Such circumstances may require significant modification to their environment, both physical and social, and may lead to them being managed in isolated settings, albeit with their own staff team but very little, if any, social contact with others. The following are regarded as good practice in these circumstances: • • • The arrangements should only be put in place as the result of carefully considered risk assessment and management, carried out by practitioners with relevant specialist qualifications. The arrangements should be reviewed on a frequent and regular basis. Staff involved in caring for people in such circumstances should receive appropriate specialist training and support from a multidisciplinary team with appropriate expertise in this field. It is inadvisable to put in place any such arrangements without the use of the Mental Health Act or Adults with Incapacity Act safeguards. The use of seclusion involving young people in mental health settings should adopt the same principles as those relating to the care of adults. Detention under the Mental Health Act in hospital rather than parental consent should be considered on an individual basis where the criteria for detention are met. This would offer the child and their named person the safeguards of the Act including the right of appeal to the Mental Health Tribunal for Scotland. 19