The effects of a nationwide program to reduce seclusion in the Netherlands.
BMC Psychiatry
; 12: 231, 2012 Dec 18.
Article
en En
| MEDLINE
| ID: mdl-23249413
ABSTRACT
BACKGROUND:
From 2006 to 2009, the Dutch government provided 5 m annually for a nationwide program to reduce seclusion in psychiatric hospitals by 10% a year. We aimed to establish whether the numbers of both seclusion and involuntary medication changed significantly after the start of this national program.METHODS:
Using Poisson regression to estimate difference in logit slopes, we analyzed data for 1998-2009 from the Dutch Health Care Inspectorate, retrospectively examining the national numbers of seclusion and involuntary medication before and after the start of the program.RESULTS:
The difference in slopes of the numbers of seclusion before and after the start of the program was statistically significant (difference 5.2% p < 0.001). After the start of the program seclusions dropped 2.0% per year. Corrected for the increasing number of involuntary hospitalizations this figure was 4.7% per year. The difference in slopes of the numbers of involuntary medication did not change statistically significant (difference 0.5%, n.s.). After correction for the increasing number of involuntary hospitalizations the difference turned significant (difference 3.3%, p = 0.002).CONCLUSIONS:
After the start of the nationwide program the number of seclusions fell, and although significantly changing, the reduction was modest and failed to meet the objective of a 10% annual decrease. The number of involuntary medications did not change; instead, after correction for the number of involuntary hospitalizations, it increased.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Aislamiento de Pacientes
/
Coerción
/
Atención a la Salud
/
Hospitalización
/
Hospitales Psiquiátricos
/
Trastornos Mentales
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
BMC Psychiatry
Asunto de la revista:
PSIQUIATRIA
Año:
2012
Tipo del documento:
Article
País de afiliación:
Países Bajos