Change over time: the use of seclusion in secure residential youth care in The Netherlands

Seclusion can be harmful for children and adolescents. Hence, all locations secure residential youth care in the Netherlands are committed to reduce its use by implementing monitoring feedback as a seclusion reduction intervention. This study examined change over time of using broad conceptualization analyzing four variables (frequency, duration, room, reason). During two six months periods, seclusions were registered 19 locations. Every month, received on seclusion. Negative binomial mixed model analyses used investigate frequency duration Logistic identify reason type room Results showed that significantly decreased (RR = 0.92, p < .001). Further, placement increased 1.04, was only significant response aggression 1.06, The results emphasize need future studies examine