Journal article

The Practice of Seclusion and Time-out on English Acute Psychiatric Wards: The City-128 Study

L Bowers, M Van Der Merwe, H Nijman, B Hamilton, E Noorthorn, D Stewart, E Muir-Cochrane

Archives of Psychiatric Nursing | Published : 2010

Abstract

Background: Seclusion is widely used internationally to manage disturbed behavior by psychiatric patients, although many countries are seeking to reduce or eliminate this practice. Time-out has been little described and almost completely unstudied. Aim and Method: To assess the relationship of seclusion and time-out to conflict behaviors, the use of containment methods, service environment, physical environment, patient routines, staff characteristics, and staff group variables. Data from a multivariate cross-sectional study of 136 acute psychiatric wards in England were used to conduct this analysis. Results: Seclusion is used infrequently on English acute psychiatric wards (0.05 incidents ..

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Funding Acknowledgements

This research was funded by the National Institute of Health Research Service Delivery and Organ iza tion Programme. However, the views expressed in this publication are those of the authors and not necessarily those of the funding body. The funding body approved the design of the study and received regular reports on the data collection. Although other results of this study have been subject to peer review arranged by the study funding body, the analysis reported here has not. The funding body has received an advance copy of this paper but is not entitled to require, nor has requested, any alterations.