A Study of Patients' Attitudes Toward Placement in Seclusion

Abstract

Although seclusion is an accepted treatment modality on many psychiatnic inpatient units, there have been only two published studies on patients’ attitudes toward its use, and the results ane inconclusive (1,2). In 1981-82 we undertook a study to further examine patients’ attitudes toward being secluded since patients’ feelings about their treatment are an important element in how they will participate in therapeutic interactions. The study was conducted over a eight-month period on the locked crisis intervention unit ofthe Langley Porter Psychiatric Institute in San Francisco. The unit provides short-term therapy and serves as a community mental health facility for the local area. During the study period, 27 of the patients admitted to the unit were secluded. Within one week of their release from seclusion, each of the patients was asked to consent to an interview about the experience; the interviews were semistructuned and included both open-ended and fixed-choice ques-

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