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Multidisciplinary, simulation-based training to improve review of seclusion

Mike Akroyd (Derbyshire Healthcare NHS Foundation Trust, Derby, UK)
Janet Allison (Anglia Ruskin University, Cambridge, UK)
Sarah Booth (Derbyshire Healthcare NHS Foundation Trust, Derby, UK)
Carole Gilligan (Derbyshire Healthcare NHS Foundation Trust, Derby, UK)
David Harrison (Derbyshire Healthcare NHS Foundation Trust, Derby, UK)
Victoria Holden (Derbyshire Healthcare NHS Foundation Trust, Derby, UK)
Rebecca Mace (Derbyshire Healthcare NHS Foundation Trust, Derby, UK)

The Journal of Mental Health Training, Education and Practice

ISSN: 1755-6228

Article publication date: 22 March 2021

Issue publication date: 24 May 2021

125

Abstract

Purpose

Seclusion is the supervised containment of a patient, away from others, when immediately necessary to manage safety on a psychiatric inpatient ward. When seclusion is necessary, it should be used for the shortest time possible, with a regular multidisciplinary review of the patient’s mental and physical health, medication and risk guiding decisions around continuation or ending of this restrictive measure. However, many medical and nursing staff can be anxious about taking part in such reviews. Simulation has been used in many areas of medicine to help people to develop competence and confidence, in a safe setting where their own needs can be paramount. This paper aims to describe the use of a blended learning approach, including simulation, to build confidence and competence amongst healthcare professionals in the safe review of seclusion.

Design/methodology/approach

A multidisciplinary group, including input from individuals with lived experience of use of seclusion, put together a one-day training course, which included group debate exploring the relationship between seclusion and the Human Rights Act, guided discussion of videos exploring some aspects of practice and a half-day of simulation where multidisciplinary teams could act as the team reviewing a patient who had been secluded.

Findings

This paper found that the course’s blended learning approach helped participants to feel more confident in their understanding of several aspects of seclusion, including what their team discussions should include before and after seeing a patient and in knowing when to end a period of seclusion.

Originality/value

While simulation is slowly becoming a more familiar component of the undergraduate and postgraduate education offer in psychiatry, the authors are unaware of any evaluation of a dedicated simulation-based training course around reviews of seclusion.

Keywords

Acknowledgements

The authors wish to thank all members of Trust staff who took part in the course and provided their feedback.

Citation

Akroyd, M., Allison, J., Booth, S., Gilligan, C., Harrison, D., Holden, V. and Mace, R. (2021), "Multidisciplinary, simulation-based training to improve review of seclusion", The Journal of Mental Health Training, Education and Practice, Vol. 16 No. 3, pp. 224-237. https://doi.org/10.1108/JMHTEP-06-2020-0041

Publisher

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Emerald Publishing Limited

Copyright © 2021, Emerald Publishing Limited

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