Patients' Preferences for Seclusion or Forced Medication in Acute Psychiatric Emergency in the Netherlands

Veltkamp, Eline; Nijman, Henk; Stolker, Joost J.; Frigge, Katja; Dries, Pieter; Bowers, Len

doi:10.1176/ps.2008.59.2.209

Cited by 51 publications

(41 citation statements)

References 8 publications

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“…Evidently, being ' calm' does not necessarily imply a sense of well-being, it can be a manifestation of immobilization or shutting down. If the use of seclusion can be perceived as punishment or even torture (Veltkamp et al, 2008) then people are likely to act as though they have calmed down in order to be let out.…”

Section: Discussionmentioning

confidence: 99%

‘Behind This Wall’ – Experiences of Seclusion on Locked Wards for Women

Fish

2018

Scandinavian Journal of Disability Research

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Aim: To more fully understand the experiences of seclusion in a learning disability service for women. Background: This paper reports on one of the analytical themes, seclusion, from an ethnographic study exploring the lives of learning disabled women on locked wards. Method: Participant observation was used on three locked wards for women in a learning disability secure (forensic) unit in the United Kingdom. Themes from the analysis of field-notes were used to construct an interview schedule. Sixteen detained women and ten staff participated in interviews. Results:The thematic analysis produced four areas of relevance: the seclusion room environment, reasons for using seclusion, termination of seclusion and alternatives to seclusion. Conclusion: Detained women's descriptions of seclusion portrayed a bewildering, distressing experience which violated their privacy. Alternative practices such as providing a space for anger and resolve, and time for discussion with staff were identified.

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Section: Discussionmentioning

confidence: 99%

‘Behind This Wall’ – Experiences of Seclusion on Locked Wards for Women

Fish

2018

Scandinavian Journal of Disability Research

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“…Women were requesting PRNs on the wards and being offered them, before the need for restraint. Some research studies argue that the use of PRN as a proactive method is much more preferable to women than more coercive methods (for example, Veltkamp et al 2008). Ellie also said that she does not appreciate staff using humour in this situation.…”

Section: Alternatives To Restraintmentioning

confidence: 99%

Gendered experiences of physical restraint on locked wards for women

Fish

Hatton

2017

Disability & Society

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Physical restraint is used in inpatient services for people with intellectual disabilities as a way of holding a person to avoid injury. This article uses data from an ethnographic study in a locked unit in the north of England to explore women's experiences of physical restraint using a feminist disability studies analysis. Data consists of field notes as well as interviews with 16 of the women who had experienced restraint, and 10 staff who worked with them. The women gave insights into the gendered phenomenon of restraint in light of their past experiences of violence. The authors argue that restraint is used with women to encourage passivity at times when more relational and therapeutic methods could be used. The article offers recommendations for alternative strategies that services can encourage.

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“…A Dutch study reported gender to be associated with patients' preferences as to whether they want to be secluded or medicated when needed: Women preferred medication while men chose seclusion (Veltkamp et al 2008). On the whole, women more often prefer interpersonal interventions and seek help earlier (Seeman 2006).…”

Section: Coerced Patients' Perceptions Of Their Overall Treatmentmentioning

confidence: 99%

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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Patients' Preferences for Seclusion or Forced Medication in Acute Psychiatric Emergency in the Netherlands

Abstract: Many patients on acute psychiatric wards have a clear preference between seclusion and medication. Patients appreciated receiving explanations of the reasons for the use of a restrictive measure and discussing their preferences with staff.

Cited by 51 publications

References 8 publications

‘Behind This Wall’ – Experiences of Seclusion on Locked Wards for Women

‘Behind This Wall’ – Experiences of Seclusion on Locked Wards for Women

Gendered experiences of physical restraint on locked wards for women

Patient Experience of Coercive Measures

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