Methods In an ongoing multi-center study conducted in three acute emergency psychiatry institutions, we retrospectively examine data from seclusion and restraint protocols and data about all the patients admitted over a two-year period. We note how many patients have had episodes with seclusion and restraint. We also note duration/time/ date of each episode and the reason given for using seclus...

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 ...

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...

BACKGROUND Short-term structured risk assessment is presumed to reduce incidents of aggression and seclusion on acute psychiatric wards. Controlled studies of this approach are scarce. AIMS To evaluate the effect of risk assessment on the number of aggression incidents and time in seclusion for patients admitted to acute psychiatric wards. METHOD A cluster randomised controlled trial was co...

The use of seclusion in psychiatric practice is a contentious issue in the Netherlands as well as other countries in and outside Europe. The aim of this study is to describe Dutch seclusion data and compare these with data on other countries, derived from the literature. An extensive search revealed only 11 articles containing seclusion rates of regions or whole countries either in Europe, Aust...

BACKGROUND In the Netherlands, seclusion is historically the measure of first choice in dealing with aggressive incidents. In 2010, the Mediant Mental Health Trust in Eastern Netherlands introduced a policy prioritising the use of enforced medication to manage aggressive incidents over seclusion. The main goal of the study was to investigate whether prioritising enforced medication over seclusi...

Background Seclusion continues to be a widespread measure used in psychiatric settings. Furthermore, the humanitarian, ethical and legal issues associated with the use of seclusion make it one of the most controversial management strategies available. Despite these important issues, little nursing research has sought to gain an understanding of the nurses' decision-making process regarding the ...

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...

Evaluate the innovations of no seclusion and restricted access to Psychiatric Intensive Care Units (PICUs) by: 1. Assessing the outcomes of (a) PICU transfer versus continued acute inpatient care among patients admitted to general adult wards, and of (b) seclusion versus no seclusion among PICU patients, in terms of: (i) repeated physical violence to others, injury to staff or patients, abscond...

The Purpose of the present research was study effect anxiety of social negative evaluation in children’s social seclusion aged 8 to 12 in Tehran city. Therefore, 250 children (125 boys and 125 girls) Were randomly chosen in order to answer fear short scale of negative evaluation )BFNE) and social seclusion scale (UCLA). The data from this research were analyzed by using of Pearson`s product mom...