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Should Restraints be Used in Adolescent Psychiatric Inpatient Treatment?
Restraints are valid to use in adolescent psychiatric inpatient treatment.
When adolescent patients have some violent behaviors, use of restraint is necessary and prevention of further harm to themselves or others is in their best interests.
Sometimes patients just cannot control themselves. The use of restraint is acceptable as long as as it is explained to patients that it is a protective measure, and inform their parents as well. Once the patient calms down, they should understand that their autonomy is still being respected.
Restraints do not pose any harm to the patients, and so there should be no hesitation in using them where necessary.
It makes clinical work easier for professionals involved: restraints can be used when a patient is agitated in order to prevent any further trouble.
Adolescent patients are not able to make legal decisions on their own; assent must come from their parents. It is time-consuming to explain in detail, and so it may not be practical to suggest restraints.
It would be better to decrease the use of restraint since it puts great physical and psychological burdens on the patients. There are other management techniques that we could adopt to lessen the harm to the patients.
Restraints can hardly be ethically justified in patient care. Even though we have assents from parents or guardians, the restraint itself contributes to a violation of patients' autonomy.
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