Tag Archives: Restraint

Refusal and Resistance to Care in People With Dementia in Acute Hospitals (Patient Experience Library / NIHR / International Journal of Nursing Studies)

Posted on August 16, 2019 by Dementia and Elderly Care News

Summary Patients with dementia often have a poor experience of care in hospitals. Some hospitals are better than others, almost certainly, thanks to improvements in dementia-friendly hospital care, appropriate staff training and dementia awareness raising; however certain problems may persist … Continue reading →

Posted in Acute Hospitals, Commissioning, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, NHS, NIHR, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, UK, Universal Interest, Wales | Tagged Abuse of Vulnerable Adults, Acute Care, Acute Hospital Care, Acute Hospitals, Acute Medical Ward for Dementia, Adult Safeguarding, Aneurin Bevan University Health Board, Avoidable Harm, Avoidable Hospital Mortality, Avoiding Long Hospital Stays, Cardiff, Cardiff University, Carers UK, Compassionate Care, Culture of Compassionate Care Versus Routine-Based Ward Culture, De Montfort University, De-Escalation Techniques, Deconditioning in Hospital, Delivering Safe and Compassionate Care, Dementia Awareness, Dementia Awareness Training, Dementia Training, Dementia Training for NHS Staff, Dementia UK, Department of Medicine for Older People Rehabilitation and Stroke: Portsmouth Hospitals NHS Trust, Deprivation of Liberty Safeguards, Deprivation of Liberty Safeguards (DoLS), DoLS in Hospitals, Education and Staff Training, Emergency Readmissions, Emergency Readmissions to Hospital, Ethical Considerations, Ethical Dilemmas, Ethnographic Research, Faculty of Health Sciences: University of Southampton, Fixed Timetables of Care (Potential Harms), Hermeneutic Approaches, Hospital Culture, Hospital-Acquired Deconditioning, Hospital-Associated Deconditioning, Hospital-Related Deconditioning, Improving Patient Experience, Improving Patient Safety, International Journal of Nursing Studies, Length of Hospital Stay, Length of Stay (LoS), Local Ward Cultures, Long Hospital Stays, National Institute for Health Research (NIHR), National Institute for Health Research (NIHR) Service Delivery and Organisation (SDO), NIHR CLAHRC Wessex, NIHR CLAHRC Wessex: Innovation Centre, NIHR Health Services Delivery Research, NIHR Journals Library, NIHR Service Delivery and Organisation Programme, Patient Expectations, Patient Experience, Patient Experience Library, Patient Safety, Planned Personal Care (Timetabled), Qualitative Health Research, Qualitative Research, Qualitative Studies, Queen Alexandra Hospital: Portsmouth Hospitals NHS Trust, Re-Admissions to Hospitals, Readmissions to Hospital, Reducing Avoidable Harm, Reducing Avoidable Premature Mortality, Reducing Health Inequalities, Reducing Length of Hospital Stay, Reducing Re-Admissions to NHS Hospitals, Refusal and Resistance to Care Among People With Dementia in Acute Hospitals, Research and Innovation Department: Portsmouth Hospitals NHS Trust, Resistance Refusal or Rejection of Care by People Living With Dementia, Restraint, Restraint and Restrictions, Restraint in Hospital Settings, Restrictive Practices, Rigid Routines, Routines-Based Hospitals Culture, Safeguarding, Safeguarding Adults at Risk, School of Allied Health Sciences: De Montfort University, School of Health Sciences and Social Work: University of Portsmouth, School of Health Sciences: University of Southampton, School of Healthcare Sciences: Cardiff University, Timetabled Mealtimes, Timetabled Medication Rounds, Training and Education, Understanding Refusal and Resistance to Care, University of Portsmouth, University of Southampton, Workforce Education | Leave a comment

CQC Interim Report on Restrictive Interventions in Mental Health, Learning Disabilities or Autism Care Institutions (BBC News / CQC / DHSC / NHS England / Children’s Commissioner / HQIP)

Posted on May 24, 2019 by Dementia and Elderly Care News

Summary The Care Quality Commission (CQC) has released an interim report on the persistence of restraint, seclusion and segregation in the care of people with a mental health problems, learning disabilities and / or autism. Full Text Link Reference Triggle, … Continue reading →

Recent Information on Restraint in Mental Health Trusts, Plus Statistics on Other Safeguarding Topics (BBC News / NHS Digital)

