[Practice recommendation for administering mechanical restraint during acute psychiatric hospitalization].
OBJECTIVE
One aim of the multi-site EUNOMIA-project was to establish a European recommendation for the best clinical practice of administering coercive measures. This article reports the results on mechanical restraint.


METHODS
Local expert groups in 11 countries worked out their recommendations mostly in semi-structured group discussions. By use of a system of categories developed with a content-analytical method, these national documents were comparatively assessed, and integrated into a common clinical recommendation.


RESULTS
Legal and clinical pre-conditions for the use of mechanical restraint, specific instructions for the clinical behaviour of different professional groups, ethical issues, and procedural aspects of quality assurance are reported in detail.


CONCLUSIONS
Compared with established clinical guidelines, similarities concerning basic principles of clinical use appear to be higher than similarities concerning practical details. Future development of guidelines for the best practice of coercive measures urgently needs the use of advanced methodology.
Kallert
Thomas W
TW
Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstrasse 74, 01307 Dresden. Thomas.Kallert@mailbox.tu-dresden.de
Jurjanz
Luisa
L
Schnall
Katja
K
Glöckner
Matthias
M
Gerdjikov
Ivan
I
Raboch
Jiri
J
Georgiadou
Elena
E
Solomon
Zahava
Z
Rosa
Corrado de
Cd
Dembinskas
Algirdas
A
Adamowski
Tomasz
T
Nawka
Petr
P
Hernandez
Claudio
C
Björkdahl
Anna
A
D003068:Coercion; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D005060:Europe; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D017410:Practice Guidelines as Topic; D012149:Restraint, Physical / Q000331:legislation & jurisprudence*