Background Coercive or restrictive practices such as compulsory admission, involuntary medication, seclusion and restraint impinge on individual autonomy. International consensus mandates reduction elimination of in mental healthcare. To achieve this requires knowledge the extent these practices. Aims We determined rates coercive compared them across countries. Method identified nine country- region-wide data-sets durations Australia, England, Germany, Ireland, Japan, New Zealand, The...

A questionnaire comprising 30 open-ended questions was sent to 450 people with chronic hallucinations of hearing voices who had responded a request on television. Of the 254 replies, 186 could be used for analysis. It doubtful whether 13 these respondents were experiencing true hallucinations. remaining 173 subjects, 115 reported an inability cope voices. Ninety-seven in psychiatric care, and copers significantly less often care (24%) than non-copers (49%). Four coping strategies apparent:...

Building on previous research with disaster-exposed children and adolescents, a randomised clinical trial was performed in the treatment of trauma-related symptoms. In current study two active treatments were compared among broad age range from wide diversity ethnic populations.The primary aim to compare effectiveness efficiency Cognitive Behavioural Therapy (CBT) Eye Movement Desensitisation Reprocessing (EMDR).Children (n=52, aged 4-18) randomly allocated either CBT (n=26) or EMDR disaster...

Short-term structured risk assessment is presumed to reduce incidents of aggression and seclusion on acute psychiatric wards. Controlled studies this approach are scarce.To evaluate the effect number time in for patients admitted wards.A cluster randomised controlled trial was conducted four wards over a 40-week period (n = 597 patients). Structured scales were used two experimental wards, numbers compared with control where based purely clinical judgement.The aggressive (relative reduction...

The physical environment is presumed to have an effect on aggression and also the use of seclusion psychiatric wards. Multicentre studies that include a broad variety design features found wards control for patient, staff general ward characteristics are scarce.To explore risk being secluded, number incidents time in seclusion, patients admitted locked intensive care.Data building quality safety as well forensic (n = 199) were combined with data frequency type coercive measures per admission...

Abstract Background: Little is known about the association between trauma and intellectual disability in SMI patients. Aim: To establish prevalence of its with functioning outpatients. Methods: A cross-sectional study was conducted two mental health trusts Netherlands. We used Trauma Screening Questionnaire (TSQ) to screen for PTSD, Screener Intelligence Learning disabilities (SCIL) suspected MID/BIF. Chi-square t -tests were test differences outcome over patient characteristics. Post-hoc...

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...

Failure to detect psychiatric patients' intellectual disabilities may lead inappropriate treatment and greater use of coercive measures.In this prospective dynamic cohort study we screened for in patients admitted wards, investigated the measures with these patients.We used Screener Intelligence Learning (SCIL) screen two acute assessed patient characteristics during their stay over last 5 years.Results on SCIL suggested that 43.8% sample had Mild Intellectual Disability or Borderline...

Abstract Background Temperature increases in the context of climate change affect numerous mental health outcomes. One such relevant outcome is involuntary admissions as these often relate to severe (life)threatening psychiatric conditions. Due a shortage studies into this topic, relationships between mean ambient temperature and have remained largely elusive. Aims To examine associations institutions various meteorological variables. Methods Involuntary data from 23 Netherlands were linked...

ABSTRACT Background Understanding the associations among mild intellectual disability (IQ 50–70), borderline functioning 70–85) and post‐traumatic stress disorder (PTSD) with treatment outcomes in severely mentally ill patients could contribute to better tailoring of care. Methods One or more assessments using Health Nation Outcome Scale (HoNOS) were obtained from long‐term outpatient The Screener for Intelligence Learning Disabilities (SCIL) was used screen functioning. Trauma Screening...

bowers l., ross j., nijman h., muir‐cochrane e., noorthoorn e. & stewart d. (2011) The scope for replacing seclusion with time out in acute inpatient psychiatry England. Journal of Advanced Nursing 68 (4), 826–835. Abstract Background. use is unpalatable to nurses and frequently unpleasant patients. Time rated by patients as more acceptable. Several countries have initiated exercises reduce the seclusion, but England has not. Methods. In this study, data were collected on sequence...

From 2006 to 2009, the Dutch government provided €5 m annually for a nationwide program reduce seclusion in psychiatric hospitals by 10% year. We aimed establish whether numbers of both and involuntary medication changed significantly after start this national program. Using Poisson regression estimate difference logit slopes, we analyzed data 1998–2009 from Health Care Inspectorate, retrospectively examining before The slopes was statistically significant (difference 5.2%: p < 0.001). After...

Abstract Background Data remain scarce for the first‐line antipsychotic choice in treating delusional infestation (DI). Objectives We evaluated treatment responses associated with different antipsychotics DI patients. Methods undertook a multicentre, retrospective observational study using anonymised electronic patient records from two hospitals United Kingdom 1 January 2011 to 2023. Eligible participants were adults (≥18 years) diagnosed treated an antipsychotic, and had both assigned...

Abstract Background Empirical knowledge of ‘predictors' physical inpatient aggression may provide staff with tools to prevent or minimise its consequences. Aim To test the value a self‐reported measure impulsivity for predicting aggression. Methods Self‐report measures different domains were obtained using Urgency, Premeditation, Perseverance, Sensation seeking, Positive urgency (UPPS‐P) impulsive behaviour scale all 74 forensic psychiatric inpatients in one low‐security hospital. Aggressive...

In the Netherlands, seclusion is historically measure of first choice in dealing with aggressive incidents. 2010, Mediant Mental Health Trust Eastern Netherlands introduced a policy prioritising use enforced medication to manage incidents over seclusion. The main goal study was investigate whether leads change and coercive measures.The carried out data from 2764 patients admitted between 2007 2013 hospital locations catchment area 500,000 inhabitants. Seclusion, restraint medications as well...

Background The Self-Expression Emotion Regulation in Art Therapy Scale (SERATS) was developed as art therapy lacked outcome measures that could be used to monitor the specific effects of therapy. Although SERATS showed good psychometric properties earlier studies, it convergent validity and thus construct validity. Method To test correlation examined with EES (Emotional Expressivity Scale), Strategies for Artistic Creative Activities (ERS-ACA) Healthy-Unhealthy Music (HUMS). Patients...