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Article   |    
A National Survey on the Use of Seclusion in the Psychiatric Treatment of Children
David Fassler; Nancy Cotton
Psychiatric Services 1992; doi:
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The authors thank James Mclntire, M.D., Sam Rofman, M.D., Judy Logan, Sue Niquette, and Kathy Talbert for their assistance with this project.

University of Vermont in Burlington; Choate Health Systems in Woburn, Massachusetts; Otter Creek Associates, 86 Lake St., Burlington, Vermont 05401

Massachusetts General Hospital, Harvard Medical School, in Boston; Massachusetts Department of Mental Health; Academy of Child and Adolescent Psychiatry held October 2 1-25, 1987, in Washington, D. C., and October 26-30, 1988, in Seattle, Washington

1992 by the American Psychiatric Association

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Abstract

Officials in 36 states responded to a survey of state policies, procedures, and regulations for the use of seclusion in the psychiatric treatment of children. Thirty-five of the states permit its use in emergencies, and 18 allow its use as part of a therapeutic treatment program. Only six states responding have regulations specifically addressing the use of seclusion with children. The authors summarize state regulations, including duration and frequency of seclusion episodes; orders required to implement seclusion and who may authorize it; rules about observation, documentation, and termination of episodes and breaks during episodes; design of seclusion rooms; and staff training. The authors present a model policy and procedure statement based on clinical and developmental considerations.

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