Antoinette T, Iyengar S, Puig-Antich J
Mayview State Hospital, Bridgeville, Pa.
Am J Psychiatry. 1990 Oct;147(10):1283-9. doi: 10.1176/ajp.147.10.1283.
A retrospective study of the effect of the implementation of an unlocked seclusion policy was conducted on three child psychiatric inpatient units in a state hospital in Pennsylvania. Unlocked seclusion was associated with 1) increased use of tranquilizing medications administered as needed on all three units, 2) increased clustering of medications, administered as needed, in the units that used seclusion most, 3) diverse changes in the three units regarding frequency and clustering of unlocked seclusion, and 4) increased correlations between medications administered as needed and seclusion, particularly in the more behaviorally disturbed children. These findings suggest that locked seclusion may be a necessary therapeutic intervention, particularly with severely disturbed children with serious conduct and impulsive disorders.
对宾夕法尼亚州一家州立医院的三个儿童精神科住院病房实施无锁闭隔离政策的效果进行了一项回顾性研究。无锁闭隔离与以下情况相关：1）所有三个病房按需使用镇静药物的频率增加；2）在使用隔离措施最多的病房，按需使用的药物聚集性增加；3）三个病房在无锁闭隔离的频率和聚集性方面出现了不同变化；4）按需使用的药物与隔离之间的相关性增加，尤其是在行为障碍更严重的儿童中。这些发现表明，锁闭隔离可能是一种必要的治疗干预措施，特别是对于患有严重品行和冲动障碍的严重受扰儿童。
