Concord Hospital, Australia.
J Med Ethics. 2009 Oct;35(10):644-6. doi: 10.1136/jme.2008.027888.
Locked inpatient units are an increasing phenomenon, introduced in response to unforseen abscondences and suicides of patients. This paper identifies some value issues concerning the practice of locked psychiatric inpatient units. Broad strategies, practicalities and ethical matters that must be considered in inpatient mental health services are also explored. The authors draw on the published research and commentary to derive relevant information to provide to patients and staff regarding the aims and rationales of locked units. Further debate is warranted in relation to best practice. Inpatient staff need to be aware of their practice values, be able to access education and supervision and negotiate apparent contradictions. Further patient/clinician focused enquiry is necessary to mitigate the negative and stigmatising effects of locked mental health units.
封闭住院病房是一种日益普遍的现象，它是为了应对患者的意外逃跑和自杀而引入的。本文确定了一些与封闭精神科住院病房实践相关的价值问题。还探讨了在精神科住院服务中必须考虑的广泛策略、实际情况和伦理问题。作者借鉴已发表的研究和评论，从中获取相关信息，以便向患者和工作人员提供有关封闭病房的目的和理由。需要进一步就最佳实践展开辩论。住院工作人员需要了解他们的实践价值观，能够获得教育和监督，并协商明显的矛盾。需要进一步进行以患者/临床医生为重点的调查，以减轻封闭心理健康病房的负面影响和污名化。
