NURSING PRINCIPAL MENTAL HEALTH

Running head:NURSING PRINCIPAL:MENTAL HEALTH
NURSING PRINCIPAL:MENTAL HEALTH
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1NURSING PRINCIPAL:MENTAL HEALTH
The application of coercive methods (seclusion and corporal restraint) has a long
tradition in international mental health programs. The use across jurisdictions is significantly
variable. Restrictive practices in the provision of mental health services are discriminatory
human rights abuses and the reduction and removal of their use was a constant priority for
mental health providers. Restrictive patterns extend in Australia in mental health programs. In
2005, the Commonwealth Government defined rising restrictive measures as one of four
safety priorities for mental health services. Mental health facilities must be healthy for
patients, carers, relatives, tourists, workers and the community by minimizing and removing
the use of restriction and seclusion where possible. Section 3 of the Mental Health Act
describes restrictive practices as' the use of physical restraint and seclusion'. The UN Human
Rights Committee explicitly cites' long-term solitary confinement' as a procedure which
could amount to a breach of Article 7. The MI Principles indicate that "[p]hysical restraint or
involuntary patient seclusion shall not be utilized except in compliance with officially
approved mental health facilities protocols and only if it is the only possible means to avoid
immediate or imminent harm to the patient or others”. When less restrictive steps have failed,
restrictive practices are used to prevent customers from damaging themselves or others as a
last resort (Deveau & McDonnell, 2009). Mentally ill people and their carers claim that
coercive procedures (seclusion, involuntary treatment, and restraint) do not help the patient
and that these measures infringe human rights, either often or sometimes, and undermine the
therapeutic partnership between the clinician and the patient. Working towards reducing the
use of seclusion in Australian mental health services is a government priority and has been
accompanied by reforms in legislation, government and clinical practice.
Seclusion and various types of restriction are currently allowed for use in these
sectors to regulate or maintain the actions of a individual ((Sustere & Tarpey, 2019).

2NURSING PRINCIPAL:MENTAL HEALTH
Negative impacts of restrictive practices may include physical and psychological injury,
therapeutic relationship damage and human rights abuses (Muir-Cochrane, 2018).
Consumers and their advocates have shared clear opinions on the damage these
activities have caused. Based on study by Brophy et al., (2016) 30 users and 36 supporters
who took part in the targeted groups in four Australian cities and one regional center explored
their perception of the use and effect of seclusion on the people involved. Focus group
conversations were documented and transcribed, then analyzed using the program for
qualitative data analysis NVivo 10 using a general inductive method used for data
analysis.The traumatic effect of seclusion and restriction is one of the key themes that
became apparent in the focus group discussions. Respondents described seclusion and
isolationas non-therapeutic, anti-recoveryand human rights violations. Individuals offered a
variety of examples of bad practice, comprising the use of unnecessary force, absence of
empathy / paternalist behavior, poor contact and interaction and absence of appropriate
methods for the use of seclusion and restraint. These results show that groups of customers
across Australia and their supporters hold common concerns about the damage caused by the
use of seclusion and restraint. People involved have raised questions about the lack of mental
health care contact and engagement alongside' othering' behaviors, combined with stigma and
fear. Such results depicts that customers and supporters interpret' bad practice' as an example
of a program that encourages and condones mental health professionals to use seclusion and
restraint to control behaviour, given the overwhelmingly negative experience of these
practices by customers
Cases involving abuse and hostility are a common occurrence in hospitalized adult
mental health settings. They are handled by the use of restrictive procedures (coercive
practices), such as restriction, seclusion, sedating drug injection and continuous monitoring.
The use of coercive and restrictive procedures poses serious risks to both patients and staff