Jackson, H, Baker, J orcid.org/0000-0001-9985-9875 and Berzins, K (2018) What factors influence the decisions of mental health professionals to release service users from seclusion? International Journal of Mental Health Nursing, 27 (6). pp. 1618-1633. ISSN 1445-8330
Abstract
Mental health policy stipulates seclusion should only be used as an intervention of last resort and for the minimum possible duration. Current evidence details which service users are more likely to be secluded, why they are secluded, and what influences the decision to seclude them. However, very little is known about the decision to release service users from seclusion. An integrative review was undertaken to explore the decision‐making processes of mental health professionals which guide the ending of seclusion. The review used a systematic approach to gather and thematically analyse evidence within a framework approach. The twelve articles identified generated one overriding theme, maintaining safety. In addition, several subthemes emerged including the process of risk assessing which was dependent upon interaction and control, mediated by factors external to the service user such as the attitude and experience of staff and the acuity of the environment. Service users were expected to demonstrate compliance with the process ultimately ending in release and reflection. Little evidence exists regarding factors influencing mental health professionals in decisions to release service users from seclusion. There is no evidence‐based risk assessment tool, and service users are not routinely involved in the decision to release them. Support from experienced professionals is vital to ensure timely release from seclusion. Greater insight into influences upon decisions to discontinue episodes may support initiatives aimed at reducing durations and use of seclusion.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | (c) 2018 Australian College of Mental Health Nurses Inc. This is the peer reviewed version of the following article: Jackson, H, Baker, J and Berzins, K (2018) What factors influence the decisions of mental health professionals to release service users from seclusion? International Journal of Mental Health Nursing, which has been published in final form at https://doi.org/10.1111/inm.12502. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. |
Keywords: | decision; mental health; professionals; seclusion |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Nursing Mental Health (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 26 Jun 2018 09:29 |
Last Modified: | 22 Jun 2019 00:41 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/inm.12502 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:132565 |