Journal ArticleDOI
Seclusion & restraint: a historical perspective.
TLDR
The use of restraints in the care of psychiatric patients has been a topic of ethical controversy since the beginning of psychiatric medicine and American alienists expressed misgivings about the use of mechanical and chemical restraint but most were reluctant to relinquish any usable intervention.Abstract:
(1) The use of restraints in the care of psychiatric patients has been a topic of ethical controversy since the beginning of psychiatric medicine. (2) Enlightenment physicians regarded psychiatric illness as the loss of reason, and many advocated the use of restraints to help violent patients regain the use of reason. (3) John Conolly, a British alienist (a term used for psychiatrists) of the mid 1800s, claimed it was possible to treat psychiatric patients without the use of mechanical restraints, but he made liberal use of seclusion and physical restraint by attendants to manage violent behavior. (4) American alienists expressed misgivings about the use of mechanical and chemical restraint but most were reluctant to relinquish any usable intervention.read more
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Incidence of seclusion and restraint in psychiatric hospitals: a literature review and survey of international trends
Tilman Steinert,Peter Lepping,Renate Bernhardsgrütter,Andreas Conca,Trond Hatling,W.A. Janssen,Alice Keski-Valkama,Fermín Mayoral,Richard Whittington +8 more
TL;DR: Databases on the use of seclusion and restraint should be established using comparable key indicators because of huge differences in the percentage of patients subject to and the duration of coercive interventions between countries.
Journal ArticleDOI
Can we justify eliminating coercive measures in psychiatry
TL;DR: It is argued that an appeal to respect autonomy and/or human dignity cannot be a sufficient reason to reject coercive measures, and these ethical aspects can be used both to support and to reject a non-seclusion approach.
Journal ArticleDOI
Mental Health Service Users’ Perceptions and Experiences of Sedation, Seclusion and Restraint:
TL;DR: There is a need to humanize service users’ experiences during episodes of acute illness and measures should include prevention of human rights abuses; minimization of isolation and distress; improvement of communication between service providers and service users; and promotion of attitudinal changes which reflect respect for other people’s dignity.
Journal ArticleDOI
Factors influencing decisions on seclusion and restraint
TL;DR: The purpose of this paper is to set out and categorize the factors in play in aggression- and agitation-management situations as perceived by the healthcare teams, particularly the nurses, to reduce recourse to coercive measures and enhance professional practices.
Journal ArticleDOI
Diagnosis-related frequency of compulsory measures in 10 German psychiatric hospitals and correlates with hospital characteristics
Tilman Steinert,Veronika Martin,Manfred Baur,Ulrich Bohnet,Rita Goebel,Gottfried Hermelink,Rita Kronstorfer,Wolfgang Kuster,Beate Martinez-Funk,Martin Roser,Albrecht Schwink,Wolfram Voigtländer +11 more
TL;DR: The incidence and duration of coercive measures varied highly between different diagnostic groups and different hospitals, and use of detailed guidelines for seclusion and restraint was associated with a lower incidence of coercion measures.
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