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An understanding of seclusion data can provide fundamental information from which strategies to reduce seclusion can be developed.
Wieman DA, Camacho-Gonsalves T, Huckshorn KA, Leff S. Multisite study of an evidence-based practice to reduce seclusion and restraint in psychiatric inpatient facilities.
From 2006 to 2009, the Dutch government provided €5 m annually for a nationwide program to reduce seclusion in psychiatric hospitals by 10% a year.
To fund a nationwide program to reduce seclusion by 10% per year, the Dutch government therefore provided €5 m annually from 2006 to 2009 [ 4].
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In its response to the report, the department made no clear commitment to reducing seclusion.
Although the legal and regulatory context differs between countries, it is interesting to compare our results to other national studies about reducing seclusion.
Nonetheless, although these new alternatives seem effective in reducing seclusion and restraint, some important issues remain unexplored: can these new interventions increase quality of life and wellbeing?
A systematic risk assessment (preference arm) and a training course in aggression management are effective in reducing seclusion in psychiatric acute admission wards.
As the program focused mainly on reducing seclusion and not on other coercive interventions, our second objective was to determine whether there had been a concomitant increase in the use of involuntary medication.
Moreover, we only had access to national aggregated numbers on coercive measures, and therefore we could not compare the effect of different strategies for reducing seclusion between hospitals or interventions.
Criteria for receiving the grant included the plan having a specific target for reducing seclusion, developing psychiatric intensive care, gathering reliable data on coercive measures, and enhancing expertise of staff (e.g. using specific strategies for preventing seclusion and dealing with problematic behaviours).
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