Seclusion reduction in Dutch mental health care: Did hospitals meet goals?

Abstract

Objective: In 2006, a goal of reducing seclusion in Dutc hospitals by at least 10% each year was set. More tha 100 reduction projects in 55 hospitals have been conducted with $35 million in funding. This study evaluated the results Methods: Data (2008 to 2013) were from a national register Multilevel logistic regression examined determinants o seclusion Results: Hospital participation in the register ranged from eigh in 2008 to 66 in 2013, and admissions ranged from 11,300 t 113,290. The average yearly nationwide reduction of seclude patients was about 9%. Reduction was achieved in half of th hospitals. Some hospitals saw increased rates. In somehospital where seclusion decreased, use of forced medication increased Higher seclusion rates were associated with psychoti and bipolar disorders, male gender, and several ward types Conclusions: Seclusion decreased significantly, and force medication increased. Rates varied widely between hospitals For many hospitals, more efforts to reduce seclusion are needed.