General Hospital Psychiatry
Volume 27, Issue 5 , Pages 365-371 , September 2005

The use of seclusion in emergency medicine

  • Leslie S. Zun, M.D., M.B.A.

      Affiliations

    • Department of Emergency Medicine, Finch University/Chicago Medical School, Mount Sinai Hospital, Chicago, IL 60608, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 773 257 6957; fax: +1 773 257 6447.
    • ,
  • LaVonne Downey, Ph.D.

      Affiliations

    • School of Policy Studies, Roosevelt University, Chicago, IL 60608, USA

Received 10 February 2005 ,Accepted 5 May 2005.

References 

  1. Brown RL, Genel M, Riggs JA. Use of seclusion and restraint in children and adolescents. Arch Pediatr Adolesc Med. 2000;154:653–656
  2. Fassler D, Cotton N. A national survey of seclusion in the psychiatric treatment of children. Hosp Commun Psychiatry. 1992;43:370–374
  3. Schwab PJ, Lahmeyer CB. The uses of seclusion on a general hospital psychiatric unit. J Clin Psychiatry. 1979;40:228–231
  4. Mattson MR, Sacks MH. Seclusion: uses and complications. Am J Psychiatry. 1978;135:1210–1213
  5. Erickson WD, Realmuto G. Frequency of seclusion in an adolescent psychiatric unit. J Clin Psychiatry. 1983;44:238–241
  6. Millstein KH, Cotton NS. Predicators of the use of seclusion on an inpatient child psychiatric unit. J Am Acad Child Adolesc Psych. 1990;29:256–264
  7. Lavoie FW, Carter GL, Danzl DF, Berg RL. Emergency Department violence in United States teaching hospitals. Ann Emerg Med. 1988;17:1227–1233[Ann Emerg Med. 21 (1992) 25–32]
  8. American Hospital Association . AHA guide to the health care field. Chicago: Health Forum; 2002;
  9. Joint Commission on Accreditation of Healthcare Organizations . Comprehensive accreditation manual for hospitals: the official handbook. Oakbrook (IL): JCAHO; 2005;
  10. United States General Accounting Office. Mental health: improper restraint or seclusion use places people at risk. Washington (DC); US GAO; 1999 GAO.HEHS-99-176.
  11. National Association of State Mental Health Program Directors . HCFA releases new rules on seclusion and restraint. Available at http://www.www.nasmhpd.org/general_files/hcfaregs.htm[accessed June 12, 2005]
  12. Joint Commission on Accreditation of Healthcare Organizations . Restraint and seclusion. Available at http://www.jcaho.org/accredited+organizations/hospitals+faqs/provisions[accessed June 13, 2005]
  13. United States Government Federal Register , Department of Health and Human Resources, Centers for Medicaid and Medicare Services, Medicare and Medicaid Programs . In: Hospital conditions of participation: clarification of the regulatory flexibility analysis for patients' rights. 67:2002;p. 61805–61808
  14. Weiss EM, Altimari D. Reform on the horizon for restraint rules in The Hartford Courant. Available at http://www.courant.com/news/special/restraint/whohow.stm[accessed on March 25, 1999]
  15. Weiss EM, Remez M. National restraint death database in The Hartford Courant. Available at http://www.courant.com/news/special/restraint/data.stm[accessed on March 25, 1999]
  16. Weiss EM, Remez M. Who died and how in The Hartford Courant. Available at http://www.courant.com/news/special/restraint/whohow.stm[accessed on March 25, 1999. American Hospital Association: AHA Guide 2003]
  17. Allen MH, Currier GW, Hughes DH, et al. Treatment of behavioral emergencies. Postgrad Med. 2001;(May):1–88
  18. Zun LS. Complications of patient restraints. J Emerg Med. 2003;24:119–124
  19. American Psychiatric Association . Resource guide on seclusion and restraint by the American Psychiatric Association. http://www.psych.org/advocacy_policy/leg_issues/patient_protect/sec_res_resource.cfm?p[accessed February 11, 2004]
  20. American Academy of Child and Adolescent Psychiatry . Practice parameter for the prevention and management of aggressive behavior in child and adolescent psychiatric institutions, with special reference to seclusion and restraint. J Am Acad Child Adolesc Psychiatry. 2002;42:4S–45S
  21. Seclusion Committee on Pediatric Emergency Medicine . The use of physical restraint intervention for children and adolescents in the acute care setting. Pediatrics. 1997;99:497–498
  22. Fisher WA. Restraint and seclusion: a review of the literature. Am J Psychiatry. 1995;151:1584–1591
  23. Cockrane Collaborative Consumer Network. No evidence that subjective barriers prevent wandering of cognitively impaired people. www.cochraneconsumer.com/Content.ASP?ID=CO000000803[accessed March 28, 2003]
  24. Miller D, Walker MC, Friedman D. Use of a holding technique to control the violent behavior of seriously disturbed adolescents. Hosp Commun Psychiatry. 1989;40:520–523

PII: S0163-8343(05)00065-4

doi: 10.1016/j.genhosppsych.2005.05.001

General Hospital Psychiatry
Volume 27, Issue 5 , Pages 365-371 , September 2005

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