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Re-evaluation of the role of trainee psychiatrists in secluding general adult psychiatric patients

  • M. F. Okhai (a1) and P. M. McLaren (a2)
Abstract

The seclusion of general adult psychiatric patients is still a common nursing Intervention of questionable therapeutic benefit. It is often initiated as a last resort to maintain safety where there are staff shortages. Historically concerns over the abuse of this procedure led to the Involvement of medical staff to oversee or monitor the procedure and this practice has become fossilised in the seclusion policies of many trusts. This paper argues that the routine involvement of trainee psychiatrists in this procedure, for which they are rarely trained, is archaic, impairs inter-professional relationships and should be regarded as an inappropriate duty.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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References
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Alty, A. & Mason, M. (1994) Seclusion and Mental Health. London: Chapman & Hall.
Cranmer, J. (1990) Asylum History. London: Gaskell.
Department of Health (1991) Junior Doctors, The New Deal: Making the best use of the skills of Nurses and Midwives. London: NHS Management Executive.
Department of Health and Welsh office (1983) Code of Practice for Mental Health Act 1983. London: HMSO.
Gelder, M., Gath, D. & Mayou, R. (1989) Oxford Textbook of Psychiatry (2nd Edn.). Oxford. Oxford University Press.
Jones, W. L. (1983) Ministering to Minds Diseased. London: William Heinemann.
Kendell, R. E. & Zeally, A. K. (1993) Companion to Psychiatric Studies (5th Edn). Edinburgh: Churchill Livingstone.
Royal College of Psychiatrists (1990) The seclusion of psychiatric patients. Psychiatric Bulletin, 14, 500501.
Royal College of Nursing. Society of Psychiatric Nursing (1979) Seclusion and Restraint in Hospitals and Units for the Mentally Disordered. London: RCN.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Re-evaluation of the role of trainee psychiatrists in secluding general adult psychiatric patients

  • M. F. Okhai (a1) and P. M. McLaren (a2)
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