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KMID : 0897520120170010040
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Journal of Korean Association of Social Psychiatry
2012 Volume.17 No. 1 p.40 ~ p.51
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Development of Revised Guidelines for Seclusion and Restraint
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Kim Kun-Woo
Hong JIn-Pyo
Yi Ki-Kyoung
Na Ri-Ji
Yong Hyo-Joong
Lee Yu-Jin
Hwang Tae-Yeon
Lee Jong-Gook
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Abstract
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Objectives : The primary purpose of this study was to develop revised guidelines for seclusion and restraint to protect the human rights of mentally ill patients. The second purpose was to critically review the current status of guidelines and to introduce international standards of developed countries.
Methods : We reviewed current guideline and administrative status in Korea and examined guidelines and regulations for seclusion and restraint in developed countries: U.S.A., United Kingdom, Australia, and New Zealand. In addition, survey of related specialists, advisory conference: advice of related and administrative experts, public hearing were done.
Results : Current recipient indications and order regulations concerning seclusion and restraint guidelines contradict those of the Mental Health Act, thus, modification is needed. Compared to other countries, current seclusion and restraint guidelines are less specific. The responsibilities of physicians and nurses have not been clearly divided, and details concerning the form of the physician’s order, physician’s obligatory examination, medical recording and allowed time of seclusion and restraint are in need of clarification. The new seclusion and restraint guidelines have been revised and reviewed by experts in mental health field.
Conclusion : Revised guidelines could be used practically in real life mental health situations and strengthen of human rights of current psychiatric inpatients.
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KEYWORD
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Guidelines for seclusion and restraint, Mental health act, Mental disease
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