Healthcare Professionals’ Experiences of Seclusion Practices in an Inpatient Forensic Mental Health Service in England: A Qualitative Study

Abstract

Research has identified that restrictive practices, specifically the use of seclusion rooms, are traumatizing for patients and staff within forensic mental health settings. A few studies have explored the impact of seclusion practices on staff, but these have been limited to nurses’ and healthcare assistants’ experiences. The current qualitative study included 12 healthcare professionals from various disciplines involved in seclusion practices (healthcare assistants, mental health nurses, junior doctors, and psychiatrists). Interviews were analyzed using inductive Thematic Analysis. Four main themes emerged from the data analysis: multidisciplinary teamwork, skills required for good practice, patient-centered approach, and the impact of seclusion practices. The findings have implications for practice, including the importance of multidisciplinary team training and monthly ward-based case formulations, as well as for future research in this area.

Plain Language Summary

Seclusion rooms in forensic mental health settings can be distressing for both patients and staff. This study explored experiences of seclusion among different healthcare professionals. The findings highlight the need for strong teamwork, appropriate training, and patient-centered approaches to reduce harm and improve practice.