This paper reviews the restrictions placed on patients’ freedom of movement in non-psychiatric as well as psychiatric health care facilities and the methods used are outlined. Concern for the health and safety of the patient has always been the justification for steps taken by physicians that may be seen as restrictive. Modern realities necessitate that each psychiatric facility should develop specific policies and guidelines in the interests of patients and staff. Recommendations and suggestions for policy statements suitable for adult psychiatric units are described.
References
1.
ZilboorgG., HenryG.W.A history of medical psychology.New York: WW Norton, 1941.
2.
KellermanJ., RiglerD., SiegalS.The psychological effects of isolation in protected environments.Am J Psychiatry1977; 134: 563.
3.
BogaertM.Restrained in Canada — free in Britain.Health Care1980; July, p. 22.
4.
WellsD.A.The use of seclusion on a university hospital psychiatric floor.Arch Gen Psychiatry1972; 26: 410.
5.
MattsonM.R., SacksM.H.Seclusion: uses and complications.Am J Psychiatry1978; 135: 1210.
6.
GuirguisE.F.Management of disturbed patients: an alternative to the use of mechanical restraints.J Clin Psychiatry1978; 39: 295.
7.
GuirguisE.F., DurostH.B.The role of mechanical restraints in the management of disturbed behaviour.Can Psychiatr Assoc J1978; 23: 209.
8.
KennaJ.C.Sensory deprivation phenomena: critical review and explanation models.Proc Roy Soc Med1962; 55: 1005.
9.
SkeelsH.M.Adult status of children with contrasting early life experiences: a follow-up study.Monogr Soc Res Child Dev1966; 31: 3.
10.
WadesonH., CarpenterW.I.Impact of the seclusion room experience.J Nerv Ment Dis1976; 163: 318.
11.
GutheilT.G.Restraint versus treatment: seclusion as discussed in the Boston state hospital case.Am J Psychiatry1980; 137: 718.
12.
SoloffP.H., TurnerS.M.Patterns of seclusion: a prospective study.J Nerv Ment Dis1981; 169: 37.
13.
RosenH., DiGiacomaJ.N.The role of physical restraint in the treatment of psychiatric illness.J Clin Psychiatry1978; 39: 228.
