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

Elsom, Stephen J. and Gaskin, Cadeyrn J. 2007, Reducing seclusion in acute psychiatric inpatient settings : a need for strong leadership, Australian and New Zealand journal of psychiatry, vol. 41, no. 2, pp. A294-A294, doi: 10.1080/00048670701724647.

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Title Reducing seclusion in acute psychiatric inpatient settings : a need for strong leadership
Author(s) Elsom, Stephen J.
Gaskin, Cadeyrn J.ORCID iD for Gaskin, Cadeyrn J.
Journal name Australian and New Zealand journal of psychiatry
Volume number 41
Issue number 2
Start page A294
End page A294
Publisher Informa Healthcare
Place of publication [Carlton, Vic.]
Publication date 2007-11
ISSN 0004-8674
Summary Background: Seclusion is of limited therapeutic value and can be a harmful and traumatic experience for psychiatric consumers. Many psychiatric facilities have made substantial efforts to eliminate seclusion or reduce this practice to negligible levels.
Aims: To review the research on seclusion-reduction initiatives in psychiatric facilities.
Methods: 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 post-seclusion data were reported. Opinion-based papers and research that focused solely on pharmaceutical methods to reduce seclusion were excluded from our review.
Results: 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.
Conclusion: 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 10.1080/00048670701724647
Field of Research 111099 Nursing not elsewhere classified
HERDC Research category C2.1 Other contribution to refereed journal
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Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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