People who experience seclusion in adult mental health inpatient services: An examination of health of the nation outcome scales scores

International Journal of Mental Health Nursing
Angela JuryAngela Gruar

Abstract

The Health of the Nation Outcomes Scales (HoNOS) provides an overview of a person's behaviour, impairment, clinical symptoms, and social functioning. This study investigated the profile of people who had been secluded in New Zealand's adult mental health inpatient services using 12 individual HoNOS ratings. Routinely collected clinical data were extracted from the Programme for the Integration of Mental Health Data (PRIMHD). This is the national data set for mental health and addiction services. A logistic regression model was fitted to the data which adjusted for age, sex, ethnicity, bed nights, compulsory treatment, and district health board. After adjustment, three HoNOS items significantly predicted the risk of seclusion: overactive, aggressive, disruptive, or agitated behaviour (adjusted OR = 4.82, 95% CI [3.88, 5.97], P < 0.001); problem drinking or drug-taking (adjusted OR = 1.51, 95% CI [1.25, 1.82], P < 0.001); and problems with hallucinations and delusions (adjusted OR = 1.33, 95% CI [1.09, 1.63], P = 0.006). In addition, two HoNOS items were protective for seclusion: nonaccidental self-injury (adjusted OR = 0.65, 95% CI [0.51, 0.83], P < 0.001) and depressed mood (adjusted OR = 0.58, 95% CI [0.47, 0.72], P < 0.001). ...Continue Reading

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Jun 18, 2019·International Journal of Mental Health Nursing·Allison HarringtonSuresh Sundram
Jan 5, 2021·Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc·Miriam K YurtbasiMichael Gordon
Apr 10, 2021·Journal of Psychiatric and Mental Health Nursing·Lewys Beames, Juliana Onwumere
Nov 28, 2021·International Journal of Mental Health Nursing·Alonso Pérez-ToribioJuan F Roldán-Merino

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