The practice of seclusion: a review of the discourse on its use
2018
Seclusion is an intervention used as a safety measure to manage patients who are violent, show
disturbed behaviour and who pose a risk of harm to others (Department of Health 2015). However,
it is perceived as a contentious practice and, with the move towards treating people with mental
health issues in the least restrictive environment, it has received much criticism. Consequently, there
has been considerable debate about its therapeutic value and a call for it to be phased out. This
article outlines the purpose of seclusion, and examines evidence on its use in adult mental health
settings and its effect on nurses and patients, with emphasis on the interpersonal nature of nursing
care during this intervention.
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