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Long-term segregation and seclusion for people with an intellectual disability and/or autism in hospitals: a critique of the current state of affairs: commentary, Tromans et al

Part of: BJPsych Features: Segregation and Seclusion

Published online by Cambridge University Press:  08 July 2025

Samuel J. Tromans Open the ORCID record for Samuel J. Tromans [Opens in a new window] ,
Indermeet Sawhney ,
Mahesh Odiyoor ,
Jana de Villiers ,
Jane McCarthy ,
Harm Boer ,
Regi Alexander Open the ORCID record for Regi Alexander [Opens in a new window] ,
Stuart Wallace ,
Satheesh Gangadharan Open the ORCID record for Satheesh Gangadharan [Opens in a new window]  and
Ashok Roy Open the ORCID record for Ashok Roy [Opens in a new window]
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Samuel J. Tromans
Affiliation:
SAPPHIRE Group, Department of Population Health Sciences, University of Leicester, UK Adult Learning Disability Services, Leicestershire Partnership NHS Trust, Leicester, UK
Indermeet Sawhney
Affiliation:
Adult Learning Disability Services, Hertfordshire Partnership NHS Foundation Trust, Hatfield, UK
Mahesh Odiyoor
Affiliation:
CANDDID, Cheshire and Wirral Partnership NHS Foundation Trust, Chester, UK
Jana de Villiers
Affiliation:
Adult Learning Disability Services, The State Hospital, Carstairs, UK
Jane McCarthy
Affiliation:
Adult Learning Disability Services, Sussex Partnership NHS Foundation Trust, Worthing, UK
Harm Boer
Affiliation:
Adult Learning Disability Services, Coventry and Warwickshire Partnership NHS Trust, Coventry, UK
Regi Alexander
Affiliation:
Adult Learning Disability Services, Hertfordshire Partnership NHS Foundation Trust, Hatfield, UK
Stuart Wallace
Affiliation:
Adult Learning Disability Services, St Andrew’s Healthcare, Northampton, UK
Satheesh Gangadharan
Affiliation:
Adult Learning Disability Services, Leicestershire Partnership NHS Trust, Leicester, UK
Ashok Roy
Affiliation:
Adult Learning Disability Services, Coventry and Warwickshire Partnership NHS Trust, Coventry, UK
Amy Blake
Affiliation:
Adult Learning Disability Services, Coventry and Warwickshire Partnership NHS Trust, Coventry, UK
Kiran Purandare
Affiliation:
Adult Learning Disability Services, Central and Northwest London NHS Foundation Trust, London, UK
Anupama Iyer
Affiliation:
Adult Learning Disability Services, St Andrew’s Healthcare, Northampton, UK
Richard Laugharne
Affiliation:
Peninsula School of Medicine, University of Plymouth, UK Cornwall Intellectual Disability Equitable Research (CIDER), Cornwall Partnership NHS Foundation Trust, Truro, UK
Vivien Weisner
Affiliation:
Expert by experience, Watlington, UK
Rohit Shankar*
Affiliation:
Peninsula School of Medicine, University of Plymouth, UK Cornwall Intellectual Disability Equitable Research (CIDER), Cornwall Partnership NHS Foundation Trust, Truro, UK
*
Correspondence: Rohit Shankar. Email: rohit.shankar@plymouth.ac.uk
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Abstract

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Keywords

Intellectual disabilityautismlong-term segregationseclusionin-patient

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Type
Commentary
Information
The British Journal of Psychiatry , First View , pp. 1 - 2
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Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists

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References

Quinn, A, Cavanagh, DE, Kilcoyne, J, Haines-Delmont, A, Ryan, S, Lodge, KM, et al. Long-term segregation and seclusion for people with an intellectual disability and/or autism in hospitals: critique of the current state of affairs: commentary, Quinn et al. Br J Psychiatry 2025. Available from: https://doi.org/10.1192/bjp.2025.53.CrossRefGoogle ScholarPubMed
Tromans, SJ, Sawhney, I, Odiyoor, M, de Villiers, J, McCarthy, J, Boer, H, et al. Long-term segregation and seclusion for people with an intellectual disability and/or autism in hospitals: critique of the current state of affairs. Br J Psychiatry 2025; 226: 39–46.10.1192/bjp.2024.211CrossRefGoogle ScholarPubMed
Baroness, Hollins. Baroness Hollins’ Final Report: My Heart Breaks – Solitary Confinement in Hospital Has No Therapeutic Benefit for People with a Learning Disability and Autistic People. Department of Health and Social Care, 2023 (https://www.gov.uk/government/publications/independent-care-education-and-treatment-reviews-final-report-2023/baroness-hollins-final-report-my-heart-breaks-solitary-confinement-in-hospital-has-no-therapeutic-benefit-for-people-with-a-learning-disability-an).Google Scholar
Savage, MK, Lepping, P, Newton-Howes, G, Arnold, R, Staggs, VS, Kisely, S, et al. Comparison of coercive practices in worldwide mental healthcare: overcoming difficulties resulting from variations in monitoring strategies. BJPsych Open 2024; 10: e26.10.1192/bjo.2023.613CrossRefGoogle ScholarPubMed
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