The use of seclusion and restraint during 15 years – a nationwide study in Finland

نویسندگان

  • Alice Keski-Valkama
  • Eila Sailas
  • Markku Eronen
  • Jouko Lönnqvist
  • Riittakerttu Kaltiala-Heino
چکیده

Background Internationally, concerns over the use of seclusion and restraint in psychiatric care have increased over the past decades. In Finland, restriction of freedom and use of coercion in psychiatry are regulated by the Mental Health Act of 1991. After its implementation, the Act (revision 2002) has become more restrictive and specified in relation to using coercion. Objective: This study investigated the nationwide trends in the use of seclusion and restraint in Finland over a fifteen-year span (1990–2004) that was characterised by legislative changes.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

S 4 Coercion in psychiatry : still an

S156 has been withdrawn because it was submitted forpublication in error without the consent of all the authors. S157The use of seclusion and restraint during15 years – a nationwide study in FinlandAlice Keski-Valkama, Eila Sailas, Markku Eronen,Jouko Lönnqvist and Riittakerttu Kaltiala-HeinoVanha Vaasa Hospital, P.O.Box 13, 65380 Vaasa, Finland BMC Psychiatry 2007, 7(Su...

متن کامل

Reduction of restraint and seclusion through collaborative problem solving: a five-year prospective inpatient study.

OBJECTIVE This study examined usage patterns of restraint and seclusion before and after the implementation of collaborative problem solving (CPS), a manualized therapeutic program for working with aggressive children and adolescents. METHODS The clinical setting was a 15-bed psychiatric inpatient unit for school-age children. A total of 755 children were hospitalized for a total of 998 admis...

متن کامل

Multinational experiences in reducing and preventing the use of restraint and seclusion.

Restraint and seclusion (R/S) have been used in many countries and across service sectors for centuries. With the recent and increasing recognition of the harm associated with these procedures, efforts have been made to reduce and prevent R/S. Following a scathing media exposé in 1998 and congressional scrutiny, the United States began a national effort to reduce and prevent R/S use. With feder...

متن کامل

Pennsylvania State Hospital system's seclusion and restraint reduction program.

OBJECTIVES This study examined the use of seclusion and mechanical restraint from 1990 to 2000 and the rate of staff injuries from patient assaults from 1998 to 2000 in a state hospital system. METHODS Records of patients older than 18 years who were civilly committed to one of the nine state hospitals in Pennsylvania were included in the analyses. Two databases were used in each of the nine ...

متن کامل

Eliminating seclusion and restraint in recovery-oriented crisis services.

The use of seclusion and physical restraint is viewed as a practice incompatible with the vision of recovery, and its therapeutic benefit remains unsubstantiated. This Open Forum describes an initiative that began in 1999 at two crisis centers that was designed to completely eliminate the practice of seclusion and restraint. Seclusion and restraint elimination strategies included strong leaders...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 7  شماره 

صفحات  -

تاریخ انتشار 2007