The effects of a nationwide program to reduce seclusion in the Netherlands View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2012-12

AUTHORS

Fleur J Vruwink, Cornelis L Mulder, Eric O Noorthoorn, Daan Uitenbroek, Henk LI Nijman

ABSTRACT

BACKGROUND: From 2006 to 2009, the Dutch government provided €5 m annually for a nationwide program to reduce seclusion in psychiatric hospitals by 10% a year. We aimed to establish whether the numbers of both seclusion and involuntary medication changed significantly after the start of this national program. METHODS: Using Poisson regression to estimate difference in logit slopes, we analyzed data for 1998-2009 from the Dutch Health Care Inspectorate, retrospectively examining the national numbers of seclusion and involuntary medication before and after the start of the program. RESULTS: The difference in slopes of the numbers of seclusion before and after the start of the program was statistically significant (difference 5.2%: p < 0.001). After the start of the program seclusions dropped 2.0% per year. Corrected for the increasing number of involuntary hospitalizations this figure was 4.7% per year. The difference in slopes of the numbers of involuntary medication did not change statistically significant (difference 0.5%, n.s.). After correction for the increasing number of involuntary hospitalizations the difference turned significant (difference 3.3%, p = 0.002). CONCLUSIONS: After the start of the nationwide program the number of seclusions fell, and although significantly changing, the reduction was modest and failed to meet the objective of a 10% annual decrease. The number of involuntary medications did not change; instead, after correction for the number of involuntary hospitalizations, it increased. More... »

PAGES

231

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1471-244x-12-231

DOI

http://dx.doi.org/10.1186/1471-244x-12-231

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https://app.dimensions.ai/details/publication/pub.1026944917

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23249413


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