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The use of seclusion: good practice guide
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2014
- Pagination:
- 21
- Place of publication:
- Edinburgh
The Mental Welfare Commission first published guidance on the use of seclusion in 2007, focusing on restrictions placed on people in a hospital setting and the authorisation, regulation and monitoring required to safeguard the rights of the individual. As assessments and treatment are increasingly provided by community services, similar restrictions are now being applied in a variety of community settings. This reviewed guidance reflects these changes and attempt to address the implications of current practice. The use of seclusion can place severe restrictions on an individual’s freedom of movement and lead to untoward physical and psychological consequences for the person. Seclusion should only be considered where there is a clear and identified risk that the person who is to be secluded presents a significant degree of danger to other people; and that the situation cannot be managed more safely or appropriately by any other means. It should only take place in the context of a clear care plan, with a concern for the safety of the individual and ensuring that the restriction is not perceived as a punishment. (Edited publisher abstract)