title: Seclusion of children and adolescents: psychopathological and family factors.
abstract: This paper describes the use of seclusion in a child and adolescent inpatient unit, including precipitating events, management strategies, details of seclusion episodes and individual and family risk factors. Inpatient ward documentation of seclusion episodes, demographic data and measures of individual psychopathology and impairment, parent mental health, life events and family functioning were used to compare secluded, non-secluded and outpatient groups. Secluded individuals had elevated psychopathology compared with non-secluded inpatients and outpatients. Their families reported poorer parental mental health and family functioning and more recent stressful life events. The results indicate that seclusion is most common among high-risk inpatients.
authors.affiliation: The Hollywood Clinic, Monash Avenue, Nedlands, Western Australia, Australia.
authors.forename: Karen
authors.initials: K
authors.lastname: Gullick
authors.forename: Brett
authors.initials: B
authors.lastname: McDermott
authors.forename: Prue
authors.initials: P
authors.lastname: Stone
authors.forename: Peter
authors.initials: P
authors.lastname: Gibbon
mesh_terms: D000293:Adolescent; D000704:Analysis of Variance; D032763:Behavior Control / Q000379:methods*; D002648:Child; D005195:Family Relations; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D001523:Mental Disorders / Q000451:nursing* / Q000523:psychology; D010290:Parents; D010356:Patient Isolation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012307:Risk Factors; D014904:Western Australia