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From numbers to understanding : the impact of demographic factors on seclusion rates

journal contribution
posted on 06.12.2017, 00:00 by Brenda HappellBrenda Happell, Stefan KoehnStefan Koehn
The reduction and, where possible, elimination of seclusion has been recognized as a national safety priority for mental health services in Australia, with significant attention devoted to strategies to achieve this goal. The aim of this study was to compare specific demographic characteristics between consumers who have been secluded to those who have not. Patient data (n = 3244) collected by 11 mental health services across Australia for six months over a 12 month period were analysed using demographic statistics. A comparison was undertaken between those who were secluded one or more times (n = 271) and those who were not secluded (n = 2973). Differences were measured with the use of independent samples t-tests and chi-square statistics. Age, gender, diagnosis, indigenous status and Health of the National Outcomes Scores (HoNOS) were found to be significant factors in relation to seclusion. Men, younger people, and indigenous people were found to be more likely to be secluded. In addition, consumers who scored higher on the behaviour, impairment and social subscales of HoNOS were more likely to be secluded. Comparative analysis of demographic characteristics of secluded and non-secluded patients can provide vital information for consideration when planning and evaluating seclusion reduction strategies.

Funding

Category 1 - Australian Competitive Grants (this includes ARC, NHMRC)

History

Volume

19

Issue

3

Start Page

169

End Page

176

Number of Pages

8

ISSN

1447-0349

Location

Australia

Publisher

Wiley-Blackwell Publishing Asia

Language

en-aus

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

Institute for Health and Social Science Research (IHSSR);

Era Eligible

Yes

Journal

International journal of mental health nursing.

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