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Chapter 20 - The Practice of Restraint and Physical Intervention

Published online by Cambridge University Press:  15 March 2024

By
Roland Dix
Edited by
Roland Dix ,
Stephen Dye  and
Stephen M. Pereira
Roland Dix
Affiliation:
Gloucestershire Health and Care NHS Foundation Trust, Gloucester
Stephen Dye
Affiliation:
Norfolk and Suffolk Foundation Trust, Ipswich
Stephen M. Pereira
Affiliation:
Keats House, London
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Summary

Virtually all societies have found the need for containment and control of behaviour by physical means. The first words in any discussion about restraint must include the methods of avoiding the need for its use wherever possible. De-escalation, negotiation, meaningful activity programmes and the development of trusting relationships are the necessary first steps. This chapter focuses on the activity of restraint, assuming that due attention has already been paid to the methods of avoiding the need for its use.

Keywords

activity programmesde-escalationinterpersonal restraintmechanical restraintMental Capacity ActMental Health Act (MHA)negotiationphysical restraintsafety
Type
Chapter
Information
Psychiatric Intensive Care , pp. 259 - 267
Publisher: Cambridge University Press
Print publication year: 2024

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References

Andoh, B (1995) Jurisprudential Aspects of the “Right” to Retake Absconders from mental Hospitals in England and Wales. Science, Medicine and Law 35 (3) 225–30.CrossRefGoogle ScholarPubMed
Appelbaum, P (1999) Seclusion and Restraint: Congress Reacts to Reports of Abuse. Psychiatric Services 50 (7) 881–5.CrossRefGoogle ScholarPubMed
Beech, B and Bowyer, D (2004) Management of Aggression and Violence in Mental Health Settings. Mental Health Practice 7 (7) 31–7.CrossRefGoogle Scholar
Brailsford, D and Stevenson, J (1973) Factors Related to Violent and Unpredictable Behaviour in Psychiatric Hospitals. Nursing Times 69 (3) 9–11.Google ScholarPubMed
Bridges, W, Dunane, P and Speight, I (1981) The Provision of Post-Basic Education in Psychiatric Nursing. Nursing Times 77 (52) 141–4.Google Scholar
Cabral Iversen, V (2009) Mechanical Restraint – A Philosophy of Man, a Philosophy of Care, or No Philosophy at All? A Question from Norway. Journal of Psychiatric Intensive Care 5 (1) 1–4.CrossRefGoogle Scholar
Care Quality Commission (CQC) (2020) Out of Sight – Who Cares? A Review of Restraint, Seclusion, and Segregation for Autistic People, and People with a Learning Disability and/or Mental Health Condition. www.cqc.org.uk/publications/themed-work/rssreview.Google Scholar
Care Quality Commission (CQC) (2016) Brief Guide: Restraint (Physical and Mechanical). CQC.Google Scholar
Central Police Training and Development Authority (2003) Personal Safety Manual. Harrogate: Centrex.Google Scholar
Chieze, M, Hurst, S, Kaiser, S and Sentissi, O (2019) Effects of Seclusion and Restraint in Adult Psychiatry: A Systematic Review. Front Psychiatry 10: 491.CrossRefGoogle ScholarPubMed
Davis, P (2004) Critical Thoughts on Restraint in Hospital Mental Health Nursing 24 (3) 20–1.Google Scholar
Department of Health (2002) Mental Health Policy Implementation Guide: National Minimum Standards in Psychiatric Intensive Care Units (PICU) and Low Secure Environments. London: DOH.Google Scholar
Department of Health (2015) Mental Health Act 1983: Code of Practice. London: Department of Health.Google Scholar
Department of Health and Social Care (2021) Mental Health Units (Use of Force) Act 2018. London: Department of Health and Social Care.Google Scholar
Dix, R (2004) Advances in the Management of Acute Schizophrenia and Bipolar Disorder: Impact of the New Rapid-Acting Atypical Intramuscular Formulations of Treatment Choice. Therapeutic Focus 5–10.Google Scholar
Gournay, K, Ward, M, Thornicroft, G and Wright, S (1998) Crisis in the Capital: In patient Care in Inner London. Mental Health Practice 1: 10–18.CrossRefGoogle Scholar
Henderson, D (1954) A Text-Book of Psychiatry. Oxford University Press: London.Google Scholar
Hoar, S (1997) The A–Z of Judo. Ippon Books Ltd: Bristol.Google Scholar
Jones, R (2004) Mental Health Act Manual, 9th ed. London: Sweet and Maxwell.Google Scholar
Lee, S, Wright, S, Sayer, J, Parr, AM, Gray, R and Gournay, K (2001) Physical Restraint for Nurses in English and Welsh Psychiatric Intensive Care and Regional Secure Units. Journal of Mental Health 10 (2) 151–62.Google Scholar
