Seclusion: A Patient Perspective.

Area of Science:

• Psychiatry
• Mental Health Care
• Patient Experience

Background:

• The treatment of aggressive, mentally unwell patients remains a challenge.
• Seclusion is a widely used practice, but its appropriateness and alternatives are debated.
• Patient perspectives on seclusion are under-researched, despite negative experiences.

Purpose of the Study:

• To evaluate patient perspectives on seclusion processes in a psychiatric intensive care unit (PICU).
• To explore patient experiences before, during, and after seclusion.
• To identify areas for improvement in patient care and seclusion practices.

Main Methods:

• Phenomenological study utilizing qualitative data.
• Structured interviews with a questionnaire were conducted with ten male patients.
• Data collection occurred over 4 months in a male PICU.

Main Results:

• A central theme of perceived lack of communication in the patient-professional relationship emerged.
• Manifestations included violence against patients, lack of psychological support, and a need for alternatives.
• Patient feedback questions the appropriateness and adherence to national guidelines.

Conclusions:

• Patient perspectives reveal critical issues in seclusion practices within PICUs.
• There is a significant need for enhanced communication and psychological support.
• Utilizing patient feedback is crucial for driving change towards more humane and effective care.