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首页> 外文期刊>The journal of forensic psychiatry & psychology >A comparison of seclusion rates between intellectual disability and non-intellectual disability services: the effect of gender and diagnosis
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A comparison of seclusion rates between intellectual disability and non-intellectual disability services: the effect of gender and diagnosis

机译：智力残疾和非智力残疾服务之间的隔离率比较：性别和诊断的影响

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Introduction: The use of seclusion as a means of managing the extreme behaviours forensic patients in secure settings is a controversial yet often common practice, despite there being little evidence that seclusion as a practice has any significant therapeutic value for the patient. The aim of this study was to explore the use of seclusion and whether this differs as a function of gender and diagnosis across secure services. Method: This study collated data from 11 medium and low secure hospitals that admit male and female patients, with some services providing services for patients with intellectual disability (with or without co-morbid disorders), and others for patients with mental illness and/or personality disorder only. Results: Both gender and diagnosis were associated with differential seclusion rates. Seclusions were three times longer for patients in the non-ID compared to the ID service. Male seclusions (for any diagnosis) were around twice as long as those in female services. Female ID patients spent significantly less time in seclusion compared to other groups. Female ID was associated with two to three times the number of seclusion events per patient compared to other groups. No statistically significant association between the type of service and the reason for a patient being secluded. Conclusions: A range of organisational factors that determine the use and duration of seclusion are cited and merit further exploration. High rates of psychiatric co-morbidity and the complexity of patients admitted to services may also mediate risk and use of seclusion. The study supports the use of early intervention techniques and the adoption of positive behaviour support.
机译：简介：使用隔离作为在安全环境中管理法医患者极端行为的一种手段是有争议的，但通常是常见的做法，尽管很少有证据表明隔离作为一种做法对患者具有任何重大的治疗价值。这项研究的目的是探索隔离的使用，以及隔离在性别和服务安全方面是否因性别和诊断而异。方法：本研究收集了来自11家接受男性和女性患者的中，低安全性医院的数据，其中一些服务为智障患者（有或没有合并症）提供服务，其他为精神疾病和/或精神疾病患者提供服务仅人格障碍。结果：性别和诊断均与隔离率差异相关。非ID患者的隔离时间是ID服务的三倍。男性隐居（用于任何诊断）的时间大约是女性隐居时间的两倍。与其他组相比，女性ID患者在隔离上花费的时间明显更少。与其他组相比，女性ID与每位患者发生隐居事件的次数是2到3倍。服务类型与患者被隔离的原因之间没有统计学上的显着关联。结论：一系列决定隔离的使用和持续时间的组织因素被引用，值得进一步探索。精神病合并症的高发生率和接受服务的患者的复杂性也可能介导风险和隔离的使用。该研究支持早期干预技术的使用和积极行为支持的采用。

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