Restraint & seclusion - oldschoolmentalnurse.co.uk

The reasons why… Pt 3

Oct 1, 2026

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in Restraint & seclusion, Safe in their ivory towers, The state of play you are paying for, Unsustainable, Violence

Ok, I’m spending one more post (for now) driving a stiletto into this one-sided, hopelessly biased WHO document. World Health Organization & Office of the High Commissioner for Human Rights . 2023. Mental Health, Human Rights and Legislation: Guidance and Practice. World Health Organization. Stay with me. There’s one more reason in this strand. I…

The reasons why… Pt 2

Sep 28, 2026

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oldschoolmentalnurse@outlook.com

in Restraint & seclusion, Safe in their ivory towers, The state of play you are paying for, Unsustainable, Violence

Ok, here is the clue. (WHO and Office of the High Commissioner for Human Rights 2023). The link sends you to this 2023 document. World Health Organization & Office of the High Commissioner for Human Rights . 2023. Mental Health, Human Rights and Legislation: Guidance and Practice. World Health Organization. Don’t click on that link…

The reasons why Britain’s laws and government are so generous to violent patients (and prisoners) and so harmful to staff working in mental hospitals (and prisons.) Pt 1.

Sep 20, 2026

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oldschoolmentalnurse@outlook.com

in Restraint & seclusion, Safe in their ivory towers, The state of play you are paying for, Unsustainable, Violence

An unwieldy title I’ll have to shorten. Have you ever wondered, not only why Britain’s laws and government have been made so generous to violent patients, but also why so many other countries changed their own laws, at the same time, citing the same reasons and aims? Obviously, I have. I’ve been scratching my head…

The state of play you are paying for Pt 3b

Sep 16, 2026

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oldschoolmentalnurse@outlook.com

in It’s a crap job now, Mental hospitals, Restraint & seclusion, The state of play you are paying for, Violence

Ok, back to the wretch. Read any account of an abused wife at the hands of a skilled, psychopathic abuser and you’ll see the same behaviour. Next morning, when he unlocks her from the wardrobe and makes her empty the bucket she had to use as a toilet, he is all smiles and sweetness and…

The state of play you are paying for now Pt 3a

Sep 12, 2026

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oldschoolmentalnurse@outlook.com

in It’s a crap job now, Mental hospitals, Restraint & seclusion, The state of play you are paying for, Violence

A long term patient with a long forensic hx but now on a back-ward was on two cigarettes a day. (That’s harmful in itself because the patient’s nicotine addiction is not being satisfied. That’s another story.) He demanded another when he’d already smoked them both. Told ‘no’, he attacked the female nurse, got on top…

How to get there from here 3. Protection Pt 2.

Aug 30, 2026

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oldschoolmentalnurse@outlook.com

in Community mental nursing, It’s a crap job now, Mental hospitals, Restraint & seclusion, Violence, What should be done differently?

Some suggestions for drastic changes in the law. 1. Instant, compulsory, guaranteed life in prison (*c) sentence for any murder of a community staff. I don’t include inpatient staff in this, only because sectioned patients are harder to send to prison and other disposals are available. 37/41 at minimum IMHO. *c) Oh, alright, I suppose…

How to get there from here Pt 1a. Recruitment.

Aug 15, 2026

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oldschoolmentalnurse@outlook.com

in It’s a crap job now, Restraint & seclusion, Violence, What should be done differently?

I know a hospital that has – by its management’s anti-seclusion and you-mustn’t-restrain-patients crusade – made its wards so violent and unsafe that as soon as a community post comes up, everybody working a ward job wants to escape there. (Don’t bother searching for it in the MSM, this type of news doesn’t get reported…

Seclusion Pt 3

Jul 7, 2026

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oldschoolmentalnurse@outlook.com

in It’s a crap job now, Mental hospitals, Restraint & seclusion, Violence, What should be done differently?

Ok, so now you know how impossible the workload becomes when we have to seclude. I’ll write a second post about the additional demands after we give RT. But you don’t know why. And you never will know if you rely on official explanations. This one – from an abstract – is a perfect example.…

Themes you’ll see recurring .. Pt 2.

Jul 3, 2026

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oldschoolmentalnurse@outlook.com

in It’s a crap job now, Mental hospitals, Restraint & seclusion, The state of play you are paying for, Violence, What should be done differently?

I’m remembering as I write, a funny example of that. (Confronting a pt with their own behaviour) This patient (given a diagnosis of paranoid psychosis but over the several years I nursed him, I concluded it was paranoid personality disorder) was in seclusion for attacking someone. By then, nurses had to conduct regular reviews and…

Seclusion Pt 2

Jun 28, 2026

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oldschoolmentalnurse@outlook.com

in Mental hospitals, Restraint & seclusion, Violence, What should be done differently?

I’ll list one or two more unnecessary and time-wasting demands before I move on. 1. ‘Risk must be reviewed hourly’ – not too onerous, you might think, except – ‘it must be documented.’ And they want your name on it. More time wasting for anyone who’s not that hot with words. This policy’s ‘owner’ (that’s…

Category: Restraint & seclusion