Use Of Restraints In Supported Living

Restraint in supported living should only be used as a last resort and under very specific circumstances. The primary goal should always be to de-escalate situations and find alternative solutions to manage challenging behaviours.

Legal Framework:

In the UK, the use of restraint is governed by the Mental Capacity Act 2005 and the Human Rights Act 1998. Restraint can only be used if it is:

  • Necessary: To prevent harm to the person being restrained or others.
  • Proportionate: The least restrictive option available in the circumstances.
  • In the best interests: Of the person being restrained, considering their individual needs and preferences.
  • Authorized: By a qualified professional, such as a doctor or mental health practitioner.

The Humility of Ignorance

Specific Circumstances:

Restraint might be considered in supported living when:

  • Risk of serious harm: There is an immediate and significant risk of serious harm to the person or others, and other de-escalation methods have failed.
  • Mental health crisis: The person is experiencing a mental health crisis and is unable to make decisions about their own safety.
  • Emergency situations: In rare emergency situations, such as a fire or natural disaster, where restraint is necessary for the person’s evacuation or safety.

Alternatives to Restraint:

Before resorting to restraint, it is essential to explore all alternative options, such as:

  • De-escalation techniques: Verbal and non-verbal communication strategies to calm the situation.
  • Positive behaviour support: Proactive strategies to identify triggers and prevent challenging behaviours.
  • Environmental modifications: Adjusting the environment to reduce stress and promote calm.
  • Medication: In some cases, medication may be prescribed to manage underlying mental health conditions.

Safeguarding and Reporting:

If restraint is used, it must be documented thoroughly and reported to the relevant authorities. The person being restrained should also be offered support and counselling after the incident.

The use of restraint in supported living is a complex and sensitive issue. It is crucial to have clear policies and procedures in place, as well as well-trained staff who are knowledgeable about the legal and ethical considerations. Regular reviews and training are essential to ensure the safe and appropriate use of restraint as a last resort.