What is it about?
The use of physical and mechanical restraints on psychiatric patients in inpatient and residential care
Featured Image
Why is it important?
Without the active involvement of. Psychiatrists, the use of physical and mechanical restraint will default to other treatment team members and lead to poorer health and safety of psychiatric patients. The application of this process to chemical restraint merits. Investigation
Perspectives
Seclusion and restraint has been a central issue in psychiatric care since the era of Philipe Pinel during the French Revolution when he showed the abuses of patients with these procedures in the Psychiatric hospitals in Paris . similar efforts were noted by Gardner Hill iin England in the 1830s. Since then about every 30 years there are public revelations of abuse of these patients and deaths in restraints. In the USA the Hartford Courant report of 1999 uncovered 110 deaths due to restraints . In the 2018-present era deaths and injury to patients from restraints continue. The involvement of the Psychiatrist all of the elements of a restraint, ordering, monitoring especially review of any videos of the procedure, and processing with patients and staff is a likely factor in decreasing the use of restraints, the implementation of alternative options, and the increase in patient freedom in these facilities
Kim Masters
Wake Forest University
Read the Original
This page is a summary of: The Role of the Psychiatrist in Seclusion and Restraint, Psychiatric Services, May 2020, American Psychiatric Association,
DOI: 10.1176/appi.ps.201900321.
You can read the full text:
Contributors
The following have contributed to this page
