ABSTRACT

Seclusion can be harmful for children and adolescents. Hence, all locations for secure residential youth care in the Netherlands are committed to reduce its use by implementing monitoring and feedback as a seclusion reduction intervention. This study examined change over time in the use of seclusion in secure residential youth care in the Netherlands using a broad conceptualization of seclusion and by analyzing four variables (frequency, duration, room, reason). During two six months periods, seclusions were registered in 19 locations. Every month, all locations received feedback on the use of seclusion. Negative binomial mixed model analyses were used to investigate change over time in frequency and duration of seclusion. Logistic mixed model analyses were used to identify change over time in reason for use and type of room used for seclusion. Results showed that seclusion frequency significantly decreased (RR = 0.92, p < .001). Further, duration of placement in a seclusion room significantly increased (RR = 1.04, p < .001). This change was only significant in seclusion in response to aggression (RR = 1.06, p < .001). The results emphasize the need for future studies to examine reduction using a broad conceptualization of seclusion.

摘要

隔离可能对儿童和青少年有害。因此，荷兰所有​​提供安全寄宿青少年护理的地点都致力于通过实施监测和反馈作为减少隔离的干预措施来减少其使用。本研究使用广泛的隔离概念并分析四个变量（频率、持续时间、房间、原因），研究了荷兰安全寄宿青少年护理中隔离的使用随时间的变化。在两个六个月的时间里，有 19 个地点被登记为隔离。每个月，所有地点都会收到有关使用隔离措施的反馈。使用负二项式混合模型分析来研究隔离频率和持续时间随时间的变化。使用逻辑混合模型分析来确定使用原因和用于隔离的房间类型随时间的变化。p < .001)。此外，隔离室的安置时间显着增加（RR = 1.04，p < .001）。这种变化仅在因攻击而采取的隔离措施中才显着（RR = 1.06，p < .001）。结果强调，未来的研究需要使用广泛的隔离概念来检验减少程度。