Posted on November 21, 2017 by Dementia and Elderly Care News

Summary Freedom of information requests made by the Liberal Democrats have revealed that the use of restraint by mental health trusts in England has increased yearly since 2013, despite repeated calls over recent years for restraint to be minimised. It … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, Mental Health, National, NHS, Person-Centred Care, Quick Insights, Standards, Stroke, UK, Universal Interest | Tagged Abuse, Abuse of Vulnerable Adults, Acute Care, Adult Safeguarding, Adult Safeguarding Concerns and Enquiries, Adult Social Care Analytical Hub, Avoidable Harm, Community and Mental Health Trusts, Councils with Social Services Responsibilities, Culture of Zero-Harm, De-Escalation Techniques, Deprivation of Liberty Safeguards, Deprivation of Liberty Safeguards (DoLS), DoLS in Hospitals, Dr Sridevi Kalidindi: Royal College of Psychiatrists, Ethical Considerations, Ethical Dilemmas, Ethics and Decision-Making, Experimental Statistics, Face-Down Restraint, FOI: Freedom of information, Freedom of Information, Government Policy on Adult Safeguarding, Harm Free Care, Human Rights, Human Rights and Nursing, Identification and Reporting of Problems, Incident Reporting, Least Restrictive Principle, Liberal Democrat MP Norman Lamb: Former Health Minister (Coalition Government), Liberal Democrats, Making Safeguarding Personal (MSP), Medical Ethics, Mental Capacity, Mental Health Hospitals, Mental Health Trusts, Mental Healthcare, Mind, Neglect and Acts of Omission, NHS Digital, NHS Digital (Formerly the Health and Social Care Information Centre), NHS Digital: Annual Report for England (2016-17), NHS Digital: Safeguarding Adults Collection (SAC), NHS Mental Health Trusts in England, Norman Lamb MP, Openness and Transparency, Openness. Transparency, Physical Restraint, Physical Restraint in Hospital Settings, Physical Restraint in Mental Healthcare, Psychiatric Hospitals, Recording and Reporting, Reporting Culture in the NHS, Restraint, Restraint in Health and Adult Social Care, Restraint in Mental Health Trusts, Restrictive Practices, Safeguarding, Safeguarding Adults at Risk, Safeguarding Adults Collection, Safeguarding Adults Collection (SAC): Annual Report for England (2016-17), Safeguarding Adults Principles, Safeguarding Adults Reports, safeguarding Adults Reviews, Safeguarding Adults Reviews (SARs), Safeguarding Older People, Transparency, Transparency and Accountability, Unintended Consequences, Use of Reasonable Force, Vicki Nash: Mind | Leave a comment

Compulsory Community and Involuntary Outpatient Treatment for People With Mental Illness (JGCR / Cochrane Database)

Posted on June 30, 2017 by Dementia and Elderly Care News

Summary It remains uncertain whether compulsory community treatment for people with severe mental illness actually improves clinical outcomes and / or social functioning or reduces the level of usage of health services. A recent pilot study investigated old age psychiatrists’ … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, Mental Health, NHS, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Systematic Reviews, UK, Wales, Wolverhampton | Tagged Advance Care Planning (ACP), Ageing Population, Australia, Betsi Cadwaladr University Health Board, Birmingham and Solihull Mental Health NHS Foundation Trust, Canada, Care Planning, Centre for Ageing Studies: University of Chester, Cochrane Database, Cochrane Database of Systematic Reviews, Cochrane Schizophrenia Group’s Study-Based Register of Trials, Coercion, Community Treatment Orders (CTOs), Community Treatment Orders in Ageing Population, Compulsory Community Treatment (CCT), Compulsory Community Treatment (CCT) for People With Severe Mental Illness (SMI), Compulsory Community Treatment Versus Supervised Discharge, Confinement to Bedrooms, Consent to Treatment and CTOs, CTOs and Dementia, CTOs and Older Adults, Dalhousie University (Halifax; Canada), Department of Community Health and Epidemiology: Dalhousie University, Deprivation of Liberty, Deprivation of Liberty Safeguards (DoLS), Elderly Mental Health, Ethical Considerations, Ethical Dilemmas, Ethical Issues of Dementia Care, Faculty of Health and Social Care: University of Chester, Faculty of Old Age Psychiatry: Royal College of Psychiatrists, Geriatric Care and Research Organisation (GeriCaRe), Israel, Least Restrictive Practice, Making Our Care and Health Systems Fit for An Ageing Population, Mental Capacity, Mental Health Act and Citizenship, Mental Health Assessor (MHA), Mental Health Care, Mental Health Care and Treatment, Mental Health Care Pathways, New Zealand, Old Age Psychiatry: Betsi Cadwaladr University Health Board, Oxford Community Treatment Order Evaluation Trials (OCTETs), Princess Alexandra Hospital (Queensland), Pros and Cons of CTOs, Restraint, Restraint and Restrictions, Restraint in Health and Adult Social Care, Safe and Ethical Restrictive Interventions, School of Medicine: University of Queensland, Severe Mental Illness (SMI), Staffordshire University, Supervised Discharge, Systematic Reviews and Meta-Analyses, University of Chester, University of Queensland, Western University (Ontario) | Leave a comment

