CNE Article 

Seclusion and Restraint use in Children and Adults: Differences Between Age Groups

Diane E. Allen, MN, RN-BC, NEA-BC; Alexander de Nesnera, MD; Michele A. Moreau, RN-BC; R. Joffree Barrnett, MD

  • Journal of Psychosocial Nursing and Mental Health Services
  • March 2014 - Volume 52 · Issue 3: 20-25
  • DOI: 10.3928/02793695-20131028-02

Abstract


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This 1-year study of seclusion and restraint in an acute inpatient psychiatric hospital revealed a marked difference in reasons and duration for adults, children, and adolescents. Children and adolescents are most often secluded and restrained in response to identifiable patterns of dangerous behavior, and episodes of seclusion and restraint involving children and adolescents are considerably shorter than episodes involving adults. This information is being used to find ways to improve the care and treatment of all patients, especially for children. [Journal of Psychosocial Nursing and Mental Health Services, 52(3), 20–25.]

Ms. Allen is Assistant Director of Nursing, New Hampshire Hospital, Dr. de Nesnera is Associate Medical Director, New Hampshire Hospital, Ms. Moreau is Nurse Manager, Anna Philbrook Center, New Hampshire Hospital, and Dr. Barrnett is Associate Medical Director, Child and Adolescent Psychiatry, New Hampshire Hospital, Concord, New Hampshire. In addition, Dr. de Nesnera is Associate Professor of Psychiatry, and Dr. Barrnett is Associate Professor of Psychiatry, Dartmouth College Geisel School of Medicine, Hanover, New Hampshire.

The authors have disclosed no potential conflicts of interest, financial or otherwise.

Address correspondence to Diane E. Allen, MN, RN-BC, NEA-BC, Assistant Director of Nursing, New Hampshire Hospital, 36 Clinton Street, Concord, NH 03301; e-mail: dallen@dhhs.state.nh.us.

Received: April 23, 2013
Accepted: September 18, 2013
Posted Online: November 07, 2013

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10.3928/02793695-20131028-02

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