Restrictive Practices in Adult Secure Mental Health Services: A Scoping Review

Lawrence, Daniel; Bagshaw, Ruth; Stubbings, Daniel Robert; Watt, Andrew

doi:10.1080/14999013.2021.1887978

Cited by 31 publications

(19 citation statements)

References 62 publications

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“…Therefore, the development and maintenance of relationally secure environments can play a key part in minimising restrictive practises. A scoping review of the use of restrictive practises, the consequences of using them and efforts to reduce restrictive practises, in adult secure and forensic mental health settings recommended that the importance of collaborative working ( 111 ).…”

Section: Reducing Coercion and Restrictive Practisesmentioning

confidence: 99%

The Totalising Nature of Secure and Forensic Mental Health Services in England and Wales

Markham

2021

Front. Psychiatry

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This evidence-based opinion piece explores the totalising risk averse nature of secure and forensic mental health services and associated iatrogenic harms in England and Wales. Drawing on the research literature I consider the various influences, both external and internal which impact on the provision of such services and how both the therapeutic alliance and recovery potential for patients may be improved. Especial attention is paid to the deployment of restrictive practise, practitioner attitudes, the potential for non-thinking, and how these may impact on decision-making and the care and treatment of mentally disordered offenders.

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Section: Reducing Coercion and Restrictive Practisesmentioning

confidence: 99%

The Totalising Nature of Secure and Forensic Mental Health Services in England and Wales

Markham

2021

Front. Psychiatry

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“…This adds to the challenges emergency responders experience when responding to people affected by methamphetamines. In addition, the use of restrictive practices is considered a source of emotional distress to staff and can be traumatizing (Power et al, 2020), and clients who had experience with restrictive practices reported feeling disempowered and angry towards staff (Lawrence et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

“Complexity, safety and challenges: Emergency responders' experience of people affected by methamphetamines”

Jones

Jackson

Woods

et al. 2022

Nursing & Health Sciences

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Providing care to methamphetamine-related callout events in the prehospital environment is often complex and resource-intensive, requiring staff to manage agitation and violence-related side effects of methamphetamines. In Australia, emergency responders are increasingly required to attend events related to methamphetamines, even though reports suggest methamphetamine use across Australia has declined.The aim of the study was to explore Australian police and paramedic experiences attending methamphetamine-related events. A qualitative descriptive phenomenology design was employed using semi-structured interviews with employed police (10) and paramedics (8) from Australia. Data were analyzed using thematic analysis.Participants described the complexities associated with providing prehospital care to people affected by methamphetamines. Participants described associated domestic/ family violence, increased levels of violence, challenges with communication, and responder emotional and psychological distress and physical injury. Violence associated with methamphetamine use is a critical factor in prehospital care. Workplace violence and family/domestic violence are important issues that require further research to ensure families and staff are well supported and have the services they need to continue responding to people affected by methamphetamine use.

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“…Diversion to mental health services is of ten put forward as a remedy for addressing the problems occurring at the intersection of mental health access and criminallegal systems 4 . However, data about crisis pro grams resulting in meaningful diversion and reducing disparities have been equivo cal.…”

Section: Centering Equity In Mental Health Crisis Servicesmentioning

confidence: 99%

“…Johnson et al 1 highlight evidence supporting the use of Six Core Strategies and Safewards to reduce conflict and the use of containment measures on inpatient wards. A recent review acknowledged the increased evidence base for the efficacy of Safewards on acute wards in various countries 4 . More research is required to evaluate adaptations in psychiatric intensive care units, secure mental health services, emergency departments, and wards for other age groups.…”

mentioning

confidence: 99%

Activities and technologies: developing safer acute inpatient mental health care

Simpson

2022

World Psychiatry

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Restrictive Practices in Adult Secure Mental Health Services: A Scoping Review

Cited by 31 publications

References 62 publications

The Totalising Nature of Secure and Forensic Mental Health Services in England and Wales

The Totalising Nature of Secure and Forensic Mental Health Services in England and Wales

“Complexity, safety and challenges: Emergency responders' experience of people affected by methamphetamines”

Activities and technologies: developing safer acute inpatient mental health care

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