Increasing Numbers of Prisoners With Dementia (PPO / MHF)

Posted on July 29, 2016 by Dementia and Elderly Care News

Summary The Prison Service is said to be unsuited, at present, to meet the needs of an ageing inmate population with chronic age-related conditions. It needs a strategy to handle growing numbers of older prisoners. Prison staff generally need to … Continue reading →

Posted in Commissioning, Community Care, For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Age-Friendly Prisons, Aged Inmates, Ageing and Dementia, Ageing in the UK, Ageing Inmates, Ageing Offenders, Dementia (Learning Lessons Bulletin: Issue 11), Dementia in Ageing Prison Population, Dementia Incidence in Prisons, Dementia Prevalence in Prisons, Dementia-Friendly Organisations, Dementia-Friendly Prisons, Education and Staff Training, Elder Inmates Services, Elderly Inmates, Elderly Prisoners, Exercise for Cognitive Impairment, Hidden Psychiatric Morbidity in Elderly Prisoners, HMI Prisons, HMP Isle of Wight Memory Service Referral Process, Information Sharing, Inmate Dementia, Learning Lessons Bulletin: Fatal Incidents Investigations: Issue 11 (Prisons and Probation Ombudsman), Life After Imprisonment, Low Cost Modifications to Prison Living Environments, Mental Health Foundation (MHF), Mental Health in Prison, National Offender Management Service, National Offender Management Service - Hidden Disabilities: Dementia, Nigel Newcomen CBE: Prisons and Probation Ombudsman, Older Offenders, Older People in Prison, Older Prisoners, Older Prisoners in England and Wales, Physical Exercise, Physical Restraint, PPO Investigations, Prison Health, Prison Population in England and Wales, Prison Service, Prisoner Carer Schemes, Prisoner Mental Health, Prisoners, Prisoners With Dementia, Prisons, Prisons and Probation Ombudsman (PPO), Prisons and Probation Ombudsman for England and Wales, Restraint, Restraint and Restrictions, Robert A. Fox Leadership Program: University of Pennsylvania, Routine Screening of Older Prisoners (Proposal), Special Needs Program for Inmate-Patients With Dementia (SNPID), Staff Training, University of Pennsylvania, Workforce Development | Leave a comment

An Exploration of the Many Aspects of Safeguarding (CQC / RCN / BMA / LGA / ADASS / NHS Confederation / NIHR SDO)

Posted on June 26, 2015 by Dementia and Elderly Care News

Summary As the title suggests, this contribution is an exploratory “work in progress” towards better understanding of the issues, rather than a definitive review. Updates will be added here, or referenced and linked to elsewhere, as they appear in future. … Continue reading →

Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS Confederation, NHS England, Non-Pharmacological Treatments, Northern Ireland, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, RCN, SCIE, Scotland, Standards, UK, Universal Interest, Wales | Tagged 24/7 Advice From Mental Health Professionals, Abuse, Abuse of Vulnerable Adults, Access to Mental Health Services, ACPO: Association of Chief Police Officers, Acts of Omission, Acute Hospitals, Adult Prisons and Young Offender Institutions, Adult Safeguarding Improvement Tool, Adult Social Care, Adults at Risk of Harm, Adults Lacking Capacity, Ann Norman: RCN Professional Lead for Criminal Justice and Learning Disabilities, Assessing Mental Capacity, Assessing Risk of Harm (Not Just Past Harm), Association of Chief Police Officers, Association of Directors of Adult Social Services (ADASS), Association of Police and Crime Commissioners, BAME Challenges, BAME Experiences, Best Interests, Birmingham Children’s Hospital, Birmingham Children’s Hospital (BCH), Birmingham Children’s Hospital NHS Foundation Trust, Black and Minority Ethnic (BME), Black Asian and Minority Ethnic (BAME), Black Mental Health UK, Blaming, BMA: British Medical Association, BME Communities, British Medical Association (BMA), Care Act 2014, Care of Vulnerable Adults, Care Quality Commission (CQC), Care Quality Commission’s Inspection Framework, Care Quality Commission’s Inspection Regime, Care Quality Commission’s Key Lines of Enquiry (KLOEs), Child Protection, Children Looked After and Safeguarding Inspections (CLAS), Children’s Services Team (CQC), Clinical Pragmatism and Proportionality, Coercion, Community Health Services, Complaints and Raising Concerns, Complex Best Interests Decision Making, Controlling, Counter Terrorism and Security Act 2015, CQC Requirements Notices, CQC Warning Notices, CQC Working With Other Inspectorates, CQC’s Intelligent Monitoring, Crisis Care Concordat, Crisis Intervention and Prevention, Crisis Planning, Crisis Response, Crisis Support, Cyber Bullying, Data Protection Act, Dawne Garrett: Older People and Dementia Care at Royal College of Nursing, Deprivation of Contact, Deprivation of Liberty Safeguards, Deprivation of Liberty Safeguards (DoLS), Disclosure and Barring Scheme, Discriminatory Abuse, Domestic Servitude, Electronic Cause for Concern Referral Form, Electronic Reporting (Situation Background Assessment and Recommendation), Emergency Services, Emergency Support, Emotional Abuse, Empowerment, Enforcement and Intelligent Monitoring (CQC), Equalities Protected Characteristics (Age Disability Gender Reassignment Marriage and Civil Partnership Pregnancy and Maternity Race Religion and Belief Sex Sexual Orientation), Equality Act 2010, Equality and Human Rights, Factors Contributing to Vulnerability, Financial Abuse, Financial or Material Abuse, Fiona Smith: RCN Professional Lead for Children and Young People, Forced Labour, Fundamental Standard(s) on Safeguarding, Fundamental Standards of Safety and Quality (2015), GP Out-of-Hours Services, GPs and Safeguarding, Harassment, Health and Justice Team (CQC), Health and Social Care Act 2008 (Relating to CQC), Health Services and Delivery Research, Human Rights, Human Rights and Nursing, Human Rights Approach to Regulation (CQC), Human Rights Culture, Human Rights in Care Homes, Human Trafficking, Humiliation, Ian Hulatt: RCN Professional Lead for Mental Health, Immigration Removal Centres (IRCs), Inadequate Responses to Complex Needs, Inadequate Staffing, Inappropriate Medication, Independent Healthcare, Independent Mental Capacity Advocates (IMCAs), Information and Intelligence Sources on Safeguarding, Information Shared Between CQC and PPGs, Information Sharing, Information Sharing by Mental Health Services, Inspection of GP Out-of-Hours Services, Insufficient Knowledge Base Within Services, Intelligent Monitoring, Intimidation, Isolation, KLOEs: Key Lines of Enquiry, Knowledge Sharing in Safeguarding, Liaison Psychiatry Services, Local Authorities, Local Crisis Care Concordat Groups, Local Government Association: LGA, Local Partnerships, Local Safeguarding Adults Boards, Local Safeguarding Adults Boards (LSABs), Local Safeguarding Children Boards (LSCBs), Local Safeguarding Children’s Boards (LSCBs), Long Term Abuse (Patterns of Abuse and Harm), Mental Capacity Act (MCA), Mental Capacity Act 2005, Mental Capacity and Best Interests, Mental Health and the Criminal Justice System, Mental Health Awareness, Mental Health Care and Treatment, Mental Health Crisis, Mental Health Crisis Care Concordat, Modern Slavery, Multi-Agency Child Protection Inspections, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Risk Assessment Conferences (MARACs), Multi-Agency Safeguarding, Multi-Agency Working, National Institute for Health Research (NIHR), National Institute for Health Research (NIHR) Service Delivery and Organisation (SDO), Neglect, Neglect (Patterns of Abuse and Harm), Neglectful Care, NHS Clinical Commissioners, NHS Confederation, NHS GP and Out-of-Hours Services, NHS Patient Safety Paradigm, NHSCC: NHS Clinical Commissioners, NIHR Health Services and Delivery Research Programme, North Manchester General Hospital, Nottingham University Business School: University of Nottingham, Opportunistic Abuse (Patterns of Abuse and Harm), Organisational Abuse, Other Inspectorates: CQC Work With HMI Constabulary, Other Inspectorates: CQC Work With HMI Prisons, Other Inspectorates: CQC Work With HMI Probation, Other Inspectorates: CQC Work With Ofsted, Over-Medication, Patterns of Abuse and Harm, Pennine Acute Hospitals Trust, Pennine Package, Police Custody, Poor Care Standards, Poor Professional Practice, Precautionary Principle, Prevent Strategy (2011), Preventing Radicalisation, Protected Characteristics (Age Disability Gender Reassignment Marriage and Civil Partnership Pregnancy and Maternity Race Religion and Belief Sex Sexual Orientation), Protecting Adults from Abuse or Neglect, Psychological Abuse, Raising Concerns, RCN Older People’s Forum, Reducing the Use of Police Cells, Responding to People With Mental Ill Health, Restraint, Restraint in Health and Adult Social Care, Rigid Routines, Royal College of Nursing (RCN), SAB: Safeguarding Adults Boards, Safeguarding Adult Review, Safeguarding Adults, Safeguarding Adults and Children, Safeguarding Adults at Risk, Safeguarding Adults Boards, Safeguarding Adults Boards (SABs), safeguarding Adults Reviews, Safeguarding Adults Reviews (SARs), Safeguarding Between Hospital Services and Children’s Social Care, Safeguarding Children and Young People, Safeguarding Committee (CQC), Safeguarding of Vulnerable Adults (SOVA), Safeguarding Vulnerable Adults, SBAR (Situation Background Assessment Recommendation), School of Medicine Pharmacy and Health: University of Durham, School of Social Policy: University of Birmingham, Seclusion (Supervised Confinement), Secure Training Centres (STCs), Self-Neglect, Sense-Making in Safeguarding, Serial Abuse (Patterns of Abuse and Harm), Serious Case Review, Serious Case Reviews, Serious Case Reviews (SCRs), Sexual Abuse, Situation Background Assessment and Recommendation, Situational Abuse (Patterns of Abuse and Harm), Special Reviews of Child Safeguarding, Specialist Mental Health Services, Supporting Vulnerable People, Systems and Processes, Threats of Harm or Abandonment, University of Birmingham, University of Durham, University of Nottingham, Unreasonable / Unjustified Withdrawal of Services, Unreasonable / Unjustified Withdrawal of Supportive Networks, Urgent and Emergency Services, Use of Police Custody as a Place of Safety for People with Mental Health Needs, Verbal Abuse, Vulnerable Adults, Whistleblowing, Whistleblowing Guidelines, Withholding of Necessities of Life (Medication Nutrition Hydration and and Heating), Working Together to Safeguard Children (2015), Young Offender Institutions (YOIs), Youth Offending Teams (YOTs) | Leave a comment

