Effectiveness and safety of restraint and breakaway techniques in a psychiatric intensive care unit

Southcott, John; Howard, Allison

doi:10.7748/ns2007.05.21.36.35.c4627

Cited by 18 publications

(11 citation statements)

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“…The proportion of incidents resulting in restraint varied from 4% (Cheung et al. 1997), 12% (Torpy & Hall 1993), 23% (Parkes 2003, Southcott & Howard 2007), 26% (Tobin et al. 1991), 36% (Kennedy et al.…”

Section: Incidencementioning

confidence: 99%

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Manual restraint of adult psychiatric inpatients: a literature review

Stewart¹,

Bowers

Simpson

et al. 2009

Psychiatric Ment Health Nurs

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Accessible summary Information about the use of manual restraint to manage violent or challenging behaviour in psychiatric hospitals is relatively scarce. This review includes 45 studies of manual restraint of adult psychiatric inpatients, mostly from the UK. Overall, the research suggests that manual restraint is used up to five times per month on an average ward, lasts for about 10 min and tends to involve patients being restrained face down on the floor. Manually restrained patients are young, male and detained under mental health legislation. We conclude that more and better‐quality research is needed to improve knowledge of how manual restraint is used in response to different types of incident and in different types of ward/hospital. Abstract Relatively little is known about the prevalence of manual restraint to manage violent or challenging behaviour in hospital psychiatric services or the circumstances of its use. This review identified 45 empirical studies of manual restraint of adult psychiatric inpatients, mostly from the UK. On average, up to five episodes per month of manual restraint might be expected on an average 20‐bed ward. Episodes last around 10 min, with about half involving the restraint of patients on the floor, usually in the prone position. Manually restrained patients tend to be younger, male and detained under mental health legislation. Staff value restraint‐related training, but its impact on nursing practice has not been evaluated. Research has tended to focus on official reports of violent incidents rather than manual restraint per se. Larger and more complex studies are needed to examine how manual restraint is used in response to different types of incident and in different service settings.

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Section: Incidencementioning

confidence: 99%

“…2008), more usually in the prone position (on the front) as apposed to the supine position (on the back). A much smaller study found that restraining a patient on a bed, face down on the floor or standing to be the most the most common restraint positions (Southcott & Howard 2007).…”

Section: Restraint Techniquesmentioning

confidence: 99%

Manual restraint of adult psychiatric inpatients: a literature review

Stewart¹,

Bowers

Simpson

et al. 2009

Psychiatric Ment Health Nurs

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“…Studies exploring the use of restraint have identified that the most common circumstances where restraint is utilized are in response to violent patient behaviour, abscondment, staff denial of a request, patient agitation, refusal of medication, self‐harm, verbal aggression and property damage (Gudjonsson et al . , Ryan & Bowers , Southcott & Howard , Bowers et al . ).…”

Section: Introductionmentioning

confidence: 99%

An integrative review exploring decision‐making factors influencing mental health nurses in the use of restraint

Riahi

Thomson

Duxbury

2016

Psychiatric Ment Health Nurs

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“…Physical intervention is the most commonly taught response for the management of violent behaviour in the UK and yet there is comparatively little research on its safety and effectiveness (Southcott and Howard 2007). In their study of inpatient aggression within a psychiatric inpatient setting, Shepherd and Lavender (1999) found that physical interventions were significantly more likely to be used than verbal interventions in managing aggressive incidents (approximately 65 per cent: 31 per cent respectively).…”

Section: Training In Physical Restraintmentioning

confidence: 99%

Service User Involvement in Training for the Therapeutic Management of Violence and Aggression

Obi-Udeaja¹,

Crosby²,

Ryan³

et al. 2010

MHLDRP

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Involving service users in mental health education and training has increased considerably over the last few years, especially in the initial pre-registration training of mental health professionals (social workers, nurses, psychologists). There is a growing understanding of the important contribution that service users can make to developing the mental health practitioners of the future. Involving service users in the education of future mental health practitioners is seen as important in providing students with the opportunity for developing greater awareness and understanding through the unique insights of people's lived experience of mental health conditions, and of their contact with mental health services. This paper describes the involvement of service user trainers in the development and delivery of a short training course in physical restraint for mental health professionals. It considers the impact of including service users who themselves have experience being restrained in acute mental health settings, from the perspective of course participants, tutors and the service user trainers themselves.

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Effectiveness and safety of restraint and breakaway techniques in a psychiatric intensive care unit

Abstract: Restraint procedures, as taught in Control and Restraint training, appear to be an effective and reasonably safe means of manually controlling a violent client in psychiatric intensive care settings.

Cited by 18 publications

References 0 publications

Manual restraint of adult psychiatric inpatients: a literature review

Manual restraint of adult psychiatric inpatients: a literature review

An integrative review exploring decision‐making factors influencing mental health nurses in the use of restraint

Service User Involvement in Training for the Therapeutic Management of Violence and Aggression

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