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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: Vruwink, Fleur J., Wierdsma, André, Noorthoorn, Eric O., Nijman, Henk L. I., Mulder, Cornelis L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678042/
https://www.ncbi.nlm.nih.gov/pubmed/34925102
http://dx.doi.org/10.3389/fpsyt.2021.778793
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author Vruwink, Fleur J.
Wierdsma, André
Noorthoorn, Eric O.
Nijman, Henk L. I.
Mulder, Cornelis L.
author_facet Vruwink, Fleur J.
Wierdsma, André
Noorthoorn, Eric O.
Nijman, Henk L. I.
Mulder, Cornelis L.
author_sort Vruwink, Fleur J.
collection PubMed
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.
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spelling pubmed-86780422021-12-18 Number of Seclusions in the Netherlands Higher in the 7 Years Since the End of a Nationwide Seclusion-Reduction Program Vruwink, Fleur J. Wierdsma, André Noorthoorn, Eric O. Nijman, Henk L. I. Mulder, Cornelis L. Front Psychiatry Psychiatry 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. Frontiers Media S.A. 2021-12-03 /pmc/articles/PMC8678042/ /pubmed/34925102 http://dx.doi.org/10.3389/fpsyt.2021.778793 Text en Copyright © 2021 Vruwink, Wierdsma, Noorthoorn, Nijman and Mulder. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Vruwink, Fleur J.
Wierdsma, André
Noorthoorn, Eric O.
Nijman, Henk L. I.
Mulder, Cornelis L.
Number of Seclusions in the Netherlands Higher in the 7 Years Since the End of a Nationwide Seclusion-Reduction Program
title 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_short 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
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678042/
https://www.ncbi.nlm.nih.gov/pubmed/34925102
http://dx.doi.org/10.3389/fpsyt.2021.778793
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