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Related Experiment Video

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Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

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Published on: June 6, 2020

Developing a perspective on restraint and the least intrusive intervention.

Brodie Paterson¹

¹Department of Nursing and Midwifery, University of Stirling.

British Journal of Nursing (Mark Allen Publishing)

|March 10, 2007

Summary

This study examines restraint practices in European mental health services, finding current methods vary widely and lack evidence. It proposes a reasonableness model to align with least restrictive principles, urging collaborative research for evidence-based interventions.

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Area of Science:

Mental Health Services Research
Forensic Psychiatry
Clinical Psychology

Background:

Violence is a significant concern in European mental health services.
Current management of violence, particularly restraint, shows considerable diversity across Europe.
Existing practices often reflect tradition and local values rather than evidence-based approaches.

Purpose of the Study:

To explore contemporary practices in the use of restraint in mental health services.
To evaluate these practices against the European Council Guidance on least restrictive environment/least intrusive intervention.
To present a model for assessing the reasonableness of restraint interventions.

Main Methods:

Review of contemporary restraint practices in European mental health services.
Literature review on the safety of various restraint procedures.
Development of a model based on the concept of reasonableness for evaluating interventions.

Main Results:

Practices in restraint use are highly diverse across Europe.
There is a lack of evidence-based approaches, with tradition and local values dominating.
A model for evaluating restraint interventions based on reasonableness is presented.

Conclusions:

Current restraint practices in European mental health services are not consistently evidence-based.
There is a need to align practices with the principle of least restrictive intervention.
Collaborative, large-scale studies are required to establish evidence for the relative risks of different interventions.