Reducing the use of full-leather restraints on an acute adult inpatient ward

The authors describe a program to reduce the use of full-leather restraints on an acute adult inpatient psychiatric ward of a large community mental health center. It included the introduction of a multipurpose pipe-frame bed, which can be used for seclusion only or seclusion with restraints. Use of the bed, coupled with a seclusion-first policy and rapid tranquilization programs, reduced the time the patients spent in full-leather restraints from 360 hours in the month before the program was introduced to 30 hours two months later.