The power of day-to-day motivational techniques and family participation in reducing seclusion: A comparison of two admission wards with and without a seclusion prevention protocol
Publication year
2008Source
International Journal of Mental Health, 37, 3, (2008), pp. 81-98ISSN
Publication type
Article / Letter to editor
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Organization
SW OZ BSI KLP
Journal title
International Journal of Mental Health
Volume
vol. 37
Issue
iss. 3
Page start
p. 81
Page end
p. 98
Subject
Experimental Psychopathology and TreatmentAbstract
The use of seclusion in psychiatric practice is a controversial issue in the Netherlands, as a number of recent studies have shown seclusion to be a predominant restrictive measure. In contrast to many surrounding countries, Dutch legislation is arranged in such a way that the protection of the physical integrity of the patient is more important than professional considerations with respect to the treatment of severe mental illness. The opening of a new admission ward provided the opportunity to study the effect of a number of preventive measures both before and after admission on the use of seclusion. Two admission wards with the approximately the same staff compilation, the same admission criteria, and a comparable catchment area were followed for 29 months. In the experimental ward, a project was started with the aim to abandon seclusion in three years while, at the same time, reducing all other forms of restrain; the comparable ward had care as usual. The data show a decrease of number and duration of seclusion in the experimental ward in comparison to the ward providing care as usual. This difference could be related to a number of patient and ward characteristics.
This item appears in the following Collection(s)
- Academic publications [238441]
- Electronic publications [122508]
- Faculty of Social Sciences [29483]
- Open Access publications [97504]
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