Seclusion Reduction in Dutch Mental Health Care: Did Hospitals Meet Goals?

• DOI: 10.1176/appi.ps.201500414
• Publication Date: 2016-07-01T07:59:46Z
• Authors: Eric O. Noorthoorn; Yolande Voskes; Wim A. Janssen; Cornelis L. Mulder; Roland van de Sande; Henk L. I. Nijman; Annet Smit; Adriaan W. Hoogen...; Annelea Bousardt; Guy A. M. Widders...
• Keywords: Seclusion

Objective: In 2006, a goal of reducing seclusion in Dutch hospitals by at least 10% each year was set. More than 100 reduction projects 55 have been conducted, with €35 million funding. This study evaluated the results. Methods: Data (2008 to 2013) were from national register. Multilevel logistic regression examined determinants seclusion. Results: Hospital participation register ranged eight 2008 66 2013, and admissions 11,300 113,290. The average yearly nationwide secluded patients about 9%. Reduction achieved half hospitals. Some saw increased rates. some where decreased, use forced medication increased. Higher rates associated psychotic bipolar disorders, male gender, several ward types. Conclusions: Seclusion decreased significantly, Rates varied widely between For many hospitals, more efforts reduce are needed.