Seclusion

Heyman, Ellen

doi:10.3928/0279-3695-19871101-04

Cited by 37 publications

(71 citation statements)

References 11 publications

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“…The Confidence in Managing Inpatient Aggression Survey (Martin & Daffern 2006) required staff to rate their confidence in their own ability and their co-workers' abilities to deal with aggressive patients, as well as their perceptions of personal safety within TEH. The Heyman Staff Attitudes Towards Seclusion Survey (Heyman 1987) asked staff to identify whether certain behaviours leading to the use of seclusion were valid or not. Staff also rated the practice of seclusion on their unit in terms of it being therapeutic, punitive or necessary for safety.…”

Section: Discussionmentioning

confidence: 99%

Seclusion reduction in a forensic mental health setting

Maguire¹,

Young²,

Martin

2011

Psychiatric Ment Health Nurs

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Seclusion has become a contentious practice and initiatives have commenced to reduce or eliminate its use. This paper presents the initiatives that were introduced during a seclusion reduction project that was undertaken at an Australian forensic hospital. These initiatives are based on the six core strategies that have been successfully used in North America to reduce seclusion. However, there are challenges (patient characteristics, prisoner culture and ensuring safety) and opportunities (longer admissions, higher staff-patient ratio, staff confidence, sound risk assessment and management) that can influence projects to reduce seclusion in a forensic hospital. During this project, the frequency (mainly multiple seclusions of patients) and duration of seclusion events were reduced but there was less reduction in the number of patients that were secluded. It is possible that the strategies were successfully supported by the identified opportunities to reduce the frequency and duration of seclusion but the challenges were significantly powerful in the early period of admission to prompt the need for seclusion. Reducing seclusion in a forensic hospital is a complex undertaking as nurses must provide a safe environment while dealing with volatile patients and may have little alternative at present but to use seclusion after exhausting other interventions.

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Section: Discussionmentioning

confidence: 99%

Seclusion reduction in a forensic mental health setting

Maguire¹,

Young²,

Martin

2011

Psychiatric Ment Health Nurs

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“…The majority of the papers reporting some information on patient attitudes or perceptions regarding seclusion indicated that many patients had a negative experience while being secluded. Patients felt angry or upset (Plutchik et al 1978, Hammill et al 1989, lonely or abandoned (Binder & McCoy 1983, Martinez et al 1999, Hoekstra et al 2004) and scared or vulnerable (Hammill 1987, Heyman 1987, Martinez et al 1999. Patients also felt humiliated, worthless (Binder & McCoy 1983, Meehan et al 2004) and depressed while being secluded (Hammill 1987, Heyman 1987.…”

Section: Patients' Perceptions Of Seclusionmentioning

confidence: 99%

“…Patients felt angry or upset (Plutchik et al 1978, Hammill et al 1989, lonely or abandoned (Binder & McCoy 1983, Martinez et al 1999, Hoekstra et al 2004) and scared or vulnerable (Hammill 1987, Heyman 1987, Martinez et al 1999. Patients also felt humiliated, worthless (Binder & McCoy 1983, Meehan et al 2004) and depressed while being secluded (Hammill 1987, Heyman 1987. Other patients felt punished (Richardson 1987, Holmes et al 2004, Meehan et al 2004, some felt trapped (Binder & McCoy 1983, Hammill 1987, Hammill et al 1989) and others were bored while secluded (Plutchik et al 1978, Martinez et al 1999.…”

Section: Patients' Perceptions Of Seclusionmentioning

confidence: 99%

“…However, not all patients experienced negative feelings while being secluded. A few patients reported that they felt safe and protected while secluded, while others felt calmer, relieved and more in control (Plutchik et al 1978, Heyman 1987. Patients also reported varied feelings regarding staff observation while being secluded.…”

Section: Improving Seclusion Practicementioning

confidence: 99%

“…The review found that the majority of staff believed that seclusion was largely beneficial for patients, because the relative peace and quiet of a seclusion room created a space where the patient could calm down, gain control and rebuild through the reduction of sensory stimulation and frustrating social interactions (Plutchik et al 1978, Soliday 1985, Heyman 1987, de Cangas 1993, Muir-Cochrane 1996, Wynaden et al 2001. Staff also felt seclusion taught the patients to respect physical limits and modified their behaviour (Muir-Cochrane & Harrison 1996, Alty 1997, Lavoine & Friard 2008.…”

Section: Staff's Perceptions Of Seclusionmentioning

confidence: 99%

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Improving seclusion practice: implications of a review of staff and patient views

Merwe¹,

Muir‐Cochrane

Jones

et al. 2012

Psychiatric Ment Health Nurs

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Accessible summary • An extensive review of empirical literature (n = 39) on patient and staff perceptions of seclusion in psychiatric inpatient settings was undertaken. • Patients perceived seclusion negatively while staff perceived it to be therapeutic and vital for the running of inpatient units. • Better communication, more contact with patients and staff engaging with patients before during and after a seclusion episode were suggestions for improvements to care processes. Abstract This review explores patient and staff perceptions and improvement suggestions regarding seclusion in psychiatric inpatient settings. After an extensive literature search, 39 empirical papers were included in the review. According to the literature, patients perceived seclusion to be a distinct negative incident. Staff thought seclusion had a therapeutic effect and believed that units could not operate effectively without seclusion, but regretted that the situation was not resolved differently. Staff and patients had suggestions to improve the seclusion experience. Common themes in relation to the implications for practice are the need for better communication and more contact between patients and staff before, during and after the seclusion event.

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Seclusion: A Catacomb of Control

Mason¹,

Chandley²

1998

Critical Perspectives in Forensic Care

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Seclusion

Cited by 37 publications

References 11 publications

Seclusion reduction in a forensic mental health setting

Seclusion reduction in a forensic mental health setting

Improving seclusion practice: implications of a review of staff and patient views

Seclusion: A Catacomb of Control

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