Aims • Ensure compliance with seclusion trust policy and guidelines by the mental health team (goal of 100 percent). Confirm that proper documentation commencement, periodic reviews, termination is always maintained (goal: Methods Retrospective collection data from one adult male Psychiatric Intensive Care unit female ward. Our sample consisted patients who were secluded between time period Sep...

In this review, we compare the use of coercion in mental health care in Germany and in the Netherlands. Legal frameworks and published data on involuntary commitment, involuntary medication, seclusion, and restraint are highlighted as well as the role of guidelines, training, and attitudes held by psychiatrists and the public. Legal procedures regulating involuntary admission and commitment are...

BACKGROUND Previous research on mental health care has shown considerable differences in use of seclusion, restraint and involuntary medication among different wards and geographical areas. This study investigates to what extent use of seclusion, restraint and involuntary medication for involuntary admitted patients in Norwegian acute psychiatric wards is associated with patient, staff and ward...

Seclusion can be harmful for children and adolescents. Hence, all locations secure residential youth care in the Netherlands are committed to reduce its use by implementing monitoring feedback as a seclusion reduction intervention. This study examined change over time of using broad conceptualization analyzing four variables (frequency, duration, room, reason). During two six months periods, se...

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...

Background Intrusive reactive strategies (physical restraint, emergency medication and seclusion) are frequently used procedures in the management of challenging behaviour. The present study identifies predictors for reactive strategy use in an attempt to more clearly delineate at risk service users. Method Eight hundred and thirty-nine agencies and service settings in a large area of South Wal...

Issues surrounding reduction and/or elimination of episodes of seclusion and restraint for patients with behavioral problems in crisis clinics, emergency departments, inpatient psychiatric units, and specialized psychiatric emergency services continue to be an area of concern and debate among mental health clinicians. An important underlying principle of Project BETA (Best practices in Evaluati...

The most aggressive behaviors were common in patients who diagnosed with schizophrenia, major depressive disorder, bipolar disorder, and substance use disorders. The prevalence in Jordan 23.6% of psychiatric inpatients occurred with them aggressive behavior. There are interventions and ways to control the aggressive behaviors include seclusion, physical restraints, time out, and chemical restra...

OBJECTIVE The Positive Alternatives to Restraint and Seclusion (PARS) project of the New York State Office of Mental Health (OMH) was designed to build capacity to use alternatives to restraint and seclusion within state-operated and licensed inpatient and residential treatment programs serving children with severe emotional disturbances. Its long-term goal was to eliminate the use of these res...

BACKGROUND From 2006 to 2009, the Dutch government provided €5 m annually for a nationwide program to reduce seclusion in psychiatric hospitals by 10% a year. We aimed to establish whether the numbers of both seclusion and involuntary medication changed significantly after the start of this national program. METHODS Using Poisson regression to estimate difference in logit slopes, we analyzed ...