ii Design with People in Mind: Seclusion Issue related to Hodges' model

The Seclusion Issue

INDIVIDUAL

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     INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

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GROUP

psychological harm / safety / seclusion privacy, dignity and respect Sensory stimuli, calm, distraction Parity of Esteem psychological restraint/control Reaching for the person amid complexity Staff / Service User attitudes to x,y,z Lived/Patient experience sensory -	NATURE - outdoors 'Green' Design: (sterile?) space, colour, temperature, walls, light, warmth, cold, fresh air, homely/clinical, doors - locks, alarms, noise, violence resistant spaces ... physical agression / harm / safety / seclusion 'built' environment / 'sensory room' physical restraint/control, clothing, toilet, access to outdoors Ecological and Integrative Physiology - modulation
Social spaces supportive spaces scope for therapy social autonomy community music / arts experience in isolation - stigma in-situ?	trauma-informed services in-patient services, funding risk reduction; policies use of technology/observation length of stay, reporting impact of restraint on staff

Hodges' model is situated and can be used in all health, educational and policy contexts.

Hodges' model can assist to initially scope, plan and evaluate research studies not only across all the care (knowledge) domains above (including the spiritual) but the model's structure incorporates such dichotomies as subjective-objective; qualitative-quantitative; person-services; patient-staff; therapy-control/restraint; person-centred--service-centred; private/personal-public; care-custodial; psycho-political; socio-technical and others.

There is of course much more that could be added above, and relationships considered between concepts and perspectives: the patient's, nurse's, doctor's, the multidisciplinary team, manager's, policy makers, architect,s anthropologists, public, professional and regulatory bodies and commissioners?

Please keep 'me' safe safely - yes, and the team!

Even though and especially because I may not currently know exactly who - how ...  I am?

My source: https://twitter.com/DIMHN

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