Purpose: To conduct a systematic search of the peer reviewed qualitative literature investigating the lived experience of seclusion for adults with mental health difficulties, to appraise the quality of the existing literature and synthesise findings.Background: Seclusion is a controversial intervention for the short term management of unsafe behaviours in inpatient mental health services.Review Methods: The JBI QARI tools for critical appraisal and data extraction were used to review papers and synthesise findings.Findings: A small number of papers was found, which were of mixed quality.Value: The existing research is limited in both quantity and quality. Although most participants from the existing research described seclusion as mostly negative with the potential for causing iatrogenic harm, some described more positive experiences, often in the context of compassionate interactions with staff.Why is this research or review needed?The use of seclusion is common within mental health services but there is an absence of evidence for the purported theoretical rationale for its use.Studies of the experiences of individuals placed in seclusion are small in number, of mixed quality and with mixed findings.A systematic literature review and meta synthesis of the existing qualitative literature investigating the lived experience of seclusion for adults with mental health difficulties was conducted, to synthesize the existing evidence base and make suggestions for future developments in research and practice.What are the key findings?The existing research is limited both in quantity and quality.Despite the limitations of existing research, the evidence does not support the purported theoretical rationale for the therapeutic use of seclusion. This poses a significant challenge to a common practice within mental health settings..

A portion of the Nanda Devi glacier broke off in the Tapovan area of the northern state of Uttarakhand on Sunday morning, damaging the Rishiganga and Dhauliganga hydropower projects. The Rishiganga hydropower plant was destroyed, while the Dhauliganga hydropower plant was damaged, said Vivek Pandey, a spokesman for the paramilitary Indo Tibetan Border Police. The novel coronavirus has killed 2.3 million people and turned normal life upside down for billions but new variants of the virus have raised fears that vaccines will need to be tweaked and people may have to have booster shots.

I prepared the following in response to questions I received: The camera footage will be retained for 2 weeks, then destroyed, unless there is a criminal investigation. The cameras are not publicly available, like DOT owned street cameras, which anyone can access on the city website in real time and watch traffic live. The bike path cameras would not accessible to the public in real time.