The essay tittle is asking about whether it is morally or professionally right to use force to prevent people suffering from mental health disorder from causing harm to themselves or other people around them. The main points about this essay title are the keywords that are; ethical, restraint and treatment of mental illness. The definition or the meaning of the keywords will be the first point of my research. My initial questions, thoughts and ideas about this question are, why are there so many disagreements about restraint and why is it still legal. I will do more research to find out about why, how and when restraint can be used and the good and the bad of it. I will also need to find out the safety aspect of it, so I can analyse it and write my view …show more content…
(2013). Mental Health crisis care: Physical restraint in crisis. Available: http://www.mind.org.uk/media/197120/physical_restraint_final_web_version.pdf. Last accessed 15th Nov 2015.
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Solitary confinement has the ability to shatter even the healthiest mind when subjected to indefinite lockdown, yet the mentally ill, who are disproportionately represented in the overall prison population, make up the majority of inmates who are held in that indefinite lockdown. Within your average supermax prison in which all inmates are subjected to an elevated form of solitary confinement, inmates face a 23-hour lockdown, little to no form of mental or physical stimulation that is topped off with no human interaction beyond the occasional guard to inmate contact. It is no wonder ‘torture’ is often used synonymously to describe solitary confinement. For years, cases arguing against solitary confinement have contested against its inhumane
Hanks, R.. (2008). The Lived Experience of Nursing Advocacy. Nursing Ethics, 15(4), 468-77. Retrieved February 27, 2012, from Research Library. (Document ID: 1486004371).
Metzner, J. L., & Fellner, J. (2010). Solitary Confinement and Mental Illness in U.S. Prisons: A Challenge for Medical Ethics. The Journal of the American Academy of Psychiatry and the Law, 38(1), 104-108.
This literature review is focusing on discussing the effects of seclusion and restraints on treatment consequences of patients in mental health area. Seclusion and Restraint are used for controlling the behavioral patterns of the mentally ill patients in different surroundings consisting of psychiatric management facilities and hospitals (Kentley, 2009). Over past decade, comprehensible consensus has come out that seclusion and restraints are secure interventions of last alternative and application of those interventions should and can be diminished significantly (Knight, 2011). However, recent studies indicated that it is traumatic for patients experiencing or witnessing restraint and seclusion traumatic; patients can feel high levels of anxiety, fear, and anger once aware that restraint is going to take place, sometimes it could resulting in an exacerbation of patient’s mental status (Stewart et al, 2010). Due to the humanitarian, ethical, and legal issues which could lead to, seclusion and restraints are known as the most controversial management strategies (Holmes, Kennedy & Perron, 2004). Previous studies and researches could not analyze this topic adequately; thus, further researches and studies related to the effects and risk managements of using seclusions and restrains will be discussed in below.
Spencer, Susan. “Mental Health First Aid: A Concept Whose Time Has Come.” Worcester Telegram & Gazette [Massachusetts] 15 Jan. 2014: n. pag. NewsBank Special Reports. Web. 7 Apr. 2014.
Assaults in the healthcare setting are recognized as a growing problem. In considering the violence and aggression in mental health units, the larger issue of violence and aggression in mainstream culture must not be ignored. It has been observed that physical attack in a mental health unit setting appear to be happening more frequently while the attacks include patient-to patient and patient-to-staff aggressive behavior. Most commonly, reporting of aggressive behavior toward healthcare staff is noted; however, it cannot be completely explained by patient characteristics or staff member behaviors (Foster, Bowers, & Nijman, 2006). To improve patient control of aggression and violence, an organization must better define the management and reporting of this behavior, identify appropriate management programs and training, and evaluate the frequency and precipitants.
Thousands of people statewide are in prisons, all for different reasons. However, the amount of mental illness within prisons seems to go unaddressed and ignored throughout the country. This is a serious problem, and the therapy/rehabilitation that prison systems have do not always help those who are mentally ill. Prison involvement itself can contribute to increased suicide (Hills, Holly). One ‘therapy’ that has increased throughout the years has been the use of solitary confinement, which has many negative effects on the inmates.
