{"id":844,"date":"2018-02-16T10:23:44","date_gmt":"2018-02-16T10:23:44","guid":{"rendered":"http:\/\/wp.lancs.ac.uk\/cedr\/?p=844"},"modified":"2021-02-19T17:56:20","modified_gmt":"2021-02-19T17:56:20","slug":"behind-this-wall-seclusion-and-locked-wards","status":"publish","type":"post","link":"https:\/\/wp.lancs.ac.uk\/cedr\/2018\/02\/16\/behind-this-wall-seclusion-and-locked-wards\/","title":{"rendered":"Accessible Summary: \u2018Behind this wall\u2019\u2013 seclusion and locked wards"},"content":{"rendered":"

by Rebecca Fish<\/h2>\n

\"CustodyIn 2012 I did some research on 3 locked wards for women on an NHS secure unit for people with learning disabilities in England. People are sent to these units under the Mental Health Act if they have broken the law, or if their behaviour is a risk to themselves or others.<\/p>\n

I was sad when I saw the seclusion rooms. There was one on each unit. The rooms have a bed which is joined to the floor. The door has a window where staff look through at the person.<\/p>\n

Seclusion is often used in learning disability units. There is not much research with people with learning disabilities who have been secluded. I wanted to ask women about being secluded so I could tell staff and people who are in charge of the services. The women told me how they felt about being secluded in the different units they had stayed in.<\/p>\n

The Mental Health Act Code of Practice says that people should only be secluded if their behaviour is going to cause harm to others.\u00a0 But, some of the women told me that they had been secluded to stop them from self-harming, or for disturbing others.<\/p>\n

\"SeclusionThe Code of Practice says that seclusion should not be used as a punishment or a threat, or because of a shortage of staff. It should not form part of a treatment programme.<\/p>\n

One of my participants, Wendy (a staff member), told me that seclusion is for the safety of the staff. She said \u2018some of these ladies, they come in and they\u2019ve been in other services and they\u2019ve had bad times.\u2019 <\/strong><\/p>\n

Most of the women I talked to described how upset they felt in seclusion. Some said they remembered being locked in rooms as a child or in previous services.\u00a0 Kate said \u2018I was really scared I actually peed myself through being frightened.\u00a0 I wet myself!\u2019<\/strong><\/p>\n

People get angry when they are locked up and staff should listen to them and understand their feelings. People with learning disabilities should have a say in their treatment plans.<\/p>\n

Families are often scared when they hear about seclusion. Sometimes it is helpful to ask people\u2019s family members to be involved. Staff should work together with residents and families to stop seclusion happening.<\/p>\n

Bonnie told me that people can work together:<\/p>\n

\"emotional<\/strong><\/p>\n

Bonnie: If there\u2019s another room away from seclusion,<\/strong>you know like a calm down room, I reckon that they should talk to us and say \u2018How do you feel, what can we do to help you?\u2019 and that.<\/strong><\/p>\n

 <\/p>\n

 <\/p>\n

Bonnie said that women want more contact with staff, to talk about what is bothering them. This is what services are there for \u2013 to work with people rather than against them.<\/p>\n

\"SupportiveAll treatment should start with respect. We need more positive, helpful and supportive environments. Services should listen to the people who have been in these locked wards. Family members should be included too because they often know a lot about the person. The voices and wishes of disabled people and their families should be heard and respected.<\/p>\n

You can read the article here:\u00a0https:\/\/www.sjdr.se\/articles\/10.16993\/sjdr.59\/<\/a><\/p>\n

Dr Rebecca Fish, Centre for Disability Research, Lancaster University,<\/p>\n

Twitter: @beckstaylorfish<\/a>\u00a0Email:\u00a0R.fish1@lancaster.ac.uk<\/a><\/p>\n

Pictures used are from CHANGE www.changepeople.org<\/a><\/p>\n

Fish, R., (2018). \u2018Behind This Wall\u2019 \u2013 Experiences of Seclusion on Locked Wards for Women. Scandinavian Journal of Disability Research<\/em>. 20(1), pp.139\u2013151. DOI:\u00a0http:\/\/doi.org\/10.16993\/sjdr.59<\/a><\/p>\n

