File(s) not publicly available

Interventions for reducing the use of seclusion in psychiatric facilities : review of the literature

journal contribution
posted on 06.12.2017, 00:00 by Cadeyrn GaskinCadeyrn Gaskin, S Elsom, Brenda Happell
The authors of a recent systematic review concluded that the use of non-pharmacological containment methods, excluding restraint and seclusion, was not supported by evidence. Their focus on randomised, controlled trials, however, does not reflect the research that has been, or could be, conducted. AIMS: To find empirically supported interventions that allow reduction in the use of seclusion in psychiatric facilities. METHOD: We reviewed English-language, peer-reviewed literature on interventions that allow reduction in the use of seclusion. RESULTS: Staff typically used multiple interventions, including state-level support, state policy and regulation changes, leadership, examinations of the practice contexts, staff integration, treatment plan improvement, increased staff to patient ratios, monitoring seclusion episodes, psychiatric emergency response teams, staff education, monitoring of patients, pharmacological interventions, treating patients as active participants in seclusion reduction interventions, changing the therapeutic environment, changing the facility environment, adopting a facility focus, and improving staff safety and welfare. CONCLUSIONS: Reducing seclusion rates is challenging and generally requires staff to implement several interventions.

Funding

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

History

Volume

191

Start Page

298

End Page

303

Number of Pages

6

eISSN

1472-1465

ISSN

0007-1250

Location

England

Publisher

Royal College Of Psychiatrists

Language

en-aus

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

School of Nursing;

Era Eligible

Yes

Journal

British journal of psychiatry.

Usage metrics

Exports