alexa Thinking the unthinkable: A role for pain compliance and mechanical restraint in the management of violence?
General Science

General Science

Journal of Ergonomics

Author(s): Brodie Paterson

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The National Institute for Clinical Excellence (NICE) guidance (2005) on managing disturbed behaviour in mental health inpatient settings is welcome. NICE’s robust scrutiny of the evidence base for practice has produced many suggestions that will improve practice in this complex and sensitive area. However, the guidance does not clarify the situation in respect of perhaps the most sensitive areas of such management of physical interventions and in particular in respect of two of the most controversial dimensions of practice, namely ‘pain compliance’ and ‘mechanical restraint’. While guidance from the National Institute for Mental Health in England (NIMHE) is expected shortly, it seems timely to explore the issues – particularly as mechanical restraint has recently been the subject of adverse press coverage in the Guardian newspaper.

This article was published in Mental Health Practice and referenced in Journal of Ergonomics

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