Updates to Deprivation of Liberty Safeguards (SCIE Social Care Online / Department of Health)

Posted on June 21, 2015 by Dementia and Elderly Care News

Summary This Social Care Institute for Excellence (SCIE) “At a Glance” document summarises the Deprivation of Liberty Safeguards (DoLS) and their use, particularly in the light of a recent Supreme Court Judgement (March 2014). The Supreme Court judgment (March 2014) … Continue reading →

Posted in Acute Hospitals, Community Care, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), Guidelines, Management of Condition, Mental Health, National, Patient Care Pathway, Person-Centred Care, Quick Insights, SCIE, Standards, UK, Wales | Tagged Acute Care, Acute Hospital Care, Acute Hospitals, Adult Safeguarding, Assessors and Authorisers (DoLS), Behavioural and Psychological Symptoms of Dementia (BPSD), Best Interest Assessors, Care Home Managers, Care Homes, Care in General Hospitals, Care Providers, CCG Legal Duty, CCGs, Chemical Restraint, Clinical Commissioning Groups (CCGs), Court of Protection, CQC Statutory Notification: Application to Deprive Person of Their Liberty (and Outcome), Deprivation of Liberty Safeguards, Deprivation of Liberty Safeguards (DoLS), Deprivation of Liberty Without Authorisation, DoLS in Hospitals, Elderly Human Rights, English Local Authorities, General Hospitals, Human Rights, Human Rights Act (HRA), Independent Mental Capacity Advocates (IMCAs), Judgment of the Supreme Court: Deprivation of Liberty Safeguards (DoLS), MCA: Mental Capacity Act 2005, Mental Capacity, Mental Capacity Act 2005, Mental Capacity Assessments, Mental Health Assessments, Nursing Homes, Physical Restraint, Physical Restraint in Hospital Settings, Physical Restraint in Mental Healthcare, Protecting Vulnerable People, Residential Care Homes, Restraint, Restraint and Restrictions, Restraint in Health and Adult Social Care, Restriction, Safeguarding, Safeguarding Adults Boards, Safeguarding of Vulnerable Adults (SOVA), Safeguarding Older People, Safeguarding Teams, Severe Learning Disabilities, Situations Where DoLS Cannot be Used, Social Care Institute for Excellence (SCIE), Standard Capacity Test, Supervision, Supervisory Bodies, Supreme Court Judgment (March 2015) on Deprivation of Liberty Safeguards (DoLS), Urgent Authorisations, Vulnerable Adults, Vulnerable Older People | Leave a comment

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