TY - JOUR
T1 - Implementation of the safewards model to reduce the use of coercive measures in adult psychiatric inpatient units
T2 - An interrupted time-series analysis
AU - Stensgaard, Lærke
AU - Andersen, Maria Kreutzmann
AU - Nordentoft, Merete
AU - Hjorthøj, Carsten
PY - 2018/10
Y1 - 2018/10
N2 - The aim of this study was to investigate whether the implementation of the Safewards model reduces the frequency of coercive measures in adult psychiatric inpatient units. Data on all coercive measures performed in psychiatric hospitals in the Region of Southern Denmark 1/1/2012-31/3/2017 were collected retrospectively through The Register of Coercive Measures in Psychiatric Treatment. Interrupted time series analysis by segmented regressions with poisson models were performed on overall coercive measures (n = 12,660), mechanical restraint (n = 2948) and forced sedation (n = 4373). A 2% (95% CI: 1%-4%, p < 0.001) decrease per quarter in the frequency of coercive measures and an 11% (95% CI: 8%-13%, p < 0.001) decrease per quarter in the frequency of forced sedation were found after the implementation of the Safewards model. In conclusion, the implementation of the Safewards model in adult psychiatric inpatient units was associated with a decrease in forced sedation and potentially the overall use of coercive measures.
AB - The aim of this study was to investigate whether the implementation of the Safewards model reduces the frequency of coercive measures in adult psychiatric inpatient units. Data on all coercive measures performed in psychiatric hospitals in the Region of Southern Denmark 1/1/2012-31/3/2017 were collected retrospectively through The Register of Coercive Measures in Psychiatric Treatment. Interrupted time series analysis by segmented regressions with poisson models were performed on overall coercive measures (n = 12,660), mechanical restraint (n = 2948) and forced sedation (n = 4373). A 2% (95% CI: 1%-4%, p < 0.001) decrease per quarter in the frequency of coercive measures and an 11% (95% CI: 8%-13%, p < 0.001) decrease per quarter in the frequency of forced sedation were found after the implementation of the Safewards model. In conclusion, the implementation of the Safewards model in adult psychiatric inpatient units was associated with a decrease in forced sedation and potentially the overall use of coercive measures.
U2 - 10.1016/j.jpsychires.2018.08.026
DO - 10.1016/j.jpsychires.2018.08.026
M3 - Journal article
C2 - 30223184
SN - 0022-3956
VL - 105
SP - 147
EP - 152
JO - Journal of Psychiatric Research
JF - Journal of Psychiatric Research
ER -