Article

Corrupted cultures in mental health inpatient settings. Is restraint reduction the answer?

Details

Citation

Paterson B, McIntosh I, Wilkinson D, McComish A & Smith I (2013) Corrupted cultures in mental health inpatient settings. Is restraint reduction the answer?. Journal of Psychiatric and Mental Health Nursing, 20 (3), pp. 228-235. http://www.scopus.com/inward/record.url?partnerID=yv4JPVwI&eid=2-s2.0-84874673305&md5=8ace8fe36b153d2e348f7a7003625c1f; https://doi.org/10.1111/j.1365-2850.2012.01918.x

Abstract
The early years of the 21st century have seen successful efforts in a number of countries to reduce the use of restraint in services for people with mental health problems. An underlying emphasis on ‘cultural change' is characteristic of such initiatives reflecting, it appears, the re-emergence of interest in the therapeutic milieu. Such efforts have though lacked a comprehensive explanation of how organizational culture plays a role in the development of the excessive use of restraint, which seems to respond to such initiatives. This paper seeks to address that deficit and draws in particular on the concepts of corrupted culture, institutional violence, trauma, parallel processing and contemporary research on restraint and seclusion reduction. In doing so it examines whether restraint reduction initiatives represent part of the solution to the problem of corruption, which is intrinsically associated with the legitimatization of coercion.

Keywords
coercion; restraint; social policy; systems of care; trauma; Cultural psychiatry

Journal
Journal of Psychiatric and Mental Health Nursing: Volume 20, Issue 3

StatusPublished
Publication date30/04/2013
Date accepted by journal28/03/2012
URLhttp://hdl.handle.net/1893/12806
PublisherWiley-Blackwell
Publisher URLhttp://www.scopus.com/…348f7a7003625c1f
ISSN1351-0126

People (1)

People

Dr Ian McIntosh
Dr Ian McIntosh

Senior Lecturer, Sociology, Social Policy & Criminology