Lepping, P, Masood, B, Flammer, E and Noorthoorn, E (2016) Comparison of Restraint Data from Four Countries. Social Psychiatry Psychiatric Epidemiology 51 (9) 1301–9.CrossRefGoogle ScholarPubMed
Macpherson, R, Dix, R and Morgan, S (2005) A Growing Evidence Base for Management Guidelines: Revisiting Guidelines for the Management of Acutely Disturbed Psychiatric Patients. Advances in Psychiatric Treatment 11 (6) 404–15.CrossRefGoogle Scholar
Mental Health Act Code of Practice (1999) Department of Health and Welsh Office. London. The Stationary Office.Google Scholar
Mental Health Act Commission (MHAC) (2005) The House of Lords Munjaz Ruling. MHAC Policy Briefing for Commissioners. Issue 12. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/231709/1255.pdf.Google Scholar
Metherall, A, Worthington, R and Keyte, A (2006) The Introduction of Medical Emergency Response Teams to a Mental Health In-patient Hospital. Journal of Psychiatric Intensive Care. In press.Google Scholar
Middlewick, J (2000) Use of Restraint Techniques on Acute Psychiatric Wards: Legal, Ethical, and Professional Issues. Mental Health Care 3 (8) 271–3.Google Scholar
National Institute for Health and Care Excellence (NICE) (2015) Violence and Aggression: Short-Term Management in Mental Health, Health and Community Settings. NICE Guideline [NG10]. London: NICE. www.nice.org.uk/guidance/NG10.Google Scholar
National Institute of Care and Health Excellence (NICE) (2017) Violent and Aggressive Behaviours in People with Mental Health Problems. London: NICE.Google Scholar
National Institute for Mental Health (NIMH) (2004) Mental Health Policy Implementation Guide – Developing Positive Practice to Support the Safe and Therapeutic Management of Aggression and Violence in mental Health In-patient Settings. London: DOH Publications.Google Scholar
Nuffield Trust (2021) Violence in the NHS: Quality Watch. www.nuffieldtrust.org.uk/resource/violence-in-the-nhs.Google Scholar
Parkes, J (1996) Control and Restraint Training: A Study of Its Effectiveness in a Medium Secure Unit. Journal of Forensic Psychiatry 7 (3) 525–34.CrossRefGoogle Scholar
Parkes, J (2002) A Review of the Literature on Positional Asphyxia as a Possible Cause of Sudden Death During Restraint. British Journal of Forensic Practice 4 (1) 24–30.CrossRefGoogle Scholar
Paterson, B and Leadbetter, D (2004) Learning the right lessons. Mental Health Practice 7 (7) 12–15.CrossRefGoogle Scholar
Paterson., B, Stark., C, Sadler., D, Leadbetter., D, Allen., D (2003) Restraint-Related Deaths in Health and Social Care in the UK: Learning the Lessons. Mental Health Practice 6 (9) 10–17.CrossRefGoogle Scholar
Porter, R (ed.) (1991) The Faber Book of Madness. London: Faber and Faber.Google Scholar
Royal College of Nursing (RCN) (2018) Report on Violence and Aggression in the NHS: Estimating the Size and the Impact of the Problem. London: Royal College of Nursing.Google Scholar
Ridley, J and Leitch, S (2019 Restraint Reduction Network (RRN) Training Standards. Birmingham: BILD Publications.Google Scholar
Ritchie, S (1985) Report to the secretary of state for social services concerning the death of Michel Martin. London: SHSA.Google Scholar
Seligman, M and Feery, D (2006) Lord Steyn’s Lament. Journal of Psychiatric Intensive Care 2 (2) 111–17.CrossRefGoogle Scholar
Sethi, F, Parkes, J, Baskind, E, Paterson, B and O’Brien, A (2018) Restraint in Mental Health Settings: Is It Time to Declare a Position? British Journal of Psychiatry 212 (3) 137–41.CrossRefGoogle ScholarPubMed
Shepherd, N Parker, C and Arif, N (2014) Pattern of Rapid Tranquillisation and Restraint Use in a Central London Mental Health Service. Journal of Psychiatric Intensive Care 11 (2) 78–83.CrossRefGoogle Scholar
Stewart, D, Bowers, L, Simpson, A, Ryan, C and Tziggili, M (2009) Manual Restraint of Adult Psychiatric Inpatients: A Literature Review. Journal of Psychiatric and Mental Health Nursing 16 (8) 749–57.CrossRefGoogle ScholarPubMed
United Kingdom Central Council (UKCC) for Nursing, Midwifery and Health Visiting (1999) Nursing in Secure Environments. England: University of Central Lancashire.Google Scholar
United Kingdom Central Council (UKCC) for Nursing, Midwifery and Health Visiting (2001) The Recognition Prevention and Therapeutic Management of Violence in Mental Health Care. London: Health Services Research Department.Google Scholar
Wright, S (1999) Physical Restraint in the Management of Violence and Aggression in In-Patient Settings: A Review of the Issues. Journal of Mental Health 8 (5) 459–72.CrossRefGoogle Scholar

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