The use of restraint was eliminated in psychiatric hospitals 200 Years ago: Why are we still using coercive practices?
In 1838, the Mechanic's Hospital in Lincoln, England announced they had eliminated the use of restraint with all residents using Moral Treatment. This methodology of meeting the needs of people affected by mental health concerns utilizing peer supports, robust data analysis and listening to the...
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Elsevier
2025-01-01
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| Series: | Social Sciences and Humanities Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590291125002025 |
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| author | Bob Bowen Bryn Esh Cadyn McKelvey Dayonna Simmons Ellie Beckner Princess Dweh |
| author_facet | Bob Bowen Bryn Esh Cadyn McKelvey Dayonna Simmons Ellie Beckner Princess Dweh |
| author_sort | Bob Bowen |
| collection | DOAJ |
| description | In 1838, the Mechanic's Hospital in Lincoln, England announced they had eliminated the use of restraint with all residents using Moral Treatment. This methodology of meeting the needs of people affected by mental health concerns utilizing peer supports, robust data analysis and listening to the patient's perspective without using restraint or seclusion spread to other parts of Europe and North America, leading to the emancipation of people from the chains of mental health treatment. However, beginning in the last part of the 19th century, the chains came back into use in the form of physical and manual restraints as well as living in abusive and neglectful environments. Almost 200 years later the broad field of mental health and disability services is again finding ways to eliminate the use of restraint and other coercive practices through Trauma Informed Behavior Supports (TIBS), and the leadership of organizations such as the American Psychiatric Nurses Association (APNA), the British Institute for Learning Disabilities (BILD) and others. The questions are: Why did restraint and other coercive practices emerge after their use had been eliminated, and what factors which led to their re-emergence are present in the 21st century and may threaten the progress made in the elimination of restraint and seclusion at this point in time? This paper will examine the points of transition between non-coercive and coercive practices and how the policies and cultural factors that led to the demise of Moral Treatment may also lead to the demise of TIBS and gives policy recommendations to prevent this from occurring. |
| format | Article |
| id | doaj-art-5ef626bffa7f44abbdaffe77ec061a10 |
| institution | OA Journals |
| issn | 2590-2911 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
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| series | Social Sciences and Humanities Open |
| spelling | doaj-art-5ef626bffa7f44abbdaffe77ec061a102025-08-20T02:10:07ZengElsevierSocial Sciences and Humanities Open2590-29112025-01-011110147410.1016/j.ssaho.2025.101474The use of restraint was eliminated in psychiatric hospitals 200 Years ago: Why are we still using coercive practices?Bob Bowen0Bryn Esh1Cadyn McKelvey2Dayonna Simmons3Ellie Beckner4Princess Dweh5Corresponding author.; Malone University, Canton, OH, USAMalone University, Canton, OH, USAMalone University, Canton, OH, USAMalone University, Canton, OH, USAMalone University, Canton, OH, USAMalone University, Canton, OH, USAIn 1838, the Mechanic's Hospital in Lincoln, England announced they had eliminated the use of restraint with all residents using Moral Treatment. This methodology of meeting the needs of people affected by mental health concerns utilizing peer supports, robust data analysis and listening to the patient's perspective without using restraint or seclusion spread to other parts of Europe and North America, leading to the emancipation of people from the chains of mental health treatment. However, beginning in the last part of the 19th century, the chains came back into use in the form of physical and manual restraints as well as living in abusive and neglectful environments. Almost 200 years later the broad field of mental health and disability services is again finding ways to eliminate the use of restraint and other coercive practices through Trauma Informed Behavior Supports (TIBS), and the leadership of organizations such as the American Psychiatric Nurses Association (APNA), the British Institute for Learning Disabilities (BILD) and others. The questions are: Why did restraint and other coercive practices emerge after their use had been eliminated, and what factors which led to their re-emergence are present in the 21st century and may threaten the progress made in the elimination of restraint and seclusion at this point in time? This paper will examine the points of transition between non-coercive and coercive practices and how the policies and cultural factors that led to the demise of Moral Treatment may also lead to the demise of TIBS and gives policy recommendations to prevent this from occurring.http://www.sciencedirect.com/science/article/pii/S2590291125002025Moral treatmentEugenicsRestraintSeclusionBehavior analysisPositive behavior support |
| spellingShingle | Bob Bowen Bryn Esh Cadyn McKelvey Dayonna Simmons Ellie Beckner Princess Dweh The use of restraint was eliminated in psychiatric hospitals 200 Years ago: Why are we still using coercive practices? Social Sciences and Humanities Open Moral treatment Eugenics Restraint Seclusion Behavior analysis Positive behavior support |
| title | The use of restraint was eliminated in psychiatric hospitals 200 Years ago: Why are we still using coercive practices? |
| title_full | The use of restraint was eliminated in psychiatric hospitals 200 Years ago: Why are we still using coercive practices? |
| title_fullStr | The use of restraint was eliminated in psychiatric hospitals 200 Years ago: Why are we still using coercive practices? |
| title_full_unstemmed | The use of restraint was eliminated in psychiatric hospitals 200 Years ago: Why are we still using coercive practices? |
| title_short | The use of restraint was eliminated in psychiatric hospitals 200 Years ago: Why are we still using coercive practices? |
| title_sort | use of restraint was eliminated in psychiatric hospitals 200 years ago why are we still using coercive practices |
| topic | Moral treatment Eugenics Restraint Seclusion Behavior analysis Positive behavior support |
| url | http://www.sciencedirect.com/science/article/pii/S2590291125002025 |
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