Reducing seclusion in acute psychiatric inpatient settings : a need for strong leadership

Gaskin, Cadeyrn J. and Elsom, Stephen J. 2008, Reducing seclusion in acute psychiatric inpatient settings : a need for strong leadership, International journal of mental health nursing, vol. 17, no. 1, supplement issue, pp. A10-A10, doi: 10.1111/j.1447-0349.2008.00563.x.

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Title Reducing seclusion in acute psychiatric inpatient settings : a need for strong leadership
Author(s) Gaskin, Cadeyrn J.ORCID iD for Gaskin, Cadeyrn J.
Elsom, Stephen J.
Journal name International journal of mental health nursing
Volume number 17
Issue number 1
Season supplement issue
Start page A10
End page A10
Publisher Blackwell Publishing
Place of publication Carlton, Vic.
Publication date 2008
ISSN 1445-8330
Summary Seclusion is of limited therapeutic value and can be a harmful and traumatic experience for consumers of mental health services. Many psychiatric facilities have made substantial efforts to eliminate seclusion or reduce this practice to negligible levels.

The aim is to review the research on seclusion-reduction initiatives in psychiatric facilities. We reviewed the peer-reviewed, English-language literature on seclusion reduction initiatives. We sourced 16 papers that focused on seclusion reduction initiatives and in which pre- and postseclusion data were reported. Opinion-based papers and research that focused solely on pharmaceutical methods to reduce seclusion were excluded from our review. Successful seclusion reduction initiatives typically involved senior management implementing multiple changes within the facilities. Although commonalities exist with regard to the interventions used in these facilities to reduce seclusion (e.g., treatment plan improvement, monitoring seclusion episodes, changing the therapeutic environment), the ways in which these initiatives were combined tended to be unique to each organisation. State-level organisations sometimes provided the impetus for such changes to be made. There is strong evidence that changes made to psychiatric facilities were effective in reducing or eliminating seclusion. Seclusion reduction in psychiatric facilities requires strong leadership from senior management. Sometimes leadership from state-level organisations accelerates a seclusion reduction agenda.
Language eng
DOI 10.1111/j.1447-0349.2008.00563.x
Field of Research 111099 Nursing not elsewhere classified
HERDC Research category C2.1 Other contribution to refereed journal
HERDC collection year 2008
Copyright notice ©2008, The Authors ; Australian College of Mental Health Nurses
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Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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