Narrative Review and Meta‐Ethnography of Seclusion and Restraint From the Perspectives of Adults With Lived Experience
A Human Rights Issue and Application to Australian Context
Datos Bibliográficos
| ID | 11637402 |
|---|---|
| Autores | Rosiel Elwyn (0000-0002-9495-2306, Neuroscience and Psychiatry National PTSD Research Centre, Thompson Institute University of the Sunshine Coast Birtinya Queensland Australia, autor de correspondencia), Karen‐Ann Clarke (0000-0003-3578-547X, School of Health University of the Sunshine Coast Maroochydore Queensland Australia), Christian Jones (0000-0003-4048-2545, School of Health University of the Sunshine Coast Maroochydore Queensland Australia) |
| Año | 2025 |
| Fecha de publicación | 2025-11-14 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | Australian Journal of Social Issues (JOURNAL) |
| Identificadores de la revista | ISSN: 0157-6321 • E-ISSN: 1839-4655 |
| Editorial | Wiley (PUBLISHER • GB) |
| DOI | 10.1002/ajs4.70082 |
| OpenAlex | W4416227326 |
| Idioma | EN |
| Citas recibidas | 1 |
| Referencias citadas | 123 |
Research literature does not sufficiently address the causes of human rights abuse involved in the use of seclusion and restraint for people experiencing mental health concerns. This article uses a socio‐political analysis alongside in‐depth exploration of lived experience accounts, to emphasise that the use of restrictive practices is an abuse of human rights. A narrative literature review consistent with the PRISMA 2020 statement identified three major themes: (1) first‐person accounts of violent, degrading and dehumanising practices in mental health facilities; (2) inpatient care as a risk factor to mental health/wellbeing (compounded distress, retraumatisation, vicious cycles of restrictive practices); and (3) the need for trauma‐informed care and systems‐level change. Systemic change and elimination of seclusion and restraint in psychiatric settings are possible through the adoption of alternative practices, widespread education on no‐restraint methods and integration of human rights values in care. However, there is a continuing lack of political will to adequately resource mental health services in Australia to enable systemic change. This results in the current system being maintained and upheld, and the continued use of seclusion and restraint. With a lack of access to trauma‐informed approaches and a lack of organisational support, mental health practitioners continue to use restrictive practices, resulting in iatrogenic harm
Context (archaeology · Health care · Human rights · Mental health · Mental illness · Narrative · Project commissioning · Seclusion · Healthcare Decision-Making and Restraints · Psychiatric care and mental health services · Traumatic Brain Injury Research
Psychiatrists’ engagement with advance statement in Victoria, Australia
An Evaluation of the Implementation of a “No Force First” Informed Organisational Guide to Reduce Physical Restraint in Mental Health and Learning Disability Inpatient Settings in the UK
Consumer Perspectives of Safewards Impact in Acute Inpatient Mental Health Wards in Victoria, Australia
An Ecological Model for High-Risk Professional Decision-Making in Mental Health
Estranged relations
A Social Work Perspective on Seclusion and Restraint in Australia’s Public Mental Health System
My Voice Was Discounted the Whole Way Through”
Adequacy of Inquiry About, Documentation of, and Treatment of Trauma and Adversities
Coercion and power in psychiatry
Restraint minimisation in mental health care
| Obras citantes distintas | 1 |
|---|---|
| Citas por año | 1 |
| Intervalo de citas | 2026 - 2026 (1) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 1 |