| Interventions to reduce the use of seclusion and restraint in inpatient psychiatric settings: what we know so far a review of the literature. | |
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MedLine Citation:
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PMID: 19617275 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: In recent times, much attention has been focused on the reduction of seclusion and restraint in psychiatric settings. This paper analyzes evidence available from evaluations of single seclusion and/or restraint reduction programmes. A total of 29 papers were included in the review. RESULTS: Seven key strategy types emerged from the analysis: (i) policy change/leadership; (ii) external review/debriefing; (iii) data use; (iv) training; (v) consumer/family involvement; (vi) increase in staff ratio/crisis response teams; and (vii) programme elements/changes. Outcomes indicate that a range of reduction programmes are successful in reducing the frequency and duration of seclusion and restraint use, while at the same time maintaining a safe environment. CONCLUSION: The development of new seclusion and restraint reduction programmes should include strong leadership from local management; external seclusion and restraint review committees or post-incident debriefing and analysis; broad-based staff training and programme changes at a local level. Behavioural and cognitive-behavioural programmes appear to be very useful in child and adolescent services. Further systematic research should be conducted to more fully understand which elements of successful programmes are the most powerful in reducing incidents of seclusion and restraint. |
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Authors:
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Justin Newton Scanlan |
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Publication Detail:
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Type: Journal Article; Review Date: 2009-07-17 |
Journal Detail:
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Title: The International journal of social psychiatry Volume: 56 ISSN: 1741-2854 ISO Abbreviation: Int J Soc Psychiatry Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-20 Completed Date: 2010-12-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0374726 Medline TA: Int J Soc Psychiatry Country: England |
Other Details:
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Languages: eng Pagination: 412-23 Citation Subset: IM |
Affiliation:
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Concord Centre for Mental Health, Concord Repatriation General Hospital, Hospital Road, Concord, NSW 2139, Australia. justin.scanlan@email.cs.nsw.gov.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Behavior Therapy
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education,
organization & administration,
trends Cognitive Therapy / education, organization & administration, trends Crisis Intervention / education, organization & administration, trends Forecasting Health Plan Implementation / organization & administration, trends* Health Policy / trends* Health Services Needs and Demand / organization & administration, trends Hospitals, Psychiatric / organization & administration, utilization* Humans Inservice Training / organization & administration, trends Leadership Mental Disorders / epidemiology*, psychology, therapy* New South Wales Organizational Innovation* Outcome and Process Assessment (Health Care) / organization & administration, trends Patient Isolation / organization & administration, psychology, utilization* Patient Participation / psychology, trends Professional-Family Relations Restraint, Physical / psychology, utilization* Social Environment |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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