The reduction of seclusion and restraint (S/R) use has been given national priority by the US government, The Joint Commission, and patient advocacy groups. It is associated with high rates of patient and staff injuries and is a coercive and potentially traumatizing intervention. The New York City Health and Hospitals Corporation (HHC) is the largest municipal health care system in the country,...

OBJECTIVE The aim of the present study was to find out the extent of hostility and violence and the factors that are associated with such hostility and violence in a psychiatric intensive care unit. METHODS Retrospective analysis of data prospectively collected in a 6-year period. RESULTS No hostility was observed in 56.1%, hostility in 40.9%, and violence in 3.0% of the admitted cases. Sec...

Aims Seclusion is a psychiatric treatment that used as “last resort” in light of deteriorating mental state. It involves the supervised confinement and isolation patient, away from other patients, an area where patient not allowed to leave due possible risk they pose themselves others order manage severe agitation chaotic behaviour. The Trust policy defines procedure for seclusion which encoura...

Abstract Background and objectives Coercion in psychiatry is legally tolerated as a last resort. The reduction of the use coercion shared goal hospital administrators, medical nursing staff representatives patients families but requires identification risk factors for coercion. These geriatric psychiatric inpatient settings are not well known, especially regarding seclusion. Through examining p...

This article sketches a neo-Bourdieusianframework for rethinking racial domination. It proposes that we need to historicize the notion of “race”;todislodge United States from its Archimedean position; forsake logic trial; andto disaggregateethnoracial phenomena into “elementary forms” domination, categorization, discrimination, segregation, seclusion, and violence. approach makes it possible gr...