You can download a pdf version of this easy read summary<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

by Rebecca Fish In 2012 I did some research on 3 locked wards for women on an NHS secure unit for people with learning disabilities in England. People are sent to these units under the Mental Health Act if they have broken the law, or if their behaviour is a risk to themselves or others. […]<\/p>\n","protected":false},"author":38,"featured_media":846,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[6,12,31,26],"class_list":["post-844","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-rebecca-fish","tag-restraint","tag-seclusion","tag-women"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2018\/02\/seclusion.png?fit=1004%2C782&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7ZPU6-dC","jetpack-related-posts":[{"id":143,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2016\/10\/12\/that-blue-room-seclusion-and-locked-wards\/","url_meta":{"origin":844,"position":0},"title":"Blog: \u2018That blue room\u2019 \u2013 seclusion and locked wards","author":"strongs","date":"October 12, 2016","format":false,"excerpt":"Rebecca Fish In 2012 I spent 9 months doing ethnographic research on 3 locked wards for women on an NHS secure unit for people with learning disabilities in England. People are detained in these units under the Mental Health Act if they have committed an offence, or if their behaviour\u2026","rel":"","context":"In "Events"","block_context":{"text":"Events","link":"https:\/\/wp.lancs.ac.uk\/cedr\/category\/events\/"},"img":{"alt_text":"Rebecca Fish","src":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2016\/10\/Becky-Fish-239x300.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":948,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2018\/05\/16\/women-with-learning-disabilities-living-on-locked-wards\/","url_meta":{"origin":844,"position":1},"title":"Accessible Summary: Women with learning disabilities living on locked wards","author":"Rebecca Fish","date":"May 16, 2018","format":false,"excerpt":"Rebecca Fish In 2012, I spent time in three of women\u2019s wards in an NHS learning disability secure unit. I wrote a book about it called \u2018Locked Away\u2019. I asked women what they liked about living here, and what they did not like. I also talked to staff. This is\u2026","rel":"","context":"In \"gender\"","block_context":{"text":"gender","link":"https:\/\/wp.lancs.ac.uk\/cedr\/tag\/gender\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2018\/05\/Custody-Mental-Health-Secure-Unit-e1526497291708.jpg?fit=350%2C303&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":626,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2017\/06\/25\/restraint\/","url_meta":{"origin":844,"position":2},"title":"Accessible summary: Use of physical restraint on locked wards","author":"Hannah Morgan","date":"June 25, 2017","format":false,"excerpt":"by Rebecca Fish \u00a0 Physical restraint is holding somebody to stop them moving. It is done to stop harm to people or damage to property. Staff sometimes use physical restraint to restrict someone\u2019s freedom of movement. When people think about staying in units, they often remember being physically restrained, or\u2026","rel":"","context":"In \"easy read\"","block_context":{"text":"easy read","link":"https:\/\/wp.lancs.ac.uk\/cedr\/tag\/easy-read\/"},"img":{"alt_text":"Restraint","src":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2017\/06\/Restraint-1-300x222.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":1403,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2019\/11\/15\/blog-use-of-restraint-on-locked-wards\/","url_meta":{"origin":844,"position":3},"title":"Blog: Use of restraint on locked wards","author":"Rebecca Fish","date":"November 15, 2019","format":false,"excerpt":"By Rebecca Fish In 2005 I published some research with my colleague, Eloise Culshaw, about physical intervention (commonly referred to as restraint) on locked wards for people with learning disabilities, looking at experiences of staff and service users. We found that sometimes, restraint is not used as a last resort:\u2026","rel":"","context":"In \"blog\"","block_context":{"text":"blog","link":"https:\/\/wp.lancs.ac.uk\/cedr\/tag\/blog\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":1218,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2019\/04\/26\/moving-on\/","url_meta":{"origin":844,"position":4},"title":"Accessible summary: How do women with learning disabilities ‘move on’ through secure units?","author":"Rebecca Fish","date":"April 26, 2019","format":false,"excerpt":"Rebecca Fish and Hannah Morgan People with learning disabilities have to stay in secure units if they have broken the law or if they are a risk to themselves or other people. It is important that people can move on through these services, and then back out into the community.\u2026","rel":"","context":"In \"accessible summary\"","block_context":{"text":"accessible summary","link":"https:\/\/wp.lancs.ac.uk\/cedr\/tag\/accessible-summary\/"},"img":{"alt_text":"emotional support, friends chatting","src":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2018\/02\/Support-Emotional-Chat-2-300x175.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":590,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2017\/02\/22\/friends-and-family-on-the-locked-ward\/","url_meta":{"origin":844,"position":5},"title":"Blog: Friends and Family on the locked ward","author":"Hannah Morgan","date":"February 22, 2017","format":false,"excerpt":"by Rebecca Fish Throughout my career, I have met many family members of people who have been detained in inpatient units. I have talked to people who have had their son or daughter \u2018placed\u2019 in various services, not just forensic units, for many different reasons. 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