Centre for Policy on Ageing



Restraint reduction — lessons from the asylum
Author(s)	Elias S Cohen, Ann L Kruschwitz
Journal title	Journal of Ethics, Law and Aging, vol 3, no 1, Spring/Summer 1997
Pages	pp 25-44
Keywords	Mobility ; Restriction ; Residents [care homes] ; Nursing homes ; Psychiatric units ; Social ethics ; United States of America.
Annotation	Effective restraint reduction and elimination in America's nursing homes may be informed by exploring the ebb and flow of this issue over the last 200 years in mental hospitals. Restraint use is governed by its prescription, sanction, and acceptance by doctors, nurses, administrators and consumers. These, in turn, are governed by policies driven by law, and the ethic and belief system adopted by care providers and consumers. Law and ethics intersect at the point where law recognises and defers to professional judgment, assuming such is well-informed and ethically grounded. Through a review of past and recent history of restraint use in mental hospitals and current efforts in long-term care homes, this article suggests expanded roles for regulatory agencies which will strengthen the essential ethical underpinnings of restraint reduction and yield long-lasting system reform. (RH).
Accession Number	CPA-980120215 A
Classmark	C4: 5RC: KX: LHB: LDL: TQ: 7T
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...from the Ageinfo database published by Centre for Policy on Ageing.