title: Seclusion and its context in acute inpatient psychiatric care.
abstract: In acute inpatient mental health services, patients commonly demonstrate extreme behaviours. A number of coercive practices, such as locked doors, enforced medication and seclusion, are used in these settings to control such behaviours. The aim of this report is to explore briefly some of the contemporary debates pertaining to seclusion. A perusal of the literature reveals a clarion call to end the practice of seclusion, without consideration of feasible alternatives. It is hoped that this brief report will encourage further evidence-based discussion and research initiatives on this important ethical topic.
authors.affiliation: Family & Community Health Research Group, School of Nursing & Midwifery, University of Western Sydney, Sydney, NSW, Australia. m.cleary@uws.edu.au
authors.forename: Michelle
authors.initials: M
authors.lastname: Cleary
authors.forename: Glenn E
authors.initials: GE
authors.lastname: Hunt
authors.forename: Garry
authors.initials: G
authors.lastname: Walter
mesh_terms: D001291:Attitude of Health Personnel; D001315:Australia; D006760:Hospitalization; D006778:Hospitals, Psychiatric / Q000941:ethics / Q000592:standards*; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D001523:Mental Disorders / Q000451:nursing / Q000523:psychology*; D028642:Persons with Psychiatric Disorders / Q000523:psychology*; D010356:Patient Isolation / Q000523:psychology*; D011568:Psychiatric Nursing / Q000379:methods*; D012149:Restraint, Physical / Q000523:psychology; D012934:Social Isolation