The use of mechanical restraint in mental health: a catalyst for change?

Carr, Pamela

doi:10.1111/j.1365-2850.2012.01912.x

Cited by 9 publications

(4 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…government actions in this respect have resulted in the development of legal frameworks aiming to limit or at least regulate the use of coercive measures in inpatient settings. in England, for example, the mental Health act and the Care Quality Commission respectively define and monitor criteria for the utilisation of coercive measures in inpatient settings and acknowledge the use of mechanical restraint as a last resort (Carr, 2012). Progress has been made in this respect over the past decades to protect the rights of people with mental health problems in inpatient settings, but room for improvements remains.…”

mentioning

confidence: 99%

Making Mental Health Count

Hewlett¹,

Moran²

2014

OECD Health Policy Studies

132

View full text Add to dashboard Cite

This work is published on the responsibility of the Secretary-general of the OECD. The opinions expressed and arguments employed herein do not necessarily reflect the official views of the Organisation or of the governments of its member countries This document and any map included herein are without prejudice to the status of or sovereignty over any territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area.

show abstract

mentioning

confidence: 99%

Making Mental Health Count

Hewlett¹,

Moran²

2014

OECD Health Policy Studies

132

View full text Add to dashboard Cite

show abstract

“…Overall, respondents believed that the complete elimination of mechanical restraint use is not possible, as they perceived it to be necessary in extreme situations to protect users and staff. Additionally, as in other studies, staff members who physically participated in mechanical restraint were significantly more likely to agree with statements indicating that this measure is a means to achieving safety, care, and order [2,26]. The survey identified opinions from staff concerning different measures that would likely help or hinder efforts to reduce the use of restraint.…”

Section: Discussionmentioning

confidence: 80%

“…The use of mechanical restraint and other coercive measures in Mental Health Hospitalization Services in Spain remains very frequent [ 1 ]. However, there is scarce evidence that supports its usefulness [ 2 ] and plenty of evidence that reductions in the use of coercive measures are not associated with increases in undesired outcomes. Mechanical restraint has been associated with negative physical, psychological, and/or cognitive consequences, and with negative impacts on the therapist–patient relationship [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Attitudes about Mechanical Restraint Use in Mental Health Hospitalization Services: A Spanish Survey

et al. 2023

View full text Add to dashboard Cite

The aim of this study was to analyze the attitudes of professionals in Mental Health Services throughout Spain who are directly or indirectly involved in the use of mechanical restraint and the barriers perceived to reduce its use. The study involved an online anonymous survey using Google Forms completed by Spanish mental health professionals working with service users; the survey assessed their involvement in and general attitudes and beliefs towards mechanical restraint. The survey was completed by 225 participants. Only 13.30% of the participants considered that mechanical restraint use was never necessary to guarantee the safety of users/staff in dangerous situations. Poor staff training (38.0%) and a lack of resources/staff (34.7%) were the most frequent barriers identified for the reduction of mechanical restraint. In the multivariate analysis, participation in learning programs to prevent the use of mechanical restraint was associated with lower acceptance of the use of mechanical restraint, but the result was barely significant (p = 0.050). A high percentage of mental health staff still consider mechanical restraint use necessary for safety reasons. According to the results, the participants perceived that more staff and resources and better training could reduce the use of mechanical restraint in Mental Health Hospitalization Services.

show abstract

“…Physical restraints is a historically way and common practice use as psychiatric intervention, mechanical restraints during the 17th and early 18th centuries were seen as a necessary in asylum life [10]. Although, all definition concepts of physical restraints mean almost the same meaning and including, intervention that keeps patients in bed and uses cotton belt fixing the patients to limit the patient's physical mobility [2], and defined as webbing a patient to a bed with mechanical devices (belts).…”

Section: Introductionmentioning

confidence: 99%

Managing Aggressive Behaviors among Psychiatric Inpatients Through the Use of Restrictive Methods

Khalifeh¹

2016

AJPN

View full text Add to dashboard Cite

The most aggressive behaviors were common in patients who diagnosed with schizophrenia, major depressive disorder, bipolar disorder, and substance use disorders. The prevalence in Jordan 23.6% of psychiatric inpatients occurred with them aggressive behavior. There are interventions and ways to control the aggressive behaviors include seclusion, physical restraints, time out, and chemical restraints. The aim of this paper is to highlight on the concepts about aggressive behaviors, seclusion, physical restraints and factors that consider using seclusion and physical restraints and the effective methods were used with aggressive behaviors among psychiatric inpatients. Searching strategies used an online database that searched include PubMed, Wiley, EBSCO host, Ovid database, and Google Scholar from 2006 to January 2016. The most articles of physical restraints and seclusion that use among psychiatric inpatients setting work on to reduce it and to know factors of aggressive behaviors to move away from using it. Recommendation train staff nurse to managing with aggressive behaviors, work as multidisciplinary staff, and creating a therapeutic environment.

show abstract

The use of mechanical restraint in mental health: a catalyst for change?

Cited by 9 publications

References 11 publications

Making Mental Health Count

Making Mental Health Count

Attitudes about Mechanical Restraint Use in Mental Health Hospitalization Services: A Spanish Survey

Managing Aggressive Behaviors among Psychiatric Inpatients Through the Use of Restrictive Methods

Contact Info

Product

Resources

About