{"id":801,"date":"2010-02-11T06:16:18","date_gmt":"2010-02-11T11:16:18","guid":{"rendered":""},"modified":"2022-01-22T13:24:31","modified_gmt":"2022-01-22T18:24:31","slug":"mental-health-service-users-perceptions-and-experiences-of-sedation-seclusion-and-restraint","status":"publish","type":"post","link":"https:\/\/www.internetandpsychiatry.com\/wp\/topics\/human-rights\/mental-health-service-users-perceptions-and-experiences-of-sedation-seclusion-and-restraint\/","title":{"rendered":"Mental health service users&#8217; perceptions and experiences of sedation, seclusion and restraint"},"content":{"rendered":"<p>Mayers P, Keet N, Winkler G, Flisher AJ.<br \/>Division of Nursing and Midwifery, School of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, South Africa.<br \/><em>Int J Soc Psychiatry<\/em>. 2010 Jan;56(1):60-73.<\/p>\n<p>BACKGROUND: Sedation, seclusion or restraint are recognized methods of containing a person experiencing an acute psychotic episode with behavioural disturbance which has not responded to verbal or non-sedating pharmacological interventions. These interventions pose significant ethical and practical challenges to service providers who are responsible for safeguarding the human rights of mental health service users. <br \/> <br \/>\n<!--more--><br \/>\nAIMS: In a collaborative two-phase study between mental health care providers and mental health service users, the perceptions and experiences of a group of service users who have been exposed to sedation, seclusion and restraint were explored.<br \/>METHOD: A focus group was conducted with eight service users. The content of the focus group was transcribed and themes were identified using thematic analysis. These were presented to a second focus group consisting of eight other service users for validation and comment. Based on the results of the focus groups, a questionnaire was developed and administered to a convenience sample of 43 service users in three localities. <br \/>RESULTS: Service users reported inadequate communication between them and service providers and perceived that their human rights had been infringed during acute episodes of illness. <br \/>METHODS: of containment were often seen as punitive rather than therapeutic. Sedation was most frequently used and was considered to be least distressing. Observing methods of forced\/involuntary containment caused further distress. <br \/>CONCLUSIONS: There is a need to humanize service users&#8217; experiences during episodes of acute illness. Measures should include prevention of human rights abuses; minimization of isolation and distress; improvement of communication between service providers and service users; and promotion of attitudinal changes which reflect respect for other people&#8217;s dignity.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mayers P, Keet N, Winkler G, Flisher AJ.Division of Nursing and Midwifery, School of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, South Africa.Int J Soc Psychiatry. 2010 Jan;56(1):60-73. BACKGROUND: Sedation, seclusion or restraint are recognized methods of containing a person experiencing an acute psychotic episode with behavioural disturbance which has [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[28],"tags":[],"class_list":["post-801","post","type-post","status-publish","format-standard","hentry","category-human-rights","has-post-title","has-post-date","has-post-category","has-post-tag","has-post-comment","has-post-author",""],"builder_content":"","_links":{"self":[{"href":"https:\/\/www.internetandpsychiatry.com\/wp\/wp-json\/wp\/v2\/posts\/801","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.internetandpsychiatry.com\/wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.internetandpsychiatry.com\/wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.internetandpsychiatry.com\/wp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.internetandpsychiatry.com\/wp\/wp-json\/wp\/v2\/comments?post=801"}],"version-history":[{"count":1,"href":"https:\/\/www.internetandpsychiatry.com\/wp\/wp-json\/wp\/v2\/posts\/801\/revisions"}],"predecessor-version":[{"id":3384,"href":"https:\/\/www.internetandpsychiatry.com\/wp\/wp-json\/wp\/v2\/posts\/801\/revisions\/3384"}],"wp:attachment":[{"href":"https:\/\/www.internetandpsychiatry.com\/wp\/wp-json\/wp\/v2\/media?parent=801"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.internetandpsychiatry.com\/wp\/wp-json\/wp\/v2\/categories?post=801"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.internetandpsychiatry.com\/wp\/wp-json\/wp\/v2\/tags?post=801"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}