Number of Seclusions in the Netherlands Higher in the 7 Years Since the End of a Nationwide Seclusion-Reduction Program

Introduction: Between 2006 and 2012 the Dutch government funded a nationwide program for reducing the use of seclusion. Although an initial first trend study showed that the reported number of seclusions declined during the program, the objective of a 10% annual decrease was not met. We wished to es...

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Autores principales:	Fleur J. Vruwink, André Wierdsma, Eric O. Noorthoorn, Henk L. I. Nijman, Cornelis L. Mulder
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	seclusion involuntary treatment involuntary medication involuntary hospitalization psychiatry nationwide program Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/e4ecd67efec944fe83336dccb157819d
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spelling	oai:doaj.org-article:e4ecd67efec944fe83336dccb157819d2021-12-03T05:19:06ZNumber of Seclusions in the Netherlands Higher in the 7 Years Since the End of a Nationwide Seclusion-Reduction Program1664-064010.3389/fpsyt.2021.778793https://doaj.org/article/e4ecd67efec944fe83336dccb157819d2021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.778793/fullhttps://doaj.org/toc/1664-0640Introduction: Between 2006 and 2012 the Dutch government funded a nationwide program for reducing the use of seclusion. Although an initial first trend study showed that the reported number of seclusions declined during the program, the objective of a 10% annual decrease was not met. We wished to establish whether the decline had continued after funding ended in 2012.Method: Using quasi Poisson time series modeling, we retrospectively analyzed the nationally reported numbers of seclusion and involuntary medication between 1998 and 2019, i.e., before, during and after the end of the nationwide program, with and without correction for the number of involuntary admissions.Results: With and without correction for the number of involuntary admissions, there were more seclusions in the seven years after the nationwide program than during the nationwide program. Although the reported number of involuntary medications also increased, the rate of increase was slower after the end of the nationwide program than before.Conclusions: Rather than continuing to decrease after the end of the nationwide program, the number of seclusions rose. This may mean that interventions intended to reduce the use of seclusion within this program are not properly sustained in daily clinical care without an ongoing national program.Fleur J. VruwinkAndré WierdsmaEric O. NoorthoornHenk L. I. NijmanCornelis L. MulderFrontiers Media S.A.articleseclusioninvoluntary treatmentinvoluntary medicationinvoluntary hospitalizationpsychiatrynationwide programPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	seclusion involuntary treatment involuntary medication involuntary hospitalization psychiatry nationwide program Psychiatry RC435-571
spellingShingle	seclusion involuntary treatment involuntary medication involuntary hospitalization psychiatry nationwide program Psychiatry RC435-571 Fleur J. Vruwink André Wierdsma Eric O. Noorthoorn Henk L. I. Nijman Cornelis L. Mulder Number of Seclusions in the Netherlands Higher in the 7 Years Since the End of a Nationwide Seclusion-Reduction Program
description	Introduction: Between 2006 and 2012 the Dutch government funded a nationwide program for reducing the use of seclusion. Although an initial first trend study showed that the reported number of seclusions declined during the program, the objective of a 10% annual decrease was not met. We wished to establish whether the decline had continued after funding ended in 2012.Method: Using quasi Poisson time series modeling, we retrospectively analyzed the nationally reported numbers of seclusion and involuntary medication between 1998 and 2019, i.e., before, during and after the end of the nationwide program, with and without correction for the number of involuntary admissions.Results: With and without correction for the number of involuntary admissions, there were more seclusions in the seven years after the nationwide program than during the nationwide program. Although the reported number of involuntary medications also increased, the rate of increase was slower after the end of the nationwide program than before.Conclusions: Rather than continuing to decrease after the end of the nationwide program, the number of seclusions rose. This may mean that interventions intended to reduce the use of seclusion within this program are not properly sustained in daily clinical care without an ongoing national program.
format	article
author	Fleur J. Vruwink André Wierdsma Eric O. Noorthoorn Henk L. I. Nijman Cornelis L. Mulder
author_facet	Fleur J. Vruwink André Wierdsma Eric O. Noorthoorn Henk L. I. Nijman Cornelis L. Mulder
author_sort	Fleur J. Vruwink
title	Number of Seclusions in the Netherlands Higher in the 7 Years Since the End of a Nationwide Seclusion-Reduction Program
title_short	Number of Seclusions in the Netherlands Higher in the 7 Years Since the End of a Nationwide Seclusion-Reduction Program
title_full	Number of Seclusions in the Netherlands Higher in the 7 Years Since the End of a Nationwide Seclusion-Reduction Program
title_fullStr	Number of Seclusions in the Netherlands Higher in the 7 Years Since the End of a Nationwide Seclusion-Reduction Program
title_full_unstemmed	Number of Seclusions in the Netherlands Higher in the 7 Years Since the End of a Nationwide Seclusion-Reduction Program
title_sort	number of seclusions in the netherlands higher in the 7 years since the end of a nationwide seclusion-reduction program
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/e4ecd67efec944fe83336dccb157819d
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Number of Seclusions in the Netherlands Higher in the 7 Years Since the End of a Nationwide Seclusion-Reduction Program

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