The work of forensic occupational therapists in solitary confinement: An international survey

The findings provide preliminary evidence of occupational therapists' work in solitary confinement internationally. Enablers and barriers of the physical environment, the role of support staff and resources in therapy provision, staff stress levels and coping strategies, and regulation variations across countries might impact occupational therapists' work. Further research is needed to explore the evidence for adapting and using interventions from acute and subacute mental health settings in secure forensic settings, and whether the Royal College of Occupational Therapy guidelines for practice in secure settings could be adapted for use in forensic solitary confinement settings.