ABSTRACT
This volume explores different models of regulating the use of restrictive practices in health care and disability settings.
The authors examine the legislation, policies, inspection, enforcement and accreditation of the use of practices such as physical, mechanical and chemical restraint. They also explore the importance of factors such as organisational culture and staff training to the effective implementation of regulatory regimes. In doing so, the collection provides a solid evidence base for both the development and implementation of effective approaches to restrictive practices that focus on their reduction and, ultimately, their elimination across health care sectors. Divided into five parts, the volume covers new ground in multiple respects. First, it addresses the use of restrictive practices across mental health, disability and aged care settings, creating opportunities for new insights and interdisciplinary conversations across traditionally siloed sectors. Second, it includes contributions from research academics, clinicians, regulators and mental health consumers, offering a rich and comprehensive picture of existing regulatory regimes and options for designing and implementing regulatory approaches that address the failings of current systems. Finally, it incorporates comparative perspectives from Australia, New Zealand, the Netherlands, Germany and England.
The book is an invaluable resource for regulators, policymakers, lawyers, clinicians, consumer advocates and academics grappling with the use and regulation of restrictive practices in mental health, disability and aged care contexts.
TABLE OF CONTENTS
part I|38 pages
Background
part II|100 pages
Designing legislation and policy to support change
chapter 4|23 pages
The regulation of restrictive practices on people with intellectual impairment
chapter 5|28 pages
Beyond restraint
part III|77 pages
Implementing and monitoring reform
chapter 8|19 pages
Queensland's new physical restraint framework
chapter 9|15 pages
Showing restraint
part IV|76 pages
Changing culture and practice
chapter 11|17 pages
The intractable use of restraint, organisational culture and 'othering'
chapter 12|21 pages
Being recovery-oriented and reducing the use of restrictive interventions in mental health care
chapter 13|18 pages
Psychotropic use in Australian aged care homes
chapter 14|18 pages
Engaging doctors to reduce restraint
part V|9 pages
Conclusions