Reducing restrictive practice in adult services: not only an issue for mental health professionals

British Journal of Nursing : BJN
Greg HextAndreas Xyrichis

Abstract

Reducing 'restrictive practices' is an issue of national importance, pertinent to all NHS sectors, yet there is poor awareness of the issue in mainstream adult services. Such practices potentially restrict a person's rights to choice, self-determination, privacy and freedom. Challenging behaviour is often the result of unmet needs, communication difficulties or diagnostic overshadowing, but there is a common misconception that patients exhibit such behaviours because of their impaired intellectual abilities or mental health problems. This article seeks to raise awareness of restrictive practices and suggest the way forward. It highlights the importance of good de-escalation skills, which, if adopted early in therapeutic relationships, may help reduce the occurrence of challenging behaviours and situations. Behavioural support plans that adopt a biopsychopharmacosocial approach (BPPS) detail a range of interventions for managing challenging behaviours. Tailored support that follows a BPPS approach could reduce incidents of challenging behaviour, reduce costly observation, improve the patient experience and protect the patient's liberty.

References

Jul 20, 2007·Journal of Psychiatric and Mental Health Nursing·L L Clark
May 15, 2010·Journal of Nursing Management·Alison E While, Louise L Clark
Nov 26, 2010·Nurse Education in Practice·Allan Hicks, Louise L Clark
Feb 22, 2012·International Journal of Mental Health Nursing·Owen Price, John Baker
May 3, 2014·Journal of Psychiatric and Mental Health Nursing·L L Clarke, T Clarke
Sep 12, 2014·Journal of Nursing Management·Alison E While, Louise L Clark
Nov 30, 2016·Nursing Standard·Alison Whyte

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Citations

May 8, 2020·British Journal of Community Nursing·Edward Baker, Louise L Clark
Aug 14, 2020·British Journal of Nursing : BJN·Tommy Dickinson, Louise L Clark
Nov 10, 2020·British Journal of Community Nursing·Grace McDonald, Louise L Clark
Jan 13, 2021·British Journal of Nursing : BJN·Sheena BynoeLouise L Clark
Aug 4, 2021·British Journal of Community Nursing·Alison E While, Louise L Clark

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