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Commentary: A British Perspective on the Use of Restraint and Seclusion in Correctional Mental Health Care

Dr. O'Grady is Consultant Forensic Psychiatrist, Wessex Forensic Psychiatry Service, Fareham, UK, and Chair of the Forensic Faculty, Royal College of Psychiatrists, UK. This article is written in a personal capacity. Address correspondence to: John C. O'Grady, MB, ChB, Wessex Forensic Psychiatry Service, Ravenswood House, Knowle, Fareham, Hampshire PO17 5NA, UK. E-mail: john.o'grady{at}hantspt-sw.nhs.uk

Policy and practice in the safe management of disturbed and violent behavior as applied in USA and UK correctional facilities is examined in this article. Certain differences emerge and are discussed, particularly relating to physical restraint. The paucity of evidence to support particular interventions is highlighted through a review of a UK systematic analysis of world literature on best practice.