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Exploring patterns of seclusion use in Australian mental health services

Happell, Brenda and Gaskin, Cadeyrn J. 2011, Exploring patterns of seclusion use in Australian mental health services, Archives of psychiatric nursing, vol. 25, no. 5, pp. e1-e8, doi: 10.1016/j.apnu.2011.04.001.

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Title Exploring patterns of seclusion use in Australian mental health services
Author(s) Happell, Brenda
Gaskin, Cadeyrn J.
Journal name Archives of psychiatric nursing
Volume number 25
Issue number 5
Start page e1
End page e8
Total pages 8
Publisher Elsevier
Place of publication Maryland Heights, Mo.
Publication date 2011-10
ISSN 0883-9417
1532-8228
Keyword(s) Adult
Australia
Cross-Sectional Studies
Female
Hospitals, Psychiatric
Humans
Inpatients
Male
Mental Disorders
Mental Health Services
Middle Aged
Patient Isolation
Social Isolation
Summary Seclusion has remained a common practice in mental health services. In Australia, recent mental health policy has reflected a desire to reduce (and, if possible, eliminate) the use of seclusion. The collection and analysis of data on the use of seclusion have been identified as an important component of the success of reduction initiatives. A cross-sectional design was used in the collection of inpatient unit data on seclusions that occurred in 11 mental health services in Australia over a 6-month period. During this time, there were 4,337 episodes of care. One or more seclusions occurred in 6.8% of episodes of care, with consumers being secluded, on average, 2.32 times and with 44% of them having been secluded more than once. The average length of the seclusions was 2 hours 52 minutes, with 51.4% of seclusions being less than 2 hours. These rates were lower than those reported in previous research studies. The practice of seclusion occurred more commonly on the first 2 days following admission, on weekdays than weekends, and between the hours of 9:00 a.m. and midnight. An understanding of seclusion data can provide fundamental information from which strategies to reduce seclusion can be developed.
Language eng
DOI 10.1016/j.apnu.2011.04.001
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920209 Mental Health Services
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2011, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30075476

Document type: Journal Article
Collection: Faculty of Health
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