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Journal Article

Citation

Larson TC, Sheitman BB, Kraus JE, Mayo J, Leidy L. Adm. Policy Ment. Health 2008; 35(3): 198-203.

Affiliation

Child and Adolescent Psychiatry, Dorothea Dix Hospital, 3601 MSC Center, Raleigh, NC 27699, USA. Tom.larson@ncmail.net

Copyright

(Copyright © 2008, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s10488-007-0156-5

PMID

18058220

Abstract

Despite a growing consensus that seclusion or restraint should never be used with children or adolescents, there are a few patients who are resistant to treatment, and are persistently violent. The purpose of this study was to measure the efficacy of installing a padded seclusion room to decrease the use of mechanical restraints, a potentially more emotionally traumatic and dangerous intervention than seclusion. After padded room installation, the number of monthly mechanical restraint events per 1000 patient days decreased by 93.7%, from 21.2 to 1.3. A padded seclusion room may offer a safer, albeit a less than desirable alternative to mechanical restraint.


Language: en

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