12.07.2015 Views

Seattle University Collaborative Projects - International Academy of ...

Seattle University Collaborative Projects - International Academy of ...

Seattle University Collaborative Projects - International Academy of ...

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

and Kennedy Axis V) were gathered, over 10725 admission days (72% <strong>of</strong> the maximum number<strong>of</strong> structured assessments) in 301 patients. Dysfunctional scores on the item confusion <strong>of</strong> theBrøset Violence Checklist and level <strong>of</strong> psychological and social skills impairment on theKennedy Axis V were associated with seclusion. We also found that patientcharacteristics showed associations with seclusion: non-western descent, male gender, age under35, unmarried, bipolar or personality disorder and to a lesser extent psychosis or drug abuse.Conclusions: We concluded that the BVC and the Kennedy Axis V may be helpful in identifyinghigh risks for seclusion. Even though these findings need validation in larger samples, theysupport the clinical validity <strong>of</strong> daily risk assessment in standard practice.The Results <strong>of</strong> a National Dutch Effort on Reducing SeclusionC.L. Mulder (c.l.mulder@erasmusmc.nl)F. Vruwink,H. NijmanE. NoorthornBackground: The coercive intervention <strong>of</strong> first choice in most European countries is involuntarymedication. In the Netherlands, it is seclusion. This partly explains why the use <strong>of</strong> seclusion ismuch higher in the Netherlands than in surrounding countries. To fund a nationwide program toreduce seclusion by 10% per year, the Dutch government provided annual grants from 2006 to2009. Methods: Grants were awarded to 42 Dutch psychiatric hospitals, covering approximately90% <strong>of</strong> all beds at closed wards. The total national investment was €40m. The projects variedwith respect to the interventions used for reducing seclusion. Results: The number <strong>of</strong> seclusionshad increased 3.2% annually from 1998 to 2005 (logit slope=1.032), followed by a decreasebetween 2006 and 2009 <strong>of</strong> 2.0% (logit slope=0.980, difference 1,2%: z=-8.58, p

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!