In 2011, some of our members contacted us regarding the practice of seclusion at the Derbyshire Healthcare NHS Foundation Trust. There was an apparent difference in the way that patients in crisis were dealt with at the Radbourne Unit and the Hartington Unit and a number of serious concerns about the actual way in which it was carried out.
MHAG met with Trust Managers and invited them to hear the testimony of our members. As a result of this and having recently conducted their own survey the Trust made the decision to end the use of seclusion on all wards except the Enhanced Care Ward (Radbourne Unit). In order to achieve this change the Trust set up a Seclusion Project Team and invited MHAG, along with Derbyshire Voice, to become part of that team.
There are a number of hurdles to overcome and the Trust are quite rightly committed to ensuring that future arrangements are safe for everyone concerned. Plans are being made to refurbish the existing seclusion rooms so they can be used as more effective de-escalation areas. We have also been offering input to staff training so that the service receiver’s perspective is understood and skills are further developed to ensure that seclusion never occurs when it could have been avoided. All current cases of seclusion are being carefully monitored to ensure that lessons are learnt whenever possible.
If you have experience of seclusion and would like to get involved in this training work please do contact us.