Recommendation ID
Compulsion, control and restraint:- For people using adult mental health services, how is compulsory treatment and 'control and restraint' used in different settings and what is the impact on the service user?
Any explanatory notes
(if applicable)
Why this is important:- Qualitative research and experience surveys suggest that service users experience many problems relating to compulsory treatment and the use of control and restraint. However, information is needed about current practice, which can then be used to help improve the experience of care. This question should be answered by a quantitative audit and an ethnographic study of the use of compulsion and control and restraint and its impact on the service user in a variety of locations. The audit would aim to quantify the:
• frequency of compulsion, control and restraint
• frequency of de-escalation
• record-keeping
• debriefing (individual, staff, and witnesses)
• writing own account in notes.
The ethnographic study, undertaken on the same wards, would be partly by participant observation and partly by in-depth interview, both after compulsory treatment or restraint has been used, and after discharge and at 1-year follow-up. The ethnographic study would aim to capture the impact of compulsory treatment and restraint on service user experience, and its longer-term impact.

Source guidance details

Comes from guidance
Service user experience in adult mental health: improving the experience of care for people using adult NHS mental health services
Date issued
December 2011

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No