Seclusion for people with learning disabilities

What is it about?

Seclusion has been found to be used disproportionately in the learning disability population, even though its effectiveness has not been proven and it is recognised to have a potentially traumatic effect on participants. Aim To explore research into the factors that may influence a nurse’s decision to use seclusion when supporting a person with a learning disability. Method An integrative review method was used, searching nursing databases and using the research found to generate themes. Findings Patient factors, staff factors and environmental/organisational factors influence the nurse’s decision to use seclusion. Conclusion Further research is required, specifically in the field of learning disabilities and seclusion. The use of seclusion should be reduced, in line with current policy and the drive towards person-centred care.

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Why is it important?

Seclusion is disproportionately used in the population of people with a learning disability, without clear evidence of its effectiveness and given the recognition of its potentially traumatic effects. This article explores evidence and concludes, given the lack of good quality evidence, that use of seclusion should be reduced and other evidence-based practices utilised.