-resistant TV enclosures.
Televisions are a common amenity in patient rooms and communal areas, offering therapeutic and recreational value. However, in high-risk settings, they can become potential tools for self-harm. Proper installation of a ligature-resistant TV enclosure not only protects patients but also safeguards equipment and helps facilities remain compliant with industry regulations.
Here’s a detailed guide outlining the best practices for installing these specialized enclosures.
- Conduct a Risk Assessment Before Installation
Before installing a ligature-resistant TV enclosure, start with a thorough risk assessment of the intended location. Consider the following:
– Is the room designated for high-risk patients?
– Are there any existing ligature points in the area?
– Will the TV be placed in a supervised or unsupervised setting?
Understanding the environment helps determine the proper type and specifications of the enclosure needed, as well as additional safety features to implement.
- Choose the Right Enclosure for the Setting
Not all ligature-resistant TV enclosures are created equal. Selecting a model that meets the specific safety requirements of your facility is essential.
Key features to look for:
– Sloped sides with no edges to prevent attachment of cords or materials
– Shatterproof polycarbonate viewing window
– Fully enclosed and tamper-proof design
– Concealed hardware and cable management
– Internal ventilation to prevent TV overheating
– Compatibility with the TV size and wall structure
If your facility includes pediatric units, consider specialized models with rounded edges and softer materials to further reduce injury risk.
3. Mount the TV and Enclosure on Reinforced Surfaces
A common installation oversight is mounting the TV on a wall that cannot adequately support the weight and structure of the enclosure. Always use reinforced walls or install additional bracing before mounting.
Ensure that:
– Mounting anchors are installed into wall studs or solid backing
– All mounting hardware is tamper-resistant and flush with the enclosure
– The wall surface is smooth, with no gaps or ledges between the enclosure and the wall
This prevents patients from inserting objects between the unit and the wall or attempting to pull the unit loose.
4. Seal All Gaps and Openings
Once installed, ensure that there are no gaps around the edges of the enclosure where cords or contraband could be inserted. Use anti-pick sealants or gaskets around the perimeter to create a seamless seal.
Make sure all cables are routed internally and hidden from view. Any access to power outlets or data ports should be securely covered or located behind the wall for added protection.
5. Ensure Proper Ventilation and Accessibility for Maintenance
Though ligature resistance is the priority, operational efficiency matters too. Choose an enclosure with built-in ventilation or active cooling systems that maintain safe operating temperatures for the TV.
Additionally, the design should allow maintenance staff to quickly access the interior for repairs or cleaning without dismantling the entire unit. Opt for enclosures with front-access panels and locking mechanisms that can only be opened with specialized tools.
6. Train Maintenance and Clinical Staff
Installation doesn’t end with mounting. Provide training to both facilities and clinical staff on the proper use, maintenance, and monitoring of ligature-resistant TV enclosures.
This includes:
– Routine inspection protocols
– Reporting damage or tampering
– Emergency access procedures in case of patient distress
Staff awareness plays a major role in the long-term effectiveness of safety installations.
7. Document the Installation for Compliance
For accreditation bodies like The Joint Commission, having documentation of your safety measures is essential. Keep a detailed record of:
– Product specifications and certifications
– Installation methods and safety inspections
– Risk assessment reports for each location
This documentation can support compliance efforts and demonstrate proactive patient safety planning during audits or reviews.
Final Thoughts
Installing a ligature-resistant TV enclosure is not a one-size-fits-all task. For facility managers, it involves thoughtful planning, precision installation, and ongoing staff training. When done correctly, these enclosures serve as a vital part of a facility’s suicide prevention strategy and create a safer environment for vulnerable patients.
By following these best practices, facility managers can ensure that televisions—while providing comfort and therapeutic value—do not compromise safety in any way.
Download your facility manager’s checklist here =>Downloadable Checklist.