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Mental health. Developing a perspective on restraint and the least intrusive intervention.

This article explores contemporary practice in the use of restraint in the light of recent European Council Guidance endorsing the principles of least restrictive environment/least intrusive intervention. Violence is a source of concern in many European mental health services but approaches to its i...

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Published in:British Journal of Nursing Vol. 15; no. 22; pp. 1235 - 1242
Main Author: Paterson B
Format: Journal Article
Published: Mark Allen Holdings Limited 12/14/2006
Online Access:View this record in EBSCOhost
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      dt: 12/14/2006
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      pub: Mark Allen Holdings Limited
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        atl: Mental health. Developing a perspective on restraint and the least intrusive intervention.
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        au: Paterson B
        affil: Lecturer, Department of Nursing and Midwifery, University of Stirling
      sug:
        subj:
          Patient Isolation
          Restraint, Physical Standards
          Violence Prevention and Control
          Decision Making, Clinical
          Europe
          Mental Health Services Methods
          Organizational Policies
          Patient Safety
          Risk Management
      ab: This article explores contemporary practice in the use of restraint in the light of recent European Council Guidance endorsing the principles of least restrictive environment/least intrusive intervention. Violence is a source of concern in many European mental health services but approaches to its immediate management continue to display remarkable diversity reflecting the adoption of differing perspectives on what constitutes 'least intrusiveness'. This article examines the basis for practice in terms of the range of procedures available, reviews the literature on restraint safety and presents a model based on the concept of reasonableness which can be used to evaluate whether a given intervention meets the European guidance. Current practice across Europe is largely a function of tradition and local values rather then evidence based. Collaborative large-scale studies are required to determine the relative risks of the range of interventions in use such that practice is informed by evidence rather than opinion.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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