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…
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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
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
Will Hall, who was diagnosed with schizoaffective disorder; talks about a time where he felt the use of restraints against him were unwarranted. He stated, “I was put in restraints - not because of anything I did but they said it was just for transporting me to the hospital”. From this it can be seen that whilst it appears there was no foreseeable danger to Hall or others around him, restraints were still used, arguably unnecessary. Hall also mentioned, “after being restrained I had nightmares that I was being raped”, this highlights the emotional effect restraints can have on a person and how if used for needless reasons, can have adverse side effects. As a result, this shows that the use of restraints in certain situations can be viewed as unethical. In February 2014, Joshua Messier died due to the use of restraints on him during a schizophrenic attack. Boston Globe told the details of the event where they stated, “his heart stopped during the guards’ effort to strap him down”, this happened due to Messier being suffocated from being pinned down in the face down restraint. Alike to Will Hall, this is another case in which the use of restraints can be seen as
This paper will clarify the practice of seclusion, its impact on patient's mental health, interventions during seclusion and another possibility to seclusion.
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 ...
Koocher, G.P., & Keith-Spiegel, P. (2008). Ethics in psychology and the mental health professions. New York, NY: Oxford University Press.