Despite a growing consensus that seclusion or restraint should never be used with children or adolescents, there are a few patients who are resistant to treatment, and are persistently violent. The purpose of this study was to measure the efficacy of installing a padded seclusion room to decrease the use of mechanical restraints, a potentially more emotionally traumatic and dangerous intervention than seclusion. After padded room installation, the number of monthly mechanical restraint events per 1000 patient days decreased by 93.7%, from 21.2 to 1.3. A padded seclusion room may offer a safer, albeit a less than desirable alternative to mechanical restraint.
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http://dx.doi.org/10.1007/s10488-007-0156-5 | DOI Listing |
Eur Child Adolesc Psychiatry
May 2011
University Psychiatric Centre, KUL Campus Kortenberg, Leuvensesteenweg 517, Kortenberg, Belgium.
Seclusion and restraint are frequent procedures to intervene in aggressive and potentially dangerous patients in psychiatric settings. However, little is known about their utilization and effectiveness in pediatric populations. We aimed to examine the prevalence and determinants of seclusion and restraint utilization in children and adolescents in psychiatric settings.
View Article and Find Full Text PDFAdm Policy Ment Health
May 2008
Child and Adolescent Psychiatry, Dorothea Dix Hospital, 3601 MSC Center, Raleigh, NC 27699, USA.
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