Restrictive and coercive practices in the care of people with mental health conditions are clearly in breach of human rights. There are very few occasions where this can be tolerated. It is only when clearly there is no other way to ensure the safety of the consumers themselves and the people around them. These episodes of restrictive and/ or coercive practice must be subject to very clear and stringent guidelines. It would be of benefit if these guidelines were consistent across the country.
Restrictive practices refer to the implementation of any practice or practices that restrict an individual's movement, liberty and/or freedom to act independently without coercion or consequence.
Restrictive practices are not in accordance with the UN Convention on the Rights of People with Disabilities which has concluded that there can be no therapeutic justification for their use in psychiatric facilities.
Restrictive practices can include:
The NMHCCF believes recovery approaches and trauma-informed principles assist services to reduce and eliminate the use of restrictive practices. Furthermore, all mental health treatment programs should operate from a positive and strengths-based perspective to provide recovery-oriented, person-centred, trauma-informed and human rights-based practice.
Advocacy Brief - Restrictive Practices in Mental Health Services