The Distribution and Frequency of Seclusion and/or Restraint among Psychiatric Inpatients View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2010-04

AUTHORS

Michael Hendryx, Yaroslav Trusevich, Frank Coyle, Robert Short, John Roll

ABSTRACT

This paper reports on the frequency and distribution of seclusion or restraint (SR) episodes among 1,266 adult inpatients at a state psychiatric hospital during the 2004 calendar year. Data on the concentration of SR episodes over patients and time can assist in planning alternative, recovery-oriented treatment models. Fifteen percent (N = 194) of patients experienced seclusion or restraint. Sixty-three percent of all seclusion hours were concentrated among only ten patients. Likewise, the ten patients with the most restraint hours constituted nearly 65% of total restraint hours for the year and 48% of all restraint episodes. Variables accessible through administrative data accounted for modest seclusion and restraint variance. A comprehensive strategy to prevent SR episodes requires tailored interventions targeted to known high-risk individuals and development of general hospital-wide alternatives to SR. General alternatives require greater attention to staff education, administrative oversight, de-escalation and debriefing practices, patient involvement, and other recovery-oriented practices to reduce or eliminate use of seclusion and restraint. More... »

PAGES

272-281

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11414-009-9191-1

DOI

http://dx.doi.org/10.1007/s11414-009-9191-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1027716493

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19757076


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