February 25, 2015

Restraint Levels High on Admission to Services

Restraint is shown to be particularly high in the first week of admission to services, with the highest rates of incidents occurring in Psychiatric Intensive Care Units (PICU), according to a Department of Health report.

The report on use of restraint in adult mental health services in 2013/2014, was published by the Health and Social Care Information Centre (HSCIC) on 20th February.


Key findings from the special feature on the use of restraint include:

  • 105,270 people spent time in hospital in 2013/14 and of these 6,022 (5.7%) were subject to at least one incident of restraint during the year; 57.4 % of these people were men and 42.5% were women.
  • These inpatients experienced a total of 23,094 incidents of restraint in 2013/14.  Most people who were restrained were restrained once during the year but 960 people were restrained five or more times during this period.
  • 1,618 people aged 20-29 were restrained (26.9% of the total number restrained) with 7,285 separate incidents of restraint recorded for this group.
  • The ethnic group with the highest proportion of inpatients experiencing restraint per 1,000 inpatients was the Mixed ethnic group having 101 incidents of restraint per 1,000 inpatients.
  • Psychiatric Intensive Care Units (PICU) had the highest rate of incidents of restraint with 13.4 incidents of restraint per 1,000 bed days, compared to 2.0 and 2.9 incidents of restraint for Short and Long Stay patients respectively.
  • The data also suggests a link between the use of restraint and particular points in the patient pathway including the first week of an admission where 26.3% of the total incidents of restraint (3,727 incidents) occurred.

 Maybo restraint reduction training

Read the full report