Perspective on the Use of Seclusion and Restraint
نویسنده
چکیده
Dr Zun has done an excellent job of reviewing the many controversies and complexities that surround the use of mechanical and chemical restraint as well as seclusion. He also shows us how many unanswered questions there are about such interventions. For example, an insightful psychiatric resident once raised the question of which intervention was more restrictive and stigmatizing: seclusion or restraint?
منابع مشابه
A review of interventions to reduce mechanical restraint and seclusion among adult psychiatric inpatients.
This review examines the nature and effectiveness of interventions to reduce the use of mechanical restraint and seclusion among adult psychiatric inpatients. Thirty-six post-1960 empirical studies were identified. The interventions were diverse, but commonly included new restraint or seclusion policies, staffing changes, staff training, case review procedures, or crisis management initiatives....
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Historical and current experience indicates that regulatory changes in seclusion and restraint practice are often spurred by patient abuse but can ultimately enhance protection for consumers, prevent use of seclusion and restraint, and help transform care so it becomes recovery oriented. Reports of deaths related to restraint and seclusion fueled recent national regulatory changes and a federal...
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Changing federal regulations, civil rights and malpractice cases, and new treatment methods have influenced the use of restraint and seclusion (R&S) in inpatient psychiatric treatment settings, such that restraint and seclusion today are among the most highly regulated practices in psychiatry. Despite increased pressure from regulatory bodies and litigation, the use of R&S remains controversial...
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Background The use of coercive measures is an indicator of the quality of psychiatric inpatient treatment. To date, there is no data available to European comparisons on the incidence of such measures. Methods The frequency and duration of mechanical restraint and seclusion on patients with a diagnosis of F2 ICD10 was analysed in seven German and seven Swiss psychiatric hospitals in the year 20...
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Several states and providers have embarked on initiatives to reduce using restraint and seclusion in residential programs. Restraint and seclusion are associated with harm to youth and staff, significant costs, reduced quality of care, and less engagement of youth and families. Successful reduction/prevention strategies have been identified, implemented, and reported. Both states and residentia...
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