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Article   |    
Use of Seclusion and Restraint in Public Psychiatric Hospitals: Patient Characteristics and Facility Effects
Bruce B. Way; Steven M. Banks
Psychiatric Services 1990; doi:
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The authors express their appreciation to Peter Lannon, Henry Steadman, Ph.D., Mary E. Evans, Ph.D., and David L. Shern, Ph.D.

Bureau of Survey, The New York State Office of Mental Health, 44 Holland Avenue, Albany, New York 12229

National Institute of Allergy and Infectious Diseases in Bethesda, Maryland

1990 by the American Psychiatric Association

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Abstract

Use of seclusion and restraint in 23 adult public psychiatric hospitals in New York State was examined by comparing demographic and diagnostic characteristics of 657 patients who were secluded or restrained during a four-week period with characteristics of 22,939 patients who were not. Logit analysis was used to calculate the probability of seclusion and restraint of individual patients with various combinations of characteristics. Characteristics associated with high probabilities included age less than 26 years, length of stay from 30 to 365 days, involuntary legal status, female gender, a diagnosis of mental retardation, and residence in a hospital with a high rate of seclusion and restraint. The rate of seclusion and restraint in the 23 hospitals ranged from .4 to 9.4 percent of patients. Both patient characteristics and the hospital of residence were needed to explain the case-by-case probability of a patient's being secluded or restrained.

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