Banning prone restraint in Wales?

[andy]

It would appear that the Welsh Assembly is proposing a ban of prone holds. Whilst, I would obviously applaud such a decision I am unclear whether this is a total or qualified ban

[anon_e-mouse]

almost six months have passed since talk that the welsh were planning a ban.
In scotland this came out in december which doesnt look like it will help
http://www.nes.scot.nhs.uk/docs/news/FINAL_DOC_FOR_PUBLICATION_NOV05.doc
any good news on progress?

[delh]

The Welsh Assembly Government published its "Framework for Restrictive Physical Intervention Policy and Practice" in March of 2005!!

This excellent and ground-breaking document issued expectations for services working with “children, young people, adults and older people in health, education and social care settings“ (ie everyone in any care setting in Wales!).

It states that
“techniques reliant on pain” should be avoided, and that, crucially, “under no circumstances should any individual ever be restrained in a face down position”.

Unfortunately, I believe many services, inluding care providers, hospitals and trainers are wholly ignorant of the document and its implications.
Studio III, of course, wholly support the Guidance (which, like its English predecessor, the Dept. of Health Guidance 2002, also places huge emphasis on avoidance, planning, training etc). We are cuerrently looking into how strong the Guidance is in legal terms, and how it is being implemented and publicised.
Wales may be the place to be in care!!
Cymru am Byth!!

[bethr]

Del, (or anyone else out there!)

can you please clarify - if it is 'framework' is it a legal requirement? And if it is, who monitors it and how? And does it apply to prisons and secure units? If not why not, as they are also service providers?

Just a few things!!

[forumAdmin]

I believe some clarification is forth coming

please see

http://studio3.org/members/showthread.php?t=355

[bethr]

As an aside, and to follow on fro some of the information Del gave on another thread - at the Autism Conference in Cardiff last week, very few people were aware of the guidance re:banning prone restraint in Wales. If people know nothing about it how can it possibly occur, and how is it monitored? I think i have asked this before, but does anyone know the answer??!

[delh]

The answer (at least, for now) is that the Care Standards and Healthcare Inspectorates should be checking and ensuring implementation of the Framework. Although I'm sure there are some excellent inspectors out there, I am aware that in certain settings, most notably mental health (hospital & residential), pain compliance and floor restraint are allowed to remain the norm.

Apparently, a range of services in Wales are "up in arms" over the removal of the option of face down restraint, despite all of the recent outcry involving deaths involving such holds (including one in Swansea). It would seem that they are then choosing to completely ignore the Framework!
How this will be dealt with by the "powers that be" will hopefully be explored more fully at Studio III's forthcoming one day seminar on the subject!

Follow this link.....
http://studio3.org/members/showthread.php?t=355

[on the edge]

Where I work in the US we do not can not use prone or supine restraint. We use de escalation techniques and restraint as a last resort. We only use standing or sitting restraint, there is always an observer who is not involved in the restraint, but is trained in restraint use. A 4 day class for anyone involved in restraint use.(not by u-tube)We only use restraint in the most serious cases of self injury or severe aggression.We do not have time out or seclusion rooms as that is considered too dangerous and not therapeutically helpful to any individual with behavioral challenges. We always try to use positive behavioral support for people so as to increase trust between staff and our clients because its impossible to make any progress without trust, and even people with very limited ability to communicate can build trust if treated with dignity and respect.Staff members need to remember that we are building relationships but it takes time and that it is not a reciprocal relationship meaning that as staff we need to form the type of relationship that does not cause harm but we cannot take what they say or do personally. This is not easy, to build a relationship that is mostly one sided but can be very successful, especially with Dual diagnoses individuals.I deal with both Autistic children and borderline personality disorders Both very different but TRUST is very important in dealing with both, although in may manifest success in different manners.

[robw]

Where I work in the US we do not can not use prone or supine restraint.

Dear "on-the-edge". I'm interested is this just a policy of your "service" or is it a state-wide policy? In any case how long has it been so and what is the picture else where across the USA?

I agree with the your position though - building trust, dignity and relationships must be the central priorities when supporting individuals that challenge. Thanks for your post.

[forumAdmin]

Has anyone looked at the National Patient Safety site... . .. ..

This has been moved to
http://studio3.org/members/showthread.php?t=1912

[diecredewhile]

I was reading anarticle which claims that over the past forty years over 2533 people have died in settings such as prisons, secure hospitals, immigration detention centres and police custody, thats 63/64 people a year, 1 this week somewhere and next week
How many have died who are not in these settings?
To me it is staggering that we still allow floor restraint at all.
I also believe that one LHB in wales has banned all floor restraint When I confirm this I will post the LHB name and I think we should email them in support

[inciree09]

Maybe he is earning enough that it will give more merit in banning the whole country which is much faster to do.