{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:43:58Z","timestamp":1777491838538,"version":"3.51.4"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T00:00:00Z","timestamp":1571011200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T00:00:00Z","timestamp":1571011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Isr J Health Policy Res"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n              <jats:p>Recently, Miodownik et al. reported in this journal the results of a study on seclusion and mechanical restraint of psychiatric patients in Israel (Isr J Health Policy Res 8:9, 2019). The study was a retrospective examination over a year of one inpatient ward in a psychiatric hospital. They found negative associations between length of use of coercive measures and the diagnosis of schizophrenia, being single, and the presence of academic nurses. Positive associations were found between length of use of coercive measures and the use of antipsychotic medications, violence towards oneself, and the use of restraint compared to seclusion. Interesting and important as they are, these results were obtained from data gathered in 2014. As the authors note, since then there has been a dramatic change in the official policy of the Israeli Ministry of Health on this topic and in the practice of seclusion and mechanical restraint in Israel. This commentary reviews and comments on the current situation.<\/jats:p>","DOI":"10.1186\/s13584-019-0342-4","type":"journal-article","created":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T14:08:33Z","timestamp":1571062113000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Commentary: seclusion and mechanical restraint of psychiatric patients in Israel - an update"],"prefix":"10.1186","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0476-9610","authenticated-orcid":false,"given":"Yoav","family":"Kohn","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igor","family":"Barash","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gadi","family":"Lubin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2019,10,14]]},"reference":[{"key":"342_CR1","unstructured":"Breaking the Tie: Mechanical Restraint of Patients in the Psychiatric Hospitalization: A Chronicle of Breaching Rights. A Report and Recommendations: Bizchut, the Center of Human Rights of People with Disabilities. March 2016. [Hebrew]."},{"key":"342_CR2","unstructured":"A Report of the Steering Committee on Reducing Mechanical Restraint in Israel. The Ministry of Health 2017. [Hebrew]."},{"key":"342_CR3","unstructured":"Directives of the Director General, Israel Ministry of Health, on Mechanical Restraint and Seclusion of Patients in Psychiatric Hospitalization, April 1, 2018. [Hebrew]."},{"issue":"4","key":"342_CR4","first-page":"439","volume":"35","author":"JC O'Grady","year":"2007","unstructured":"O'Grady JC. Commentary: a British perspective on the use of restraint and seclusion in correctional mental health care. J Am Acad Psychiatry Law. 2007;35(4):439\u201343.","journal-title":"J Am Acad Psychiatry Law"},{"key":"342_CR5","unstructured":"Report of the Special Rapporteur on torture and other cruel, inhuman or degrading treatment or punishment, Juan E. M\u00e9ndez. Human Rights Council, United Nations, General Assembly, February 1, 2103."},{"issue":"10","key":"342_CR6","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1176\/appi.ps.201300247","volume":"65","author":"JL Godfrey","year":"2014","unstructured":"Godfrey JL, McGill AC, Jones NT, Oxley SL, Carr RM. Anatomy of a transformation: a systematic effort to reduce mechanical restraints at a state psychiatric hospital. Psychiatr Serv. 2014;65(10):1277\u201380.","journal-title":"Psychiatr Serv"},{"key":"342_CR7","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1186\/1471-244X-12-231","volume":"12","author":"FJ Vruwink","year":"2012","unstructured":"Vruwink FJ, Mulder CL, Noorthoorn EO, Uitenbroek D, Nijman HL. The effects of a nationwide program to reduce seclusion in the Netherlands. BMC Psychiatry. 2012;12:231.","journal-title":"BMC Psychiatry"},{"issue":"9","key":"342_CR8","doi-asserted-by":"publisher","first-page":"1301","DOI":"10.1007\/s00127-016-1203-x","volume":"51","author":"P Lepping","year":"2016","unstructured":"Lepping P, Masood B, Flammer E, Noorthoorn EO. Comparison of restraint data from four countries. Soc Psychiatry Psychiatr Epidemiol. 2016;51(9):1301\u20139.","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"342_CR9","doi-asserted-by":"publisher","unstructured":"Wynn R. The use of physical restraint in Norwegian adult psychiatric hospitals. Psychiatry J. 2015;347246. \n                    https:\/\/doi.org\/10.1155\/2015\/347246\n                    \n                  .","DOI":"10.1155\/2015\/347246"},{"issue":"2","key":"342_CR10","doi-asserted-by":"publisher","first-page":"136","DOI":"10.3109\/08039480903274449","volume":"64","author":"A Keski-Valkama","year":"2010","unstructured":"Keski-Valkama A, Sailas E, Eronen M, Koivisto AM, L\u00f6nnqvist J, Kaltiala-Heino R. The reasons for using restraint and seclusion in psychiatric inpatient care: A nationwide 15-year study. Nord J Psychiatry. 2010;64(2):136\u201344.","journal-title":"Nord J Psychiatry"},{"key":"342_CR11","unstructured":"Regulation on the Treatment of Psychiatric Patients, Israel Ministry of Health, 1992."},{"issue":"1","key":"342_CR12","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1186\/s13584-018-0274-4","volume":"8","author":"C Miodownik","year":"2019","unstructured":"Miodownik C, Friger MD, Orev E, Gansburg Y, Reis N, Lerner V. Clinical and demographic characteristics of secluded and mechanically restrained mentally ill patients: a retrospective study. Isr J Health Policy Res. 2019;8(1):9.","journal-title":"Isr J Health Policy Res"}],"container-title":["Israel Journal of Health Policy Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13584-019-0342-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s13584-019-0342-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13584-019-0342-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,12]],"date-time":"2020-10-12T23:11:38Z","timestamp":1602544298000},"score":1,"resource":{"primary":{"URL":"https:\/\/ijhpr.biomedcentral.com\/articles\/10.1186\/s13584-019-0342-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,14]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["342"],"URL":"https:\/\/doi.org\/10.1186\/s13584-019-0342-4","relation":{},"ISSN":["2045-4015"],"issn-type":[{"value":"2045-4015","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,14]]},"assertion":[{"value":"19 August 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 September 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 October 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare that they do not have any competing interests in this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"71"}}