OBJECTIVES To examine the impact of restructuring a child and adolescent psychiatry inpatient unit on reportable incidents (including verbal or physical aggression), seclusion, security, constant observation, sick leave and lengths of stay. METHODS Data was collected regarding a seven-bed child and adolescent psychiatric unit between 2008 and 2010, comparing data from 2008 and 2009 (before) t...

This parameter reviews the current state of the prevention and management of child and adolescent aggressive behavior in psychiatric institutions, with particular reference to the indications and use of seclusion and restraint. It also presents guidelines that have been developed in response to professional, regulatory, and public concern about the use of restrictive interventions with aggressi...

BACKGROUND Seclusion and restraint are interventions currently permitted for use in mental health services to control or manage a person's behaviour. In Australia, serious concerns about the use of such seclusion and restraint have been raised at least since 1993. Consumers and their supporters have also expressed strong views about the harm of these practices. This paper presents the results o...

AIMS The aim of this study was to compare across different service configurations the acceptability of containment methods to acute ward staff and the speed of initiation of manual restraint. BACKGROUND One of the primary remits of acute inpatient psychiatric care is the reduction in risks. Where risks are higher than normal, patients can be transferred to a psychiatric intensive care unit or...

Restraints and seclusion are used on people in institutions, children in schools, nursing home residents, general hospital patients, and other locations, but most often with people who have disabilities. Questions regarding legality, morality, and efficacy abound. These questions, compounded by the serious possible adverse consequences of restraints and seclusion, have commanded wide-ranging at...

Background Seclusion, putting a patient involuntarily alone in a locked unfurnished room from which she/he cannot freely exit, is a prevailing coercive measure in modern psychiatric practice. In recent years, clinical, ethical, and legal debate has increased awareness of its controversial nature. However, studies focused on the views of the secluded patients themselves are sparse. Objective: To...

The practices of seclusion and restraint may be used in a variety of health settings to control behaviour. Laws and policies that seek to regulate these practices define seclusion and restraint in various ways and there are gaps as to which practices are regulated and in what circumstances. This column provides an overview of consumer and carer perspectives as to what is meant by these practices.

Seclusion is one of the methods in controlling violent behavior of inpatients in psychiatric wards. In current descriptive analytic study, data collection instrument included the seclusion list of inpatients by considering individual, social and clinical characteristics in one of the psychiatry wards In the Razi teaching hospital of Tabriz in the first six months of 2012. Among 264 admitted pat...

OBJECTIVE To reduce the use of restraint and seclusion with children and adolescents in psychiatric inpatient units by promoting a preventive, strength-based model of care. METHOD The State Mental Health Authority used data analysis, quality improvement strategies, regulatory oversight, and technical assistance to develop and implement system change over a 22-month period. No changes in regul...

A survey of a convenience (nonrandom) sample of parents and guardians of children with disabilities was undertaken to document the use of restraints, seclusion, and aversive procedures. A 23-item questionnaire was presented to participants using SurveyMonkey, a Web-based program. Participants were informed of the survey by different advocacy organizations. Within a 2-week period, 1,300 individu...