Restrictive practices in mental health settings – such as physical restraint and seclusion – are meant to be a last resort, used only when patients pose a risk to themselves or others.
In 2021 and 2022 alone, NHS England reported that 6,600 mental health patients were subjected to physical restraint, and 4,500 to seclusion. Figures such as these have led numerous experts and policymakers to conclude that restrictive practices are overused in mental health inpatient settings.
The consequences can be devastating. Restrictive practices are associated with trauma, worsening mental health, and even death. For decades, clinicians, researchers and policymakers have called for their reduction. Progress, however, remains painfully slow.
