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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Developing a perspective on restraint and the least intrusive intervention
Author(s): Paterson, Brodie
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Keywords: psychotropic agent
legal aspect
mental health service
organization and management
patient care
patient right
practice guideline
psychiatric nursing
risk assessment
Mental Health Services
Patient Isolation
Patient Rights
Practice Guidelines
Psychotropic Drugs
Restraint, Physical
Issue Date: Dec-2006
Citation: Paterson B (2006) Developing a perspective on restraint and the least intrusive intervention, British Journal of Nursing, 15 (22), pp. 1235-1241.
Abstract: 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.
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