“Treat me with respect”. What happens before, during and after coercion?

Incidents involving violence and aggression are a frequent occurrence in adult mental health inpatient settings. They are managed by use of restrictive interventions (coercive practices) such as restraint, seclusion, injection of sedating drugs and constant observation. The use of coercive and restrictive practices carries significant risks, including physical and psychological harms to both patients and staff. Interventions are costly in terms of staff sickness and litigation as well as the extra staffing resources required to implement them. There remains a lack of research around patients’ perceptions before, during and after the use of restrictive interventions. A new review by Tingleff et al (2017) aimed to synthesis existing patient-focused research to understand their perspectives in greater detail. ….[READ]