Defining Seclusion: A Qualitative Multiphase Study Based on the Perspectives of Youth and Professionals in Secure Residential Youth Care in the Netherlands

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2021-02-05 DOI:10.1080/0886571X.2021.1879710

Melissa van Dorp, K. Nijhof, E. Mulder, A. Popma

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引用次数: 8

Abstract

ABSTRACT Using seclusion in youth mental health care is controversial, as it can have physical and psychological consequences for youth and professionals. Notably, there is a wide disparity in how seclusion is defined in literature and practice. This leads to a diffuse image of what seclusion comprises, complicates measuring its prevalence, and hampers initiatives to reduce its use. Therefore, the objective of this study was to establish an unambiguous and measurable definition of seclusion supported by youth and professionals in secure residential youth care in the Netherlands. A qualitative multiphase approach was used to examine which elements of the definition are essential and receive consensus among youth and professionals. After a brief literature review, a Delphi survey and focus groups were performed. In total, 11 (ex-)clients and 33 professionals with extensive experience in secure residential youth care participated. Youth and professionals arrived at the following definition: “an involuntary placement in a room or area the client is not allowed or able to leave”. During the implementation process, observations showed broad support for the definition by youth and professionals. With this, a foundation has been provided to monitor and reduce the use of seclusion in secure residential youth care in the Netherlands.

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定义隔离:一项基于荷兰青年和专业人员安全住宅青年护理视角的定性多阶段研究

在青少年精神卫生保健中使用隔离是有争议的，因为它可能对青少年和专业人员产生生理和心理上的后果。值得注意的是，在文学和实践中对隐居的定义存在着很大的差异。这导致人们对隔离的概念模糊不清，使衡量其普遍程度变得复杂，并阻碍了减少隔离使用的举措。因此，本研究的目的是建立一个明确的、可测量的隔离定义，由荷兰的青年和专业人士在安全的住宿青年护理中支持。采用了定性的多阶段方法来审查定义的哪些要素是必不可少的，并在青年和专业人员中获得共识。在简要的文献回顾后，进行德尔菲调查和焦点小组。共有11位(前)服务对象和33位在有保障的住宿青少年护理方面有丰富经验的专业人士参与。青年和专业人士得出了以下定义:“在客户不被允许或不能离开的房间或区域的非自愿安置”。在执行过程中，观察结果显示青年和专业人员广泛支持这一定义。这样，就建立了一个基金会，以监测和减少在荷兰安全的青年寄宿照料中使用隔离。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.