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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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