Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/15149
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dc.contributor.authorWhittington, Richarden_UK
dc.contributor.authorBaskind, Ericen_UK
dc.contributor.authorPaterson, Brodieen_UK
dc.contributor.editorRichter, Den_UK
dc.contributor.editorWhittington, Ren_UK
dc.date.accessioned2014-09-15T13:27:15Z-
dc.date.available2014-09-15T13:27:15Zen_UK
dc.date.issued2006en_UK
dc.identifier.urihttp://hdl.handle.net/1893/15149-
dc.description.abstractFirst paragraph: Even the most effective prediction techniques will not prevent all aggression in mental health care settings and when deescalation alone (see preceding chapter) is ineffective, staff will make the judgment to move toward more intrusive techniques, alongside continued deescalation, to coerce and ultimately control the patient. Such coercive and physical control is fraught with ethical, moral, and legal dilemmas and can be a potent cause of physical injury and psychological harm in both patients and staff. Once the decision to "up the stakes" has been taken, it is difficult to go back down the ladder of coercive interventions and there is a real risk that incompetent coercion can exacerbate the situation and be highly dangerous to the patient. In this chapter we will consider three things. Firstly, we will examine some of the difficult conceptual, ethical, and legal issues around the use of coercive measures in psychiatry. Secondly we will summarize some key, best practice, guidelines with regard to special observation, physical restraint, and seclusion with reference to the relevant sections of the UK National Institute for Clinical and Health Excellence (NICE) Clinical Practice Guidelines for the management of imminent violence. These guidelines are based on one of the most extensive and thorough appraisals of existing research on this issue. Thirdly, since this is a rapidly evolving area, we will examine recent research emerging in the past two to three years which was not included in the NICE review. Special attention will be paid in this section to two high priority questions: What is the service user perspective on the causes of conflict resulting in coercive measures and the actual experience of undergoing them? And, how can mental health services around the world act to reduce their reliance on seclusion and restraint and develop alternative, less coercive interventions?en_UK
dc.language.isoenen_UK
dc.publisherSpringeren_UK
dc.relationWhittington R, Baskind E & Paterson B (2006) Coercive Measures in the Management of Imminent Violence: Restraint, Seclusion and Enhanced Observation. In: Richter D & Whittington R (eds.) Violence in Mental Health Settings: Causes, Consequences, Management. New York: Springer, pp. 145-172. http://link.springer.com/chapter/10.1007/978-0-387-33965-8_8.en_UK
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.titleCoercive Measures in the Management of Imminent Violence: Restraint, Seclusion and Enhanced Observationen_UK
dc.typePart of book or chapter of booken_UK
dc.rights.embargodate2999-12-01en_UK
dc.rights.embargoreason[Whittington et al_2006.pdf] : The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.citation.spage145en_UK
dc.citation.epage172en_UK
dc.citation.publicationstatusPublisheden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.identifier.urlhttp://link.springer.com/chapter/10.1007/978-0-387-33965-8_8en_UK
dc.author.emailb.a.paterson@stir.ac.uken_UK
dc.citation.btitleViolence in Mental Health Settings: Causes, Consequences, Managementen_UK
dc.citation.conferencelocationNew Yorken_UK
dc.citation.isbn978-0-387-33964-1en_UK
dc.publisher.addressNew Yorken_UK
dc.contributor.affiliationUniversity of Liverpoolen_UK
dc.contributor.affiliationLiverpool John Moores Universityen_UK
dc.contributor.affiliationNMAHPen_UK
dc.identifier.scopusid2-s2.0-41649110068en_UK
dc.identifier.wtid699305en_UK
dc.date.firstcompliantdepositdate2013-06-07en_UK
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