The practice of seclusion and restraint in psychiatric inpatient facilities

Many researchers have found that long periods of time in solitary confinement can have negative mental effects on inmates. This is due to long-term confinement because it consists of not only prolonged deprivation of social interaction but also sensory deprivation (Haney, 2003). Medical ethics are also in question about the effects of long term confinement. Medical professionals have to handle a particularly difficult situation because they are required to provide medical assistance to these inmates that may be facing psychological issues. This is a problem because medical professionals are aware that solitary confinement has negative effects on the well-being and mental state of these individuals (Shalev, 2011).

Inmates have been placed here for both short and long term sentences. Segregation has a significant impact on inmates with preexisting mental illnesses. According to Arrigo and Bullock?s (2008) research, ?the extreme isolation that was characteristics of the early prisons?ultimately resulted in serious physical and psychological consequences for convicts.? The SHU has become the way prisons control troublesome inmates. Solitary inmates are only out of their cells for weekly showers and recreation time, but they are still heavily restrained. These inmates have no contact with the general population including dining and religious gatherings. This method of isolation leaves no remove for communication with other

The deinstitutionalization of state mental hospitals has left many individuals untreated and in the community where there come under police scrutiny due to their odd behavior, that is a manifestation of their illness. Majority of mentally ill offenders have not committed a serious crime and are subjected to inappropriate arrest and incarceration (Soderstrom, 2008). This new policy has become quite a concern to the fact that the correctional environment has proven to show no positive results in the mental health of the offender during their time of incarceration or upon their release date and thereafter (Soderstrom, 2008).

In this article, the incarceration of the mentally ill is encouraged because it is safer than keeping them in mental institutions. It claims that mental institutions are extremely dangerous by their very nature and the nurses there are trained to treat the mentally ill, not to keep them from hurting themselves or other people. In prisons however, the

Solitary confinement has had a long history in the American prison system. America is the first country to adapt solitary confinement into the prison regiment. Pennsylvania had the first special housing units for inmates or “SHU”. When Europeans came to America to look at the new model for prisons in Pennsylvania they wrote reports describing to the European parliament on how prisoners were treated like caged animals. Many of them quickly realized that this was not what prisons were set out to accomplish. The purpose of a prison is to rehabilitate criminals and bring them back into society as an individual that has the best mental tools and skills to make their respective communities better. Putting inmates in solitary confinement for more than 48 hours can only lead to awful emotional pain and mental problems which can result in self-destructive behavior to regain the self-control that is being deprived through this process of isolation and expulsion.

Solitary confinement does affect those inmates who have been diagnosed as mentally ill prior to entering solitary confinement differently than those who have never been diagnosed as mentally ill.

When there is a mentally ill prisoner, should they suffer? Solitary confinement does this to prisoners all Solitary confinement means isolating prisoners in a separate cell as a form of punishment, worsening the prisoner’s mental health around the world. Mentally ill inmates have many factors of poor treatment in prisons worsening their health rather than helping them. Solitary Confinement remains an ineffective method of punishment for prisoners causing prisoners mental distress, many different forms of neglect, leading them to suicide, and worsening their mental wellbeing.

One evidence based practice technique that I have seen utilize in my healthcare setting is the use of locked doors on the psychiatric unit. All the doors are kept locked and you have to access them with a key to unlocked them. All visitors have to go through a lobby and check in and then have access to the unit by a healthcare staff member. Having a locked unit ensures the patient are kept safe. According to the article, Psychiatric care behind locked doors, locked doors are used to regulate patients and any other people to have access on and off the unit. This helps protects the community from the patients and protect the patients from the community. This is a major safety issue. If anyone access to the unit they could bring the patient things

Patients that we received often wants to either harm themselves or others, and these patients are also considered violent which lead to the frequent use of restraints and seclusion. Using these methods represent a danger to not only staff but also for the patients. Many injuries occur during these confrontations. The need to minimize the use of restraints and seclusion on the unit is necessary for patients and staff safety.

Treatments are provided for the inmate’s best interest and what may improve their mental and physical health, even though mentally ill inmates have their rights in denying treatment they

One way that prisoners can be dealt with more humanely is by eliminating the need to use solitary confinement for minor rule infractions and prohibiting that inmates with mental illness be subjected to solitary confinement. According to “Solitary Confinement: Common Misconceptions and Emerging Safe Alternatives,” many believe the misconception that solitary confinement is used only for the most violent of inmates, when in reality disciplinary segregation is commonly used for minor rule violations. We should not be punishing inmates with solitary confinement for minor infractions instead we should enforce less severe consequences, such as providing correctional officers with sanction grids that guide them to choose the appropriate punishment for certain behaviors (“Solitary Confinement: Common Misconceptions and Emerging Safe Alternatives”). Moreover, inmates with a known mental illness should not be placed in solitary confinement because, in concordance with “Mental Health Alternatives to Solitary Confinement,” it causes severe mental suffering and isolating them to a small cell where they experience sensory deprivation constitutes torture. Instead of sending

Isolation has rarely been viewed as a positive thing. When people think of someone or something that is isolated, words like “lonely” and “outcast” may come to mind. Even in corrective facilities, such as prisons or asylums, isolation (or solitary confinement) is deemed as a punishment. A study was conducted in a hospital to determine possible psychological and/or physical problems isolation may cause for patients and Abad, Fearday, and Safdar found that, “The majority showed a negative impact on patient mental well-being and behaviour, including higher scores for depression, anxiety and anger

Restraints is an intervention used to confine a person to prevent injury to self or others. Different types of restraints include physical, chemical and seclusion. A physical restraint is anything that prevents the patient from being able to freely move. This can include seat belts, wrist restraints, vests, bed rails, etc. A chemical restraint is using a drug for sedation which also restricts movement or freedom. An example of a chemical restraint can be an antipsychotic. These drugs can be used to reduce anxiety, aggression, and violent behavior. Lastly, seclusion is isolating or confining the patient to a room where they cannot leave. This form of restraint is also to protect the patient from harming them self or others. The use of restraints or seclusion can be a useful intervention if all other interventions have failed. Patients should not be harmed with these restraints so it is crucial they are done properly. Patients who are put in restraints

Mental illness is a problem that occurs in all nations around the world. This is even more true for the populations in correctional facilities for both men and women. The overwhelming number of persons in correctional facilities with health issues is caused by: the rational that people with mental health disorders are a threat to society; narrow mindedness and low tolerance for people who are different from us; no resources to acquire the proper care needed. These mental health problems may have occurred prior to incarceration, and may nurtured further by the stressful environment of prisons, or they may have also been caused by being incarcerated in the first place in addition to other prior issues. Correctional facilities is not the place for the mentally ill, instead they should be treated for there illnesses. The purpose of this paper is to depict both the problem of inmates with mental health disorders in correctional facilities and the challenges faced by correctional staff. Secondly, denote possible interventions (treatment) for inmates with mental health issues. Next, support this information with studies about mental health in correctional facilities. Lastly, offer reasons it is important to combat the problem of mental illness in correctional facilities in order to better serve their well being needs.

This may also include environmental restraints, in which the patient is locked in their room or seclusion from others. These are usually used to prevent patients from injuries sustained from falls or other accidents. Also, it is used to administer treatment when a patient is not compliant with medical practitioners.