There are significant issues associated with the use of restrictive measures, such as seclusion and restraint, in child and adolescent mental health care. Greater understanding of how restrictive measures are used is important for informing strategies to reduce their use. In this brief report we present a 12-month audit (1/1/2010-31/12/2011) of the use of restrictive measures (seclusion, physic...

Efforts to reduce aggression and violence and the use of restraint and seclusion have traditionally been through some form of educational program. This paper presents an integrative review of research and quality improvement projects that aimed to reduce aggression/violence or restraint/seclusion through the use of an educational program. Forty-six papers are included in this review. This paper...

Mental health professionals worldwide realize the imperative for reducing inpatient restraints and seclusion. The high incidence of posttraumatic stress disorder for inpatients and the resulting symptoms support the creation of a trauma-informed approach. The objective of the current article is to describe the experience of staff in a 20-bed unit transitioning from traditional inpatient care to...

Seclusion and restraint are essential interventions in the acute psychiatric care of patients in correctional environments. When administered and monitored properly, they are safe and effective in reducing the risk of harm. However, correctional systems have not developed uniform practices that are consistent with current community standards. There has been no clear national standard of care fo...

Background Internationally, concerns over the use of seclusion and restraint in psychiatric care have increased over the past decades. In Finland, restriction of freedom and use of coercion in psychiatry are regulated by the Mental Health Act of 1991. After its implementation, the Act (revision 2002) has become more restrictive and specified in relation to using coercion. Objective: This study ...

Methods The evaluation was conducted in Ashworth Hospital, UK. For the purposes of this paper the following strategies were identified post-hoc and analyzed as the independent variables namely, progressively lowering the threshold for a multi-disciplinary group review, providing targeted staff training dependent on patient needs and increasing the clinical staff-patient ratio. A multiple regres...

We examine privacy-enhancing technologies based on the consistency of the business plans, technology, stated objectives, and the concept of privacy as embedded in the technologies. Three distinct trust models result from the three distinct concepts of privacy: a right of autonomy, a right to seclusion and a right to property. We use these trust models to segment the privacy market and classify ...