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How restraint should be used
47.
Over the years, many patients have talked to CPT delegations about their
experiences of being restrained. Patients have repeatedly said that they felt the whole ordeal to
be humiliating, a feeling at times exacerbated by the manner in which the restraint was
applied.
For the staff of a psychiatric hospital, it should be of the utmost concern that the
conditions and circumstances surrounding the use of restraint do not aggravate the mental and
physical health of the restrained patient. This implies, inter alia, that previously prescribed
therapeutic treatment should, as far as possible, not be interrupted and that substancedependent patients should receive adequate treatment for withdrawal symptoms. Whether
these symptoms are caused by deprivation of illegal drugs, nicotine or other substances should
not make any difference.
48.
In general, the place where a patient is restrained should be specially designed for
that specific purpose. It should be safe (e.g. without broken glass or tiles), and enjoy
appropriate light and adequate heating, thereby promoting a calming environment for the
patient.
Further, a restrained patient should be adequately clothed and not exposed to other
patients, unless he/she explicitly requests otherwise or when the patient is known to have a
preference for company. It must be guaranteed in all circumstances that patients subject to
means of restraint are not harmed by other patients. Of course, staff should not be assisted by
other patients when applying means of restraint to a patient.
When recourse is had to restraint, the means should be applied with skill and care in
order not to endanger the health of the patient or cause pain. Vital functions of the patient,
such as respiration, and the ability to communicate, eat and drink must not be hampered. If a
patient has a tendency to bite, suck or spit, potential damage should be averted in a manner
other than by covering the mouth.
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