Seclusion Room in Psychiatric Setting (National Center for Mental Health): Policy Analysis

Background: Improving the quality of care in psychiatric settings is the most important goal of policy through the delivery of a comprehensive care, treatment, control, protection, and rehabilitation of patients with mental disorders. The main concern in mental health care is the continuing use of seclusion and the slow pace of change. Purpose: Analyze the seclusion room policy in National Center for Mental Health (NCMH) in Jordan to recognize the issue and present alternative solutions in order to modify and improve the current seclusion room policy. Method: The authors got seclusion room policy from NCMH;the method in this analysis will be used six-step model;and then searched the database for alternatives using EBSCO, PUBMED, MEDLINE, CINAHL, and Ovid. Result: The authors discuss use medications, training program, manipulate environment, de-escalation technique, and status quo alternatives that helps in minimizing use of seclusion, decreasing the incidence of aggressive behaviors occurrences, and decreasing unsafe behaviors against health care providers in the psychiatric settings. Conclusion: Manipulates environment is the best alternative after evaluated alternatives according to criteria.

Factors Associated with Substance Use Disorder among Adolescents Age Group: An Integrative Review

Aim: Reviewing the existed literature that addresses the factors influencing adolescent’s substance use disorder. Background: Substance use disorder among adolescents considered a major problem worldwide that affects adolescents wellbeing and destroys their functionality socially, physically and psychologically. Data Sources: A review of relevant literature uses electronic databases including EBSCO, MEDLINE, CINAHL, and PubMed. Methods: Using an integrative method, peer-reviewed research and discussion papers published between 2011 and 2019 and listed in the CINAHL, SCOPUS, Science Direct, PubMed and Google Scholar databases were reviewed. Findings: A final review of 9 studies that used quantitative and qualitative research methods to study many factors was related to the substance use disorder. Themes were: Influence of psychological factors on adolescents. Influence of socio-cultural factors on adolescents, the influence of biological factors on adolescents and the influence of environmental factors on adolescents. Conclusions: Reviewed articles revealed that many psychological, biological, socio-cultural, and environmental factors that increase adolescents risk having substance use disorder. For example, stressful life events during adolescents like loss of someone increase the risk to take illicit substances in order to forget painful memory;personal tendency like curiosity and experimentation, increase the risk to have risk health behaviors like substance use disorder. Furthermore, adolescence is a critical period that youth need more supervision and health education to protect them from Substance use disorder.