Burkhardt, M. A., & Nathaniel, A. K. (2014). Ethics & issues in contemporary nursing (4th ed.). Stephan Helbra.
Though not all mental health clients are not violent most if not all community agencies have safety plans for preventive measures. Worksite analysis is the primary focus of finding out what areas can be additionally dangerous to clients and staff for hazard prevention controls. Employer and counselor training on work place violence and education on preventative measures such as drills, orientation, and in-services. Anti-violence prevention and general staff involvement in community resources so they are knowledgeable and informed about issues, crisis situations, and referrals.
Solitary confinement is occasionally used in most prison systems as a means to maintain prison order: as disciplinary punishment or as an administrative measure for inmates who are considered an escape risk or a risk to themselves or to prison order in general. Some inmates, for example, sex offenders, choose voluntary isolation to avoid harassment from other prisoners. Solitary confinement is popular in America. Solitary confinement is dangerous in its own right. It deprives prisoners of their constitutional rights, and it creates a more dangerous world for all. Supermax prisons remain a major part of the problem, and given that they have shown no ability to hold prisoners without subjecting those prisoners to unconstitutional and unethical
Certainly, some of these causes cannot be eliminated by nurses or even hospital administrators. For instance, one should mention the characteristics of patients who may be profoundly affected by physical pain. Similarly, their relatives inevitably struggle with intense emotional suffering. Nevertheless, in many cases, it is possible to reduce the risk of violence. Much attention should be paid to the efficiency of policies adopted in the hospital. There are several interventions that healthcare organizations should consider. In particular, it is necessary to reduce the waiting time in hospitals. This improvement is critical to alleviating the stress that patients and their relatives may experience. One should concentrate on emergency departments because physical violence is more widespread in these areas. Hospital administrators need to take several steps to achieve this goal. In particular, they should simplify registration procedures. For instance, patients can be registered directly at their bedsides. This step can remove bureaucratic barriers that often make patients very irritable. Furthermore, it is vital to ensure that the hospital is adequately staffed because the shortage of personnel can lead to the conflicts between patients and medical
Necessary Behavioral Mental Health intervention does not end at the point first responders have successfully contained the actual crisis. The ongoing need for Behavioral Mental Health services will continue for an extended length of time when a traumatic event such as that depicted in the scenario occur. A copious number of individuals will have ...
Many of these unfortunate symptoms are especially worrisome for mentally ill inmates. Because the prevalence of mental illness in supermax facilities is not known, the effects of solitary confinement on the mentally ill must be gleaned from multiple sources. The state of our knowledge is more than sufficient to cause distress, however. According to one researcher: Solitary confinement cells are grossly inappropriate for the mentally ill. . . These cells are constructed to minimize sensory input of any kind to the inmate. They provide the type of atmosphere that produces sensory deprivation stress or psychotic reactions, particularly in inmates who are borderline or overtly psychotic. The empirical evidence supports this contention, as well as the conclusion that solitary confinement may have deleterious effects on non- mentally ill inmates.” (Law and Psychology Review pgs. 213-214) Inmate mental health is a complex issue. Most correctional facilities lack the onsite staff needed to provide continuous mental health treatment. This critical personnel shortfall is an ongoing
One of the goals of nursing is to respect the human rights, values and costumes of a patient and his or her family and with the community as a whole. The International Council of Nurses states that nursing practice can be defined generally as a dynamic, caring, helping relationship in which the nurse assists the client to achieve and maintain optimal health. As health care providers, we have some fundamental responsibilities such as to promote health, to prevent illnes...
Koocher, G.P., & Keith-Spiegel, P. (2008). Ethics in psychology and the mental health professions. New York, NY: Oxford University Press.