Introduction: Sensory approaches are increasingly used in mental health settings to support emotional regulation and offer alternatives to restrictive interventions such as seclusion. Occupational therapists are well positioned to deliver these approaches due to their expertise in sensory processing and occupational engagement. However, little is known about their use within seclusion, a highly restrictive environment with risks of sensory and occupational deprivation. This study explored occupational therapists’ experiences of applying sensory approaches in seclusion settings. Method: Semi-structured virtual interviews were conducted with occupational therapists working in mental health services where seclusion was used. Data were analysed using thematic analysis. Findings: Six occupational therapists participated. Three themes were generated: navigating risk through creative and flexible practice; occupational therapists as leaders in sensory-informed practice; and ward cultures that can undermine occupational and sensory needs in seclusion. Participants described adapting interventions to balance safety with meaningful engagement, promoting sensory awareness within teams and challenging cultures that prioritised containment over therapeutic input. Conclusion: Occupational therapists play a central role in delivering sensory approaches in seclusion but face environmental, cultural and organisational barriers. Collaborative, whole-team involvement and improved access to training are essential to support safe, consistent, and person-centred sensory practice.
Bowser et al. (Fri,) studied this question.