School of Behavioral Sciences
Doctor of Education in Community Care and Counseling (EdD)
seclusion, restraint, inpatient, psychiatric
Lotierzo, Anne C., "Restrictive Practices: The Impact of Seclusion and Restraint Events on Inpatient Staff in Psychiatric Facilities" (2023). Doctoral Dissertations and Projects. 4692.
The purpose of this qualitative descriptive phenomenological study was to explore how staff cope with the experience of SR events at designated receiving facilities within Florida. By examining the experience of staff, the researcher aimed to understand the impact of those experiences on their attitudes toward SR, their use and knowledge of alternatives, and the factors that contribute to the decision to implement SR in the inpatient psychiatric environment. The research question explored how psychiatric staff describe their lived experiences in SR events within a designated Baker Act receiving facility. Participants were staff employed at Baker Act receiving facilities in Florida who participated in or witnessed seclusion and restraint events during their employment. Each participant was interviewed separately via Zoom utilizing a broad set of interview questions. Interviews were recorded and then transcribed for the purpose of reading, coding, and identifying emerging themes. The study identified four major themes that reflected underlying experiences of conflict, concerns for safety, ideas for improvement of practices, and an acceptance of responsibility for the failure of interventions leading to seclusion and restraint practices.