New report: “Seclusion and restraint should be a last resort”

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The NSW Government has released the independent Review of seclusion, restraint and observation of consumers with a mental illness in NSW Health facilities by the state’s chief psychiatrist, Dr Murray wright, and a panel of five mental health experts.

Minister for Health Brad Hazzard and Minister for Mental Health Taya Davies confirmed all 19 recommendations have been accepted, to prevent the inappropriate use of seclusion and restraint in acute mental health units and emergency departments.

“The tragic passing of Miriam Merten in Lismore was the catalyst for an independent review led by Dr Wright who reached out to health professionals, consumers and their support networks to determine what changes there should be in our mental health system,” Mr Hazzard said.

“Our Local Health Districts will bring about change in practices and procedures, the message from the review is loud and clear – seclusion and restraint of mental health patients should be a last resort.

Mental health units will receive funding so hospital managers can work with their staff to improve the therapeutic environment inside acute mental health units.

Mrs Davies said there will also be a review of the use of safe assessment rooms in emergency departments.

“The Review reinforced the vital therapeutic and trauma informed care plays in preventing the use of seclusion and restraint.  We must now ensure every member of our workforce id confident with and trained in these care models, and it is embedded in all aspects of leadership,” Mrs Davies said.

“Seclusion and restraint incidents have been gradually declining since 2011 and once we begin implementing the Review’s recommendations, we expect this trend to accelerate.

“This has been a difficult process for many consumers, their families, mental health workers and the review team and we would like to sincerely thank you for your honesty and courage during this process.”

The report can be viewed online at: