TITLE

Patients' view of seclusion -- preliminary report

AUTHOR(S)
Keski-Valkama, Alice; Eronen, Markku; Kaltiala-Heino, Riittakerttu
PUB. DATE
January 2007
SOURCE
BMC Psychiatry;2007 Supplement 1, Vol. 7, Special section p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
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 describe a pilot phase of an extensive research project concerning the seclusion experience of 100 forensic and civil psychiatric patients. Methods Secluded patients were interviewed using a semi-structured interview developed for the purpose of this research project. Results Both negative and positive aspects were associated with seclusion. Interaction between the secluded patient and the staff was perceived as insufficient. Conclusion Clinical implications are discussed.
ACCESSION #
35704330

 

Related Articles

  • The use of seclusion and restraint during 15 years -- a nationwide study in Finland. Keski-Valkama, Alice; Sailas, Eila; Eronen, Markku; Lönnqvist, Jouko; Kaltiala-Heino, Riittakerttu // BMC Psychiatry;2007 Supplement 1, Vol. 7, Special section p1 

    Background Internationally, concerns over the use of seclusion and restraint in psychiatric care have increased over the past decades. In Finland, restriction of freedom and use of coercion in psychiatry are regulated by the Mental Health Act of 1991. After its implementation, the Act (revision...

  • Who are the restrained and secluded patients: a 15-year nationwide study. Keski-Valkama, Alice; Sailas, Eila; Eronen, Markku; Koivisto, Anna-Maija; Lönnqvist, Jouko; Kaltiala-Heino, Riittakerttu // Social Psychiatry & Psychiatric Epidemiology;Nov2010, Vol. 45 Issue 11, p1087 

    Background: To find interventions for reducing the use of restraint and seclusion, it is necessary to identify who the restrained and secluded patients are. The aim of the present study was to determine which demographic and clinical groups of psychiatric inpatients are at risk of being...

  • Central ethical issues in coercive treatment of children and adolescents, with special reference to the reasoning of the staff members. Thorsén, Håkan // BMC Psychiatry;2007 Supplement 1, Vol. 7, Special section p1 

    Background The aim of the study was to describe the child and adolescent psychiatric staff opinions about ethical problems in relation to coercion, with specific focus on the ethical justification of different forms of coercion. Methods Two empirical studies were made. The first study used an...

  • A comparison between seven Swiss and seven German hospitals concerning the use of coercive measures. Bernhardsgrütter, Renate // BMC Psychiatry;2007 Supplement 1, Vol. 7, Special section p1 

    Background In 2004, two independent working groups in Germany and Switzerland compared the frequency and duration of coercive measures in standard psychiatric care across 14 psychiatric hospitals in Germany and Switzerland. The objective was to establish an international knowledge transfer...

  • Legislation and practice of coercive measures during in-patient treatment in 12 European countries: results of a case vignette study. Steinert, Tilman; Lepping, Peter; Needham, Ian // BMC Psychiatry;2007 Supplement 1, Vol. 7, Special section p1 

    Background Patients who exhibit violent behavior or refuse medication during in-patient treatment are a challenge for clinical management. The management of those clinical situations is different in European countries with respect to legislation and clinical routine. Methods We selected three...

  • Patients' experiences of coercive treatment and coercive measures in psychiatric care. Wallsten, Tuula; Kjellin, Lars // BMC Psychiatry;2007 Supplement 1, Vol. 7, Special section p1 

    Background To study coercive treatment like forced medication and coercive measures like seclusion and mechanical restraint during inpatient psychiatric care among committed and voluntarily admitted patients and also to study patients attitudes to coercive treatment and measures. Methods A...

  • Epidemiology of inpatient violence and coercive measures. Steinert, Tilman // BMC Psychiatry;2007 Supplement 1, Vol. 7, Special section p1 

    Objective To give an overview of the current knowledge on the epidemiology of in-patient violence and coercive measures in clinical psychiatry. Methods Many studies have been conducted on the epidemiology of in-patient violence by use of standardized scales such as the SOAS-R. Much research on...

  • Prototype seclusion room safer and less stressful for patients.  // Mental Health Practice;Jun2013, Vol. 16 Issue 9, p5 

    The article reports that a high-tech prototype seclusion room offers secure and less stressful environment to the people with serious mental health problems.

  • PSYCHIATRIC IN-PATIENTS' EXPERIENCE OF BEING SECLUDED IN A SPECIFIC HOSPITAL IN LESOTHO. Ntsaba, Gloria M.; Havenga, Yolanda // Health SA Gesondheid;2007, Vol. 12 Issue 4, p3 

    This qualitative, explorative, descriptive and contextual study was undertaken to explore and describe the experiences of psychiatric in-patients who are secluded in a specific hospital in Lesotho. Evidence about the rationale and appropriate use of seclusion as well as promotion of mental...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics