Physical restraint in a therapeutic setting; a necessary evil?

Perkins, Elizabeth; Prosser, Helen; Riley, Donald E.; Whittington, Richard

doi:10.1016/j.ijlp.2011.11.008

Cited by 70 publications

(174 citation statements)

References 17 publications

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“…The results of the search indicated that in the last 14 years relevant studies equated to seven published papers. Of the seven studies identified; four were qualitative studies (Bonner et al 2002;Fish & Culshaw, 2005;Jones & Kroese, 2006;Perkins et al 2012), one study used mixed methods (Duxbury et al 2002), one study made use of a survey comprising of quantitative and qualitative questions (Lees et al 2003) and one was a quantitative study (Foster et al 2007). See Table 1 below for an overview of the studies.…”

Section: Search Strategymentioning

confidence: 99%

“…Five of the studies (Duxbury 2002;Lees et al 2003;Fish & Culshaw, 2005;Foster et al 2007;Perkins et al 2012) gave voice specifically to mental health professionals regarding the use of restraint, while three (Bonner et al 2002;Duxbury 2002;Jones & Kroese, 2006 ) offered a voice to the service user.…”

Section: Overview Of the Research Strategiesmentioning

confidence: 99%

“…Five of the studies used small samples (Bonner et al 2002;Duxbury 2002;Fish & Culshaw, 2005;Jones & Kroese, 2006;Perkins et al 2012), while Lees et al's (2003) study had a low response rate and, focusing on the last incident of restraint, had the potential to create bias.…”

Section: Overview Of the Research Strategiesmentioning

confidence: 99%

“…In four of the seven studies (Duxbury 2002;Fish & Culshaw, 2005;Foster et al 2007;Perkins et al 2012) incidents of violence and aggression were cited as the main trigger for using restraint. It was reported that the majority of incidents had been preceded by the service user either physically assaulting or attempting to assault someone, or had been threatening physical violence (Duxbury 2002;Perkins et al 2012 et al (2007) found no significant differences in service user and staff targeted incidents.…”

Section: Triggers For Restraint and Taking Controlmentioning

confidence: 99%

“…It was reported that the majority of incidents had been preceded by the service user either physically assaulting or attempting to assault someone, or had been threatening physical violence (Duxbury 2002;Perkins et al 2012 et al (2007) found no significant differences in service user and staff targeted incidents. In their study, 48 incidents, where other service users had been the target, were reported, with verbal aggression and use of hand pushing accounting for 45.8% of cases.…”

Section: Triggers For Restraint and Taking Controlmentioning

confidence: 99%

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Restraining good practice: Reviewing evidence of the effects of restraint from the perspective of service users and mental health professionals in the United Kingdom (UK)

Cusack

McAndrew

Cusack

et al. 2016

International Journal of Law and Psychiatry

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Safeguarding, balancing the concept of risk with the need for public protection and its implication for the lives of individuals, is an important facet of contemporary mental health care. Integral to safeguarding is the protection of human rights; the right to live free from torture, inhuman or degrading treatment, and having the right to liberty, security, respect and privacy. Professionals are required to recognise all of these rights when delivering care to vulnerable people. In the United Kingdom (UK) there has been growing public concern regarding abusive practices in institutions, with a number of unacceptable methods of restraint being identified as a feature of care, particularly in mental health care. In keeping with the service user movement, and following a review of the literature, this paper discusses the evidence regarding restraint from the perspectives of service users and professionals within mental health services and considers the implications for future practice and research. In reviewing the literature findings revealed restraint can be a form of abuse, it's inappropriate use often being a consequence of fear, neglect and lack of using de-escalation techniques.Using restraint in this way can have negative implications for the well-being of service users and mental health professionals alike.

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