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

Gaskin, Cadeyrn J., Elsom, Stephen J. and Happell, Brenda 2007, Interventions for reducing the use of seclusion in psychiatric facilities : a review of the literature, British journal of psychiatry, vol. 191, pp. 298-303, doi: 10.1192/bjp.bp.106.034538.

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Title Interventions for reducing the use of seclusion in psychiatric facilities : a review of the literature
Author(s) Gaskin, Cadeyrn J.
Elsom, Stephen J.
Happell, Brenda
Journal name British journal of psychiatry
Volume number 191
Start page 298
End page 303
Publisher Royal College of Psychiatrists
Place of publication London, England
Publication date 2007
ISSN 0007-1250
1472-1465
0960-5371
Keyword(s) mental health
Summary Background 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 andgenerally requires staff to implement several interventions.
Language eng
DOI 10.1192/bjp.bp.106.034538
Field of Research 111099 Nursing not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2007, The Royal College of Psychiatrists
Persistent URL http://hdl.handle.net/10536/DRO/DU:30018466

Document type: Journal Article
Collection: School of Nursing and Midwifery
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Created: Tue, 01 Sep 2009, 11:45:42 EST by Rachael Wilson

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