Restraints and seclusion are used on people in institutions, children in schools, nursing home residents, general hospital patients, and other locations, but most often with people who have disabilities. Questions regarding legality, morality, and efficacy abound. These questions, compounded by the serious possible adverse consequences of restraints and seclusion, have commanded wide-ranging at...

Background Seclusion, putting a patient involuntarily alone in a locked unfurnished room from which she/he cannot freely exit, is a prevailing coercive measure in modern psychiatric practice. In recent years, clinical, ethical, and legal debate has increased awareness of its controversial nature. However, studies focused on the views of the secluded patients themselves are sparse. Objective: To...

The practices of seclusion and restraint may be used in a variety of health settings to control behaviour. Laws and policies that seek to regulate these practices define seclusion and restraint in various ways and there are gaps as to which practices are regulated and in what circumstances. This column provides an overview of consumer and carer perspectives as to what is meant by these practices.

OBJECTIVE To reduce the use of restraint and seclusion with children and adolescents in psychiatric inpatient units by promoting a preventive, strength-based model of care. METHOD The State Mental Health Authority used data analysis, quality improvement strategies, regulatory oversight, and technical assistance to develop and implement system change over a 22-month period. No changes in regul...

A survey of a convenience (nonrandom) sample of parents and guardians of children with disabilities was undertaken to document the use of restraints, seclusion, and aversive procedures. A 23-item questionnaire was presented to participants using SurveyMonkey, a Web-based program. Participants were informed of the survey by different advocacy organizations. Within a 2-week period, 1,300 individu...

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...