A Study of Patients' Attitudes Toward Placement in Seclusion

Binder, Renée L.; Mccoy, Susan M.

doi:10.1176/ps.34.11.1052

Cited by 49 publications

(65 citation statements)

References 6 publications

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“…Consumer self-reports of being in S/R characterize it as ''dehumanizing and humiliating'' and in one study, 54% reported ''nothing beneficial'' from the experience (Binder & McCoy, 1983). In another qualitative study, S/R were reported to have ''substantial deleterious physical and, more often, psychological effects on both patients and staff'' (Sailas & Fenton, 2002).…”

Section: Literature Reviewmentioning

confidence: 99%

Re-Designing State Mental Health Policy to Prevent the Use of Seclusion and Restraint

Huckshorn

2005

Adm Policy Ment Health

103

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: The members of the National Association of State Mental Health Program Directors (NASMHPD) believe that seclusion and restraint, including "chemical restraints," are safety interventions of last resort and are not treatment interventions. Seclusion and restraint should never be used for the purposes of discipline, coercion, or staff convenience, or as a replacement for adequate levels of staff or active treatment. The use of seclusion and restraint creates significant risks for people with psychiatric disabilities. These risks include serious injury or death, retraumatization of people who have a history of trauma, and loss of dignity and other psychological harm. In light of these potential serious consequences, seclusion and restraint should be used only when there exists an imminent risk of danger to the individual or others and no other safe and effective intervention is possible. (Endorsed by the State Mental Health Directors, July 13, 1999). (NASMHPD 1999, NASMHPD Position Statement on Seclusion and Restraint. Alexandria, VA: National Technical Assistance Center for State Mental Health Planning.).

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Section: Literature Reviewmentioning

confidence: 99%

Re-Designing State Mental Health Policy to Prevent the Use of Seclusion and Restraint

Huckshorn

2005

Adm Policy Ment Health

103

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“…Even though there are studies on patients' experiences of seclusion dating back to the 1970s and 1980s (Wadeson and Carpenter 1976;Binder and McCoy 1983;Soliday 1985;Hamill et al 1989;Mann et al 1993), interest in this theme has increased since about 2000 (Meehan et al 2000;Hoekstra et al 2004;Holmes et al 2004;Meehan et al 2004;Sørgaard 2004;Wynn 2005;Chien et al 2005;Stolker et al 2006;Steinert et al 2007;El-Badri and Mellsop 2008;Keski-Valkama et al 2010a;Kontio et al 2012).…”

Section: Patients' Perception Of Seclusion and Restraintmentioning

confidence: 99%

“…For instance, patients have expressed seclusion-or restraint-related feelings of safety and security, protection, trust, helpfulness, and a decrease of stimulation (Binder and McCoy 1983;Mann et al 1993;Kennedy et al 1994;Chien et al 2005;Kuosmanen et al 2007;Kontio et al 2012). Information on the reasons for seclusion and restraint helped patients to understand these restrictions (Meehan et al 2004;Chien et al 2005;Kontio et al 2012).…”

Section: Patients' Perception Of Seclusion and Restraintmentioning

confidence: 99%

“…Furthermore, patients have suggested alternatives to seclusion such as constant observation, medication, a time-out programme, resting in one's own room, verbal de-escalation, activities, music, and an opportunity for interaction (Meehan et al 2000;Keski-Valkama et al 2010a). Other suggestions have included more interaction, caring behaviour and a calm manner on behalf of staff as well as more medication (Binder and McCoy 1983;Kennedy et al 1994;Meehan et al 2000Meehan et al , 2004Chien et al 2005).…”

Section: Patients' Perception Of Seclusion and Restraintmentioning

confidence: 99%

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Patient Experience of Coercive Measures

Soininen

Kontio

Joffe

et al. 2016

The Use of Coercive Measures in Forensic Psychiatric Care

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Coercive situations are complicated and stressful for both the one being forced as well as the one forcing the other. Patients' experiences of coercion have been studied since the end of the 1970s, and interest in this theme has increased since about 2000. It seems that involuntary treatment as a general concept is more accepted than individual, specific coercive measures, such as forced medication, seclusion or restraint, which patients usually deem unnecessary. Patients' views on seclusion and restraint have been mostly but not always negative. For instance, patients have expressed seclusion-or restraint-related feelings of safety and security, protection, trust, helpfulness and a decrease of stimulation. Moreover, perceptions vary according to, for example, patients' age and gender and their adaptation to the illness and treatment system. The importance of patients' perspective and service user involvement in the development of services has been officially recognised. Indeed, taking patients' experience into proper consideration is a matter of the services' quality. In this chapter, we also discuss these future challenges.

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“…Some of these studies underscore the potential negative impact of this practice on patients. These studies bring to the fore the ethical dilemmas inherent in the use of seclusion and restraints (Binder & McCoy, 1983;Browne & Tooke, 1992;Johnson, 1998;Mohr, Mahon, & Noone, 1998;Norris & Kennedy, 1992). On the one hand, this practice has the potential for physically and/or psychologically harming patients (Brown & Tooke, 1992;Fisher, 1994;Martinez, Grimm, & Adamson, 1999) and for violating the patient's right to autonomy and self-determination (Moss & La Puma, 1991;Stilling, 1992 3 Although the term "patient" has been historically used to denote the recipient of services in a medical setting, more recently the terms "client" and "consumer" are used as well.…”

Section: American Psychiatric Nurses Association Positionmentioning

confidence: 99%

American Psychiatric Nurses Association Position Statement on the Use of Seclusion and Restraint

2001

J Am Psychiatr Nurses Assoc

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A Study of Patients' Attitudes Toward Placement in Seclusion

Cited by 49 publications

References 6 publications

Re-Designing State Mental Health Policy to Prevent the Use of Seclusion and Restraint

Re-Designing State Mental Health Policy to Prevent the Use of Seclusion and Restraint

Patient Experience of Coercive Measures

American Psychiatric Nurses Association Position Statement on the Use of Seclusion and Restraint

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