Adolescents’ Experiences of the Staff’s Different Interaction Styles in Coercive Youth Care in Sweden: A Qualitative Study

Nurses' responses to adolescent distress in an acute child and adolescent mental health inpatient unit: A qualitative interpretive descriptive study

“…The response used by the nurse would elicit one of two reactions from the young person, acceptance or rejection. Consistent with the findings reported by Engstrom et al (2020), nurses' interactional styles influenced the level of acceptance of the support offered and therefore the intervention suggested. Additionally, nurses' responses had the potential to further escalate adolescents' distress.…”

“…Many young people admitted to acute inpatient units have experiences of childhood trauma and attachment disruption, and these experiences impact the young person's beliefs of adult helpfulness and trust (Ovenstad et al, 2020). Establishing therapeutic relationships with adolescents in the inpatient setting requires nurses to have specialist interpersonal communication skills and to consider the developmental factors associated with the child and adolescent mental health population (Delaney, 2017; Engstrom et al, 2020).…”

Defining Seclusion: A Qualitative Multiphase Study Based on the Perspectives of Youth and Professionals in Secure Residential Youth Care in the Netherlands

“…For instance, some participants stated that seclusion is preceded by an incident or emergency situation, whereas other participants mentioned that seclusion is sometimes used for practical reasons (e.g., scheduled rest during shift change of professionals, when a protocol demands locking in youth in their bedroom before handling an alarm situation at another group) or as a consequence of undesirable behavior (e.g., running away, not abiding the rules). The use of seclusion for practical reasons or even as a consequence of undesirable behavior has also been described in recent research (Engström et al, 2020;De Valk et al, 2019) and confirms the need to make seclusion practices transparent. This can be done by using a broad definition to register and monitor the different aspects that are related to use of seclusion.…”

“…More specifically, studies have reported that seclusion can have harmful physical and psychological consequences for both youth and professionals (e.g., Fisher, 1994;Haugom et al, 2019;LeBel et al, 2010). Also, qualitative studies have shown that, according to youth, professionals sometimes use seclusion for practical reasons or as punishment (Engström et al, 2020;De Valk et al, 2019).…”

Att förebygga våld och tvång på institutioner genom social inkludering

“…Vi befinner oss i en tid då "batongkursen" tappat mark, det hör 1900-talet till, på senare år har dessutom patienter i psykiatrin och klienter på SiS-ungdomshem rapporterat att en del av personalen har en god förmåga att de-eskalera situationer (Pelto-Piri m.fl. 2019; Engström, Engström & Sellin 2020). Nu är det dags för ett mer proaktivt arbetssätt genom att minimera antalet situationer där de-eskalering är nödvändigt.…”