National Preventive Mechanism
The CPT standards stipulate that when restraining a patient, attention should
be made to ensure that they do not feel humiliated and that this feeling should
not be exacerbated by the way in which the restraint is applied.
Compliance with these human rights standards is still not always guaranteed
in psychiatric medical facilities and wards.
Restraints in beds in
hallways
In a psychiatric ward of Hall Regional Hospital, for example, Commission 1
observed that restraints are not carried out in a suitable environment but in
the hallways of the locked area of the psychiatric ward. Restraining patients in
beds in hallways is not acceptable on human rights grounds, since the privacy
and personal space of those affected cannot be safeguarded.
Other patients can be frightened and traumatised by witnessing coercive
measures.
One-point restraint as
life-threatening
measure
Furthermore, Commission 1 strongly emphasised that the exclusive use
of an abdominal restraint (one-point restraint) must be rejected due to the
risk of strangulation. The restraint manufacturer also points this out and
recommends the application of a five-point restraint in general.
As operators of Hall Regional Hospital, the Tyrol clinics reacted to this criticism
by admitting that the relevant psychiatric ward no longer complies with
modern requirements in terms of room partitioning and functionality; the last
time the ward was renovated was about 20 years ago. This is why the sanitary
fittings in the ward are no longer up-to-date.
Within the framework of a structural redesign a new concept should thus be
drawn up to avoid caring for patients in beds in hallways. Furthermore, it was
agreed to ban measures by means of abdominal restraint and to forbid the
same in the ward in general. The measures that restrict freedom which have
been carried out should also be statistically analysed and evaluated in order
to improve the care situation in particular.
XX
Measures that restrict freedom must be carried out in a suitable environment and may,
on no account, be carried out in the hallway or where they can be seen by other patients.
XX
One-point restraints must be stopped due to the risk of strangulation.
130
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