Restrictive practices are based on seclusion and undertaking of coercive measures for the treatment of the patients suffering from mental conditions (Bowers et al., 2016).
This essay determines the possible remedial solutions to the existing practices of seclusion and coercion for the treatment of mental patients.
Seclusion is defined as confinement in a certain location irrespective of day and time. While, coercion determines the forceful implementation of certain regulation irrespective of free will. Both the procedures are equally harmful for the social and mental wellbeing of the patients suffering from mental conditions. The remedial strategy to both requires a progressive framework based on eight intertwined steps of effectual recovery defined as leadership, education, debriefing, regulation, engagement, data, environment and staffing. Leadership among healthcare professionals provides dedication and commitment towards dealing with such patients with the help of necessary training and strategy implementation. Engagement allows involvement of a multidisciplinary team, carer and family members for effective awareness and comfort to the patient (Sutton, Webster & Wilson, 2014). Education provides escalation in the updated technology and training of the staff members to prevent seclusion and coercion practices. Debriefing allows analysis on the past experience at three different levels that are patients, professionals and policy makers. Such analysis allows to undertake optimal measures for future treatment. Staff requires optimal training after debriefing for the implementation of interventions besides restrictive practices. Updated data is required on the case history of the patient and medication as well. Environment undertakes comfortable rooms, gardens and activities to restrict the seclusion practices. Regulation determines laws for legal prohibition of restrictive practices (Voskes et al., 2014).
Conclusively, a progressive approach is prerequisite along with these eight intertwined steps for the prohibition of restrictive practices that secludes and adheres mental torture to the patient.
Bowers, L., Cullen, A. E., Achilla, E., Baker, J. A., Khondoker, M., Koeser, L., ... & Stewart, D. (2016). Seclusion and Psychiatric Intensive Care Evaluation Study (SPICES): Combined qualitative and quantitative approaches to the uses and outcomes of coercive practices in mental health services. Health Services and Delivery Research.
Sutton, D., Webster, S., & Wilson, M. (2014). Debriefing following seclusion and restraint: a summary of relevant literature.
Voskes, Y., Kemper, M., Landeweer, E. G., & Widdershoven, G. A. (2014). Preventing seclusion in psychiatry: A care ethics perspective on the first five minutes at admission. Nursing ethics, 21(7), 766-773.
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