Publication Published: December 11, 2025

Interventions to prevent and reduce coercive measures in psychiatric care and residential care for children and young people

A systematic review including ethical aspects

Interventions targeting organisational culture and staff practice may reduce coercive measures (restraint and seclusion) in child and adolescent psychiatric care as well as in residential care.

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Conclusions

  • Interventions focusing on organisational culture and staff practice may have an effect on moderate to large reductions in coercive measures, whereas child-focused behavioural interventions appear to have more limited or uncertain effects.
  • Reports from children (including adolescents) and staff highlight the importance of relational care, collaboration, staff reflexivity, and organisational support, in prevention of coercive measures.

 

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