BACKGROUND The physical environment is presumed to have an effect on aggression and also on the use of seclusion on psychiatric wards. Multicentre studies that include a broad variety of design features found on psychiatric wards and that control for patient, staff and general ward characteristics are scarce. AIMS To explore the effect of design features on the risk of being secluded, the num...

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...

Restrictive practices are used in response to conflict and aggression in psychiatric inpatient settings. Reducing such practices is the focus internationally of policy and legislative change, many initiatives, and a growing body of research. Safewards is a model and a set of 10 interventions designed to reduce conflict and containment in inpatient services. In the current study, we aimed to ass...

Background Seclusion and restraint are widely used for people with serious mental disorders. In most countries one intervention is preferred while the other is considered as inhuman or not sufficiently safe, but identical arguments refer to different preferences. There is a lack of evidence from welldesigned studies on compulsory measures in psychiatry. In a Cochrane Review on seclusion and res...

We welcome the review by Gaskin et al 1 of interventions to reduce use of seclusion. Although studies reviewed were conducted in adult and child settings, the authors did not differentiate the developmental needs between these patient populations. The determinants of emotional distress and aggression may differ between children and adults. In adult psychiatric units, aggression is frequently as...

Seclusion is a treatment method which is used in different occasions by the nurses who work in psychiatric wards.early intervention and prevention of maladaptive behaviour requires skilled nursing techniques.the mental health nurses must be able to recognize signs of aggressive behaviour and intervene appropriately.since the improper understanding of this method of treatment will lead to the in...

Restraint and seclusion has been used to manage patients despite all controversies. Our study analyzed the opinions of different psychiatrists on the use of this method in their clinical practice. Most of them (80%) practice restraints as a treatment modality and believe that they are integral to the management of psychiatric patients. None is using seclusion.