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Chapter 19 - The Use of Seclusion in Mental Health Care

Published online by Cambridge University Press:  15 March 2024

By
Roland Dix  and
Mathew Page
Edited by
Roland Dix ,
Stephen Dye  and
Stephen M. Pereira
Roland Dix
Affiliation:
Gloucestershire Health and Care NHS Foundation Trust, Gloucester
Stephen Dye
Affiliation:
Norfolk and Suffolk Foundation Trust, Ipswich
Stephen M. Pereira
Affiliation:
Keats House, London
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Summary

Whether or not seclusion has a place within the treatment of the mentally disordered is one of the longest running debates in the history of mental health care, and it is likely to continue. Controversial deaths in mental health facilities and their subsequent inquiries will further fuel speculation as to how best to manage challenging behaviour. This chapter provides an overview of the history of seclusion, its value or otherwise, its alternatives and the necessary supporting policies for its use. It also offers a practical framework within which seclusion may be considered in the context of psychiatric intensive care units (PICUs).

Keywords

de-escalationdisturbed behaviourextra care area (ECA)low secure unit (LSU)Mental Health Act (MHA)physical restraintpsychiatric intensive care unit (PICU)rapid tranquilisationseclusion
Type
Chapter
Information
Psychiatric Intensive Care , pp. 245 - 258
Publisher: Cambridge University Press
Print publication year: 2024

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