Seclusion reduction in a forensic mental health setting

Tessa Maguire, R Young, Patricia Margaret Martin

Research output: Contribution to journalArticleResearchpeer-review

38 Citations (Scopus)

Abstract

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 con?dence, 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 identi?ed 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.
Original languageEnglish
Pages (from-to)97 - 106
Number of pages10
JournalJournal of Psychiatric and Mental Health Nursing
Volume19
Issue number2
DOIs
Publication statusPublished - 2012

Cite this