Staff Perceptions and Organizational Factors as Predictors of Seclusion and Restraint on Psychiatric Wards

Benedictis, Luigi De; Dumais, Alexandre; Sieu, Nida; Mailhot, Marie Pierre; Létourneau, Geneviève; Tran, Minh Anh Marie; Stikarovska, Irena; Bilodeau, Mathieu; Brunelle, Sarah; Côté, Gilles; Lesage, Alain

doi:10.1176/ps.62.5.pss6205_0484

Cited by 68 publications

(43 citation statements)

References 54 publications

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“…De Benedictis et al [39] found that coercive measures were more frequently adopted when staff perceived great expressions of anger and aggression in other team members and when safety measures in the workplace were insufficient. As regards staff composition, Bowers et al [40] reported an inverse association between the number of junior medical doctors and the use of restraint, while the number of nurses was positively associated with a higher use of restraint.…”

Section: Predictors Of Use Of Coercive Measuresmentioning

confidence: 99%

Use of coercive measures in mental health practice and its impact on outcome: a critical review

Luciano

Sampogna

Vecchio

et al. 2014

Expert Review of Neurotherapeutics

103

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Although coercive measures have always been part of the psychiatric armamentarium, the ethical dilemma between the use of a "therapeutic" coercion and the loss of patients' dignity is one of the major controversial issues in mental health research and practice. The aims of the present review are to explore the existing literature on predictors of use of coercive measures and to explore the relationship between coercive measures and patient outcome. A literature search was conducted using MEDLINE, PsychyINFO, Scopus, Web of Knowledge and the Cochrane Database. In all selected papers, references were cross-checked to identify other possible eligible papers. The use of coercive measures was predicted by patients' clinical and socio-demographic features, staff characteristics and ward-related factors. Coercive measures have only a limited impact on patients' clinical and social outcome. At the current level of knowledge, coercion is still a controversial issue in mental health practice. Only few studies with a solid methodology have been carried out. Large multicenter and rigorous studies, with long-term follow-ups, are highly needed.

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Section: Predictors Of Use Of Coercive Measuresmentioning

confidence: 99%

Use of coercive measures in mental health practice and its impact on outcome: a critical review

Luciano

Sampogna

Vecchio

et al. 2014

Expert Review of Neurotherapeutics

103

View full text Add to dashboard Cite

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“…De Benedictis et al . ; Nijman ), yet there is also still an abundance of evidence that shows that this position is still pervasive for some (Davison ; NICE ; Papadopoulos et al . ).…”

Section: Introductionmentioning

confidence: 99%

Systemic perspective of violence and aggression in mental health care: Towards a more comprehensive understanding and conceptualization: Part 1

Cutcliffe

Riahi

2013

Int J Mental Health Nurs

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Aggression and violence (A/V) in mental health care are all too frequent occurrences; they produce a wide range of deleterious impacts on the individual client, staff, organizations, and the broader community. A/V is a multifaceted and highly-complex problem, and is associated empirically with a wide range of phenomena. However, most attempts to reduce A/V in mental health care have invariably focused on one or two aspects of the problem at the expense of a more comprehensive, systemic approach; these have produced inconclusive results. As a result, this two-part paper seeks to: (i) recognize the wide range of phenomena that have been found to have an association with A/V in mental health care; (ii) synthesize these propositions according to fit or congruence into a systemic model of A/V; (iii) explore empirical evidence pertaining to these propositions; and (iv) begin to consider the application of this model to better inform our individual and/or organizational responses to A/V in mental health care. The paper advances a systemic model of these phenomena comprised of four thematic categories, with Part 1 of this paper focusing on the first two categories: environmental and intrapersonal (client-related) phenomena.

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“…The use of intrusive measures has been criticized for various reasons. Inpatients have reported its negative impact, such as fear, anger, shame, and feelings of being abandoned (De Benedictis et al . 2011; Duxbury et al .…”

Section: Introductionmentioning

confidence: 99%

“…2005). There is a general growing concern among practitioners and health policy makers that these intrusive measures are countertherapeutic (Curie 2005; De Benedictis et al . 2011; Donovan et al .…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with the use of intrusive measures at a tertiary care facility for children and youth with mental health and developmental disabilities

Stewart

Baiden

Theall

2012

Int J Mental Health Nurs

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This study seeks to identify some of the explanatory factors associated with the use of intrusive measures among children with mental health and developmental disabilities in psychiatric facilities. Intrusive intervention data were collected using an organizational database that was developed internally at a tertiary care facility. The sample was composed of 338 children/youth aged between 6 and 18 years (mean = 12.33, standard deviation = 2.70) admitted within a 2-year period. Logistic regression was used to examine the relationship between chemical restraint, physical restraint and secure isolation, and programme type after controlling for demographic and other relevant client characteristics. The study found that the number of chemical restraints and secure isolations was higher for clients with developmental disabilities than for clients with mental health, whereas the number of physical restraints was lower for clients with developmental disabilities than clients with mental health issues. Demographic variables also predicted specific types of intrusive measures. The results of this study outline the differential factors associated with specific types of intrusive measures to control aggressive and self-harm behaviours. The paper also outlines cultural change initiatives, organizational interventions, and policy implications for best practice services for children/youth in psychiatric facilities to further reduce intrusive measures.

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Staff Perceptions and Organizational Factors as Predictors of Seclusion and Restraint on Psychiatric Wards

Cited by 68 publications

References 54 publications

Use of coercive measures in mental health practice and its impact on outcome: a critical review

Use of coercive measures in mental health practice and its impact on outcome: a critical review

Systemic perspective of violence and aggression in mental health care: Towards a more comprehensive understanding and conceptualization: Part 1

Factors associated with the use of intrusive measures at a tertiary care facility for children and youth with mental health and developmental disabilities

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