A qualitative study exploring occupational therapist's experiences of delivering interventions to patients in...

Although occupational therapists work within mental health settings, there is limited research regarding their role in seclusion. This study aims to explore occupational therapists' experiences of delivering occupational therapy in seclusion whilst working as part of a multi-disciplinary team.

An exploratory qualitative approach using a semi-structured virtual interview approach was adopted. A convenience sample of six participants with experience of working in inpatient mental health seclusions settings were recruited at a national level. Interviews were recorded, transcribed verbatim and analysed using reflexive thematic analysis.

Four key themes were identified: (1) the perception of seclusion as a punitive approach, (2) the role of occupational therapy in improving the patient's journey through seclusion, (3) grading and adapting occupations to manage risk and increase engagement, and (4) promoting the role of occupational therapy in seclusion.

Occupational therapists can play an important role in improving the experience of patients in seclusion. They have unique skills that enable them to work in this challenging environment. It has also highlighted the lack of understanding about occupational therapy within the multi-disciplinary team and how important it is for occupational therapists to promote their role.