Contents
Acknowledgements ........................................................................................................................ 4
Who is this guidance for? ............................................................................................................... 4
Introduction and background ..................................................................................................... 5
When seclusion could be considered ........................................................................................ 9
The impact of seclusion ............................................................................................................. 9
Identifying seclusion ................................................................................................................. 10
Policies for seclusion ................................................................................................................... 13
Who can make the decision to use seclusion? ....................................................................... 13
Care planning ............................................................................................................................ 14
Restriction of movement .......................................................................................................... 14
Maintaining the safety of the secluded individual .................................................................. 14
Maintaining a relationship ........................................................................................................ 15
Record keeping ......................................................................................................................... 15
The provision of a safe environment for seclusion ................................................................ 16
How managers should monitor the use of seclusion ............................................................ 17
Hospitals.................................................................................................................................... 17
Registered care providers ........................................................................................................ 18
Special situations ...................................................................................................................... 18
Key good practice points.............................................................................................................. 20
Legal provisions ............................................................................................................................ 21
The Mental Health (Care and Treatment) (Scotland) Act 2003 (The 2003 Act) .................. 21
Adults with Incapacity (Scotland) Act 2000 (The 2000 Act) ................................................. 22
Appendix 1..................................................................................................................................... 23
Ms CG ........................................................................................................................................ 23
Mr AF.......................................................................................................................................... 23
Mr RS.......................................................................................................................................... 24
Mr VY ......................................................................................................................................... 25
3