Aims: To evaluate the frequency of mechanical restraints and all the variables which can have significantly influenced its use in an acute psychiatric ward during the last 9 years.Methods: This retrospective analysis was conducted in an Italian Service of Psychiatric Diagnosis and Care.Results: A significant...
There is a broad international consensus that where any form of coercion is used, preference should be given to the least restrictive and least dangerous measure. Coercive interventions exist in a dynamic clinical context, where the availability of one intervention may have an impact on...
In response to COVID-19, an international group of mental health professionals and service managers collaborated to mitigate the potential conflict anticipated as being inherent in enacting restrictive public health measures.The group utilised a Delphi approach of four iterative stages to develop a strengths based, person-centred...
To our knowledge there are no validated instruments for violence risk screening among adolescents. Therefore, a new screening instrument, Violence Risk Screening for Youth (VRISK-Y) was developed for emergency settings to help assess the risk for violence among adolescents aged 12-18 years. The present study...
There are several short term risk assessment instruments used in mental health inpatient settings designed to assess imminent aggression. While the assessment of risk is important, it is equally important that following assessment, efforts are focused on intervening to prevent aggression and use of restrictive...
FOSTREN is a network of mental health service stakeholders funded by the European Cooperation in Science and Technology (COST) framework for the period 2020-2024. The network is focused on bringing together experts with understanding and experience of successful methods for reducing coercion and restrictive practices...
Restrictive practices are often used in response to a breakdown in communication. Despite carers having unique insight into what their loved ones are attempting to express, closed service cultures mean they are often silenced. The aims of this project were to understand why carers’ involvement...
Although informal coercion is very present in the everyday life of service users, it is neither conceptually clear nor sufficiently represented in research. To gain insight from multiple perspectives, we conducted semi-structured qualitative interviews with 14 people with mental illness who have experienced coercive measures...
Families and caregivers of children with intellectual disabilities have to deal with both the typical struggles that every household faces and those adjustments unique to these children including greater challenges in caregiving, more health problems, and feelings of isolation which results in poor quality of...
Fivoor Ambulant (a large forensic outpatient facility with several locations throughout the Netherlands) offers an extensive educational programme for therapists. Part of the programme contributes to improving the forensic vigilance of Fivoor staff. By forensic vigilance (Clercx et al.,2021) we mean the ability of therapists...