1999
DOI: 10.7748/ns1999.09.13.50.34.c2670
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Seclusion in psychiatry

Abstract: The subject of seclusion will always generate professional, legal and moral debate. Lawrence Savage and Emad Salib examined the continuing and regular use of seclusion in a secure mental health unit, and suggest that the seclusion of some patients may continue to be a safe and effective intervention to control incidents of disturbed behaviour.

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Cited by 12 publications
(11 citation statements)
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“…The enforced use of rapidly tranquillizing medications in high doses administered to individuals presenting aggressively is a clear motive for adopting a physical approach, but frequently, the purpose of restricting individuals’ movements in such a way is to administer maintenance anti‐psychotics to individuals on a treatment order (Parkes 1996). Another possible motivation is for the removal of an individual to a supervised area of confinement, although the practice of ‘seclusion’ remains highly controversial and its’ use in contemporary practice is diminishing (Savage & Salib 1999).…”
Section: Physical Responsesmentioning
confidence: 99%
“…The enforced use of rapidly tranquillizing medications in high doses administered to individuals presenting aggressively is a clear motive for adopting a physical approach, but frequently, the purpose of restricting individuals’ movements in such a way is to administer maintenance anti‐psychotics to individuals on a treatment order (Parkes 1996). Another possible motivation is for the removal of an individual to a supervised area of confinement, although the practice of ‘seclusion’ remains highly controversial and its’ use in contemporary practice is diminishing (Savage & Salib 1999).…”
Section: Physical Responsesmentioning
confidence: 99%
“…The continuing use of seclusion in mental health has been an ongoing source of controversy and debate; in particular, questions have been raised regarding the moral, ethical, legal, and humanitarian dimensions of a practice that severely restricts a person's liberty, freedom, and control (Meehan et al., 2000; Savage & Emad, 1999). Additional concerns raised in the literature relate to the coercive nature of seclusion, lack of communication with consumers throughout the seclusion process, and ultimately, the issue of confining acutely unwell people in an isolated comfortless environment (Martinez, Grimm, & Adamson, 1999).…”
mentioning
confidence: 99%
“…L'utilisation de moyens de contrôle doit donc être considérée dans ce climat d'insécurité, d'instabilité des équipes et de pressions administratives. Savage et Salib (1999) ont décrit le recours à l'isolement dans un centre hospitalier britannique. Elles ont étudié tous les épisodes d'isolement de 1992 à 1997 sur une unité de psychiatrie de 26 lits, dont 6 intensifs en utilisant le formulaire existant.…”
Section: Le Contrôle De L'agir Violentunclassified
“…Quant à la contention, les critères usuels pour leur utilisation réfèrent à la confusion et à l'agitation sévère dans la phase aiguë de la maladie (A.H.Q., 1987 ;Bégin, 1991 ;Dumont, 1995 ;Smith et Humphreys, 1997). Ces mesures de contrôle doivent être considérées comme un dernier recours qui, après que d'autres moyens aient été jugés inefficaces, permet la communication ou l'implantation d'un plan de soins (Lendemeijer et Shortride-Bagget, 1997 ;McBride, 1996 ;Savage et Salib, 1999).…”
Section: Le Contrôle De L'agir Violentunclassified