Raveesh Bevinahalli Nanjegowda, Lepping Peter
Department of Psychiatry, Mysore Medical College and Research Institute, Mysore, Karnataka, India.
Wrexham Maelor Hospital, Wales, UK.
Indian J Psychiatry. 2019 Apr;61(Suppl 4):S698-S705. doi: 10.4103/psychiatry.IndianJPsychiatry_106_19.
Restraint use in mentally ill patients are regulated by Mental Healthcare Act 2017 in India. At times, persons with mental disorders become dangerous to self, others or towards the property, warranting an emergency intervention in the form of restraint. Restraint as a matter of policy, should be implemented after attempting alternatives, only under extreme circumstances as last resort and not as a punishment. It should be an intervention focused at managing the concerned behavior for a given point of time. Restraint should always result in safety and should ensure that the human rights of mental health care users are upheld. This guideline was developed towards Indian mental health services in conjunction with international evidence-based strategies following a decade of collaborative research work between Indian and European mental health professionals.
在印度，对精神病患者使用约束措施受《2017年精神卫生保健法》监管。有时，精神障碍患者会对自己、他人或财产构成危险，这就需要采取约束这种紧急干预措施。作为一项政策，应在尝试其他替代方法之后才实施约束，且仅在极端情况下作为最后手段使用，而不是作为一种惩罚。它应是一种旨在在特定时间段内管理相关行为的干预措施。约束措施应始终确保安全，并应保证精神卫生保健使用者的人权得到维护。在印度和欧洲精神卫生专业人员经过十年合作研究工作之后，结合国际循证策略制定了本指南，以适用于印度的精神卫生服务。
