Restraint Management and Secure Spaces

An Operator must establish, implement and maintain documented policies and procedures regarding Restraint use that require:

1. where a Client has been assessed as exhibiting a behaviour or a Responsive Behaviour that puts the Client or others at risk of immediate harm, the Regulated Health Professional may initiate the process to utilize a Restraint;
2. supportive interventions must be considered prior to the utilization of a Restraint;
3. if supportive interventions are considered and deemed ineffective or inappropriate in the circumstance, the least restrictive Restraint may be utilized;
4. information on the use of Restraints must be provided to the Client or the Client’s legal representative, if applicable, when possible prior to its use and at any Interdisciplinary Team conferences that occur during the time the Restraint is in use;
5. the method and frequency for monitoring the Client when the Restraint is in use;
6. criteria for the discontinuation of a Restraint; and
7. where an antipsychotic medication is used as a pharmacological Restraint:
   1. a Medication Review by a Physician or Nurse Practitioner and the Interdisciplinary Team will occur at a minimum of once a month to ensure the appropriateness of the medications prescribed; and
   2. where the antipsychotic medication is no longer required, a Physician, Nurse Practitioner or pharmacist will document instructions regarding the process for gradual dose reduction and discontinuation.
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