Reporting of oral chemical restraint in the Mental Health Services Monthly Statistics for England

Aims and method This study examines more than 5.8 million bed days of data from private and National Health Service care providers who contribute to the Mental Health Services Monthly Statistics in the UK. The use of oral chemical restraint is compared with provider size, and the relative use of ora...

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Main Authors: Thomas Cranshaw, Harry Matchette-Downes, Keith Reid
Format: Article
Language:English
Published: Cambridge University Press
Series:BJPsych Bulletin
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056469425000105/type/journal_article
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author Thomas Cranshaw
Harry Matchette-Downes
Keith Reid
author_facet Thomas Cranshaw
Harry Matchette-Downes
Keith Reid
author_sort Thomas Cranshaw
collection DOAJ
description Aims and method This study examines more than 5.8 million bed days of data from private and National Health Service care providers who contribute to the Mental Health Services Monthly Statistics in the UK. The use of oral chemical restraint is compared with provider size, and the relative use of oral chemical restraint as opposed to seclusion is investigated. Results The data-set has large amounts of missing data. The use of oral chemical restraint is proportional to provider size in terms of bed days. Analysis of those providers who reliably submit data demonstrates patterns of reported use of oral chemical restraint versus use of seclusion. Clinical implications Further research is required into the institutional characteristics that are correlated with increased use of oral chemical restraint. Efforts to investigate the use of restrictive interventions in mental health settings are frustrated by inconsistent reporting.
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publisher Cambridge University Press
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spelling doaj-art-3afe59fbc69c463fa3b8566ab563b7d22025-08-20T02:56:02ZengCambridge University PressBJPsych Bulletin2056-46942056-47081510.1192/bjb.2025.10Reporting of oral chemical restraint in the Mental Health Services Monthly Statistics for EnglandThomas Cranshaw0https://orcid.org/0000-0002-9845-0805Harry Matchette-Downes1Keith Reid2Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UKIndependent Data Scientist, UKCumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UKAims and method This study examines more than 5.8 million bed days of data from private and National Health Service care providers who contribute to the Mental Health Services Monthly Statistics in the UK. The use of oral chemical restraint is compared with provider size, and the relative use of oral chemical restraint as opposed to seclusion is investigated. Results The data-set has large amounts of missing data. The use of oral chemical restraint is proportional to provider size in terms of bed days. Analysis of those providers who reliably submit data demonstrates patterns of reported use of oral chemical restraint versus use of seclusion. Clinical implications Further research is required into the institutional characteristics that are correlated with increased use of oral chemical restraint. Efforts to investigate the use of restrictive interventions in mental health settings are frustrated by inconsistent reporting. https://www.cambridge.org/core/product/identifier/S2056469425000105/type/journal_articleData visualisationepidemiologyhuman rightsmental health servicesregister-based epidemiology
spellingShingle Thomas Cranshaw
Harry Matchette-Downes
Keith Reid
Reporting of oral chemical restraint in the Mental Health Services Monthly Statistics for England
BJPsych Bulletin
Data visualisation
epidemiology
human rights
mental health services
register-based epidemiology
title Reporting of oral chemical restraint in the Mental Health Services Monthly Statistics for England
title_full Reporting of oral chemical restraint in the Mental Health Services Monthly Statistics for England
title_fullStr Reporting of oral chemical restraint in the Mental Health Services Monthly Statistics for England
title_full_unstemmed Reporting of oral chemical restraint in the Mental Health Services Monthly Statistics for England
title_short Reporting of oral chemical restraint in the Mental Health Services Monthly Statistics for England
title_sort reporting of oral chemical restraint in the mental health services monthly statistics for england
topic Data visualisation
epidemiology
human rights
mental health services
register-based epidemiology
url https://www.cambridge.org/core/product/identifier/S2056469425000105/type/journal_article
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