title: [Practice recommendation for administering mechanical restraint during acute psychiatric hospitalization].
abstract: 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.
authors: 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
authors: Thomas W
authors: TW
authors: Kallert
authors: Luisa
authors: L
authors: Jurjanz
authors: Katja
authors: K
authors: Schnall
authors: Matthias
authors: M
authors: Glöckner
authors: Ivan
authors: I
authors: Gerdjikov
authors: Jiri
authors: J
authors: Raboch
authors: Elena
authors: E
authors: Georgiadou
authors: Zahava
authors: Z
authors: Solomon
authors: Corrado de
authors: Cd
authors: Rosa
authors: Algirdas
authors: A
authors: Dembinskas
authors: Tomasz
authors: T
authors: Adamowski
authors: Petr
authors: P
authors: Nawka
authors: Claudio
authors: C
authors: Hernandez
authors: Anna
authors: A
authors: Björkdahl
mesh_terms: 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*