In the House of Psychiatry, a Jarring Tale of Violence

Forcible restraints are routine events in American hospitals. One study, using 2017 data from the Centers for Medicare and Medicaid Services, estimated the number of restraints per year in the U.S. at more than 44,000. The rate varied greatly from one country to the next. See:

Epidemiology and Psychiatric Services G. Newton Howes. The use of mechanical restraint in Pacific Rim countries: an international epidemiological study. Published online by Cambridge University Press:  02 December 2020
International rates of mechanical restraint in 2017 varied from 0.03 (New Zealand) to 98.8 (Japan) restraint events per million population per day, a variation greater than 3000-fold. Restraint in Australia (0.17 events per million) and the United States (0.37 events per million) fell between these two extremes. Variation as measured by restraint events per 1000 bed-days was less extreme but still substantial. Within all four countries there was also significant variation in restraint across districts. Variation across time did not show a steady reduction in restraint in any country during the period for which data were available (starting from 2003 at the earliest).

This New York Times article describes the effect of this brutal treatment on patients. If you can’t access the article, I made a PDF that I can send to you. (DJE)

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About David Elpern

The Online Journal of Community and Person-Centered Dermatology (OJCPCD) is a free, full text, open-access, online publication that addresses all aspects of skin disease that concern patients, their families, and practitioners. ​It was founded in 2012 by Dr. David J. Elpern, M.D. in Williamstown, MA. with technical help from Inez Tan.

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