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The use of seclusion is not evidence-based practice

L M Finke1

  • 1Professional Development Services, Sigma Theta Tau International, Indianapolis, IN, USA. lindaf@stti.iupui.edu

Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
|January 5, 2002
PubMed

Insights

Seclusion in child psychiatric care is not supported by evidence. This practice is harmful to children and lacks therapeutic benefits, according to a review of scientific literature.

Area of Science:

  • Child and Adolescent Psychiatry
  • Mental Health Services Research

Background:

  • Seclusion is a controversial intervention in psychiatric care.
  • Its application in pediatric mental health settings warrants critical evaluation.

Purpose of the Study:

  • To critically evaluate the evidence base for seclusion in child psychiatric care.
  • To argue against the use of seclusion as a non-evidence-based practice.

Main Methods:

  • A comprehensive review of scientific literature published over the past 30 years.
  • Focus on studies examining the use of seclusion in pediatric psychiatric populations.

Main Results:

  • The available scientific evidence does not support seclusion as a therapeutic intervention for children.
  • Findings indicate that seclusion is detrimental to the well-being of young patients.

Conclusions:

  • The use of seclusion in child psychiatric care is not evidence-based.
  • Seclusion poses significant risks and harms to children in psychiatric treatment.
Abstract

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