Citation

Moylan LB. J. Psychosoc. Nurs. Ment. Health Serv. 2009; 47(3): 41-47.

Affiliation

Molloy College, Rockville Centre, New York 11571-5002, USA. lmoylan@molloy.edu

Copyright

(Copyright © 2009, Healio)

DOI

unavailable

PMID

19361014

Abstract

Despite the many advances in psychiatry, violence in acute care settings continues and may be increasing. This is particularly problematic, considering the desire of mental health professionals to attain the goal of a restraint-free environment. Respecting the inherent worth, dignity, and autonomy of the patient is necessary if a therapeutic outcome is to be achieved; however, protecting the safety of the patient, other patients, and the caregivers is of no less importance, yet this responsibility also carries with it legal and ethical implications. Balancing these two responsibilities can be realized even in a situation where supportive therapeutic interventions have been ineffective in de-escalation of an aggressive patient. When used with a compassionate, humanistic approach, restraint can achieve a therapeutic outcome for the patient while protecting the safety of others.

Language: en