Mechanical Restraint and Seclusion of Insane Persons

On Non-Mechanical Restraint in the Treatment of the Insane

Before proceeding to analyze this important body of conflicting evidence upon a much-vexed question, we would make a few preliminary observations. In the first place, we think we may take, with justice, exception to the term used in the Report, when referring to this subject ?viz. that of " instrumental restraint." This phrase conveys to the'uninitiated and popular mind a very erroneous idea of...

The use of mechanical restraint and seclusion in patients with schizophrenia

Background The use of coercive measures is an indicator of the quality of psychiatric inpatient treatment. To date, there is no data available to European comparisons on the incidence of such measures. Methods The frequency and duration of mechanical restraint and seclusion on patients with a diagnosis of F2 ICD10 was analysed in seven German and seven Swiss psychiatric hospitals in the year 20...

Restriction of human rights during seclusion and mechanical restraint. Results of a randomized controlled study

Background Seclusion and restraint are widely used for people with serious mental disorders. In most countries one intervention is preferred while the other is considered as inhuman or not sufficiently safe, but identical arguments refer to different preferences. There is a lack of evidence from welldesigned studies on compulsory measures in psychiatry. In a Cochrane Review on seclusion and res...

A review of interventions to reduce mechanical restraint and seclusion among adult psychiatric inpatients.

This review examines the nature and effectiveness of interventions to reduce the use of mechanical restraint and seclusion among adult psychiatric inpatients. Thirty-six post-1960 empirical studies were identified. The interventions were diverse, but commonly included new restraint or seclusion policies, staffing changes, staff training, case review procedures, or crisis management initiatives....

SAMHSA's commitment to eliminating the use of seclusion and restraint.