Re-Designing State Mental Health Policy to Prevent the Use of Seclusion and Restraint

@article{Huckshorn2006ReDesigningSM,
  title={Re-Designing State Mental Health Policy to Prevent the Use of Seclusion and Restraint},
  author={Kevin Ann Huckshorn},
  journal={Administration and Policy in Mental Health and Mental Health Services Research},
  year={2006},
  volume={33},
  pages={482-491}
}
  • K. Huckshorn
  • Published 1 July 2006
  • Medicine
  • Administration and Policy in Mental Health and Mental Health Services Research
 The members of the National Association of State Mental Health Program Directors (NASMHPD) believe that seclusion and restraint, including “chemical restraints," are safety interventions of last resort and are not treatment interventions. Seclusion and restraint should never be used for the purposes of discipline, coercion, or staff convenience, or as a replacement for adequate levels of staff or active treatment. The use of seclusion and restraint creates significant risks for people with… 
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TLDR
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TLDR
Younger male patients with psychosis were most likely to be secluded, and the most common diagnosis was schizophrenia, followed by cognitive impairment and bipolar mood disorder, and sodium valproate was the most commonly used medication.
Factors Associated with Seclusion Use in Forensic Mental Health Settings: An Integrative Review
TLDR
Results indicate that common factors associated with the use of seclusion in forensic mental health settings are younger age, diagnosis of psychotic disorder or personality disorder, and previous seclusion, and sex differences are inconsistent.
Multinational experiences in reducing and preventing the use of restraint and seclusion.
TLDR
Recently, the first cluster randomized controlled study of the Six Core Strategies in Finland provided the first evidence-based data of the safety and effectiveness of a coercion prevention methodology.
Reflection on the use of seclusion: in an acute mental health facility.
TLDR
The study revealed a local facility seclusion rate of 12% compared with a national average of 10%, and consumers mostly perceived seclusion as punishing and nontherapeutic, in contrast to staff, who generally viewed it as appropriate and potentially therapeutic.
Feasibility of randomized controlled trials on seclusion and mechanical restraint
TLDR
Ethical, methodological and legal problems of RCTs on coercive interventions and possible solutions are described and suggested to suggest possible solutions.
Seclusion reduction in a forensic mental health setting.
TLDR
The initiatives that were introduced during a seclusion reduction project that was undertaken at an Australian forensic hospital based on the six core strategies that have been successfully used in North America to reduce seclusion are presented.
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