Insights & Research

The Benefits of Occupational Therapy and Seating in Reducing the Use of Restraints in Practice

10th January, 2025

Occupational therapy (OT) is a vital healthcare profession that focuses on helping individuals achieve independence and improve their quality of life through meaningful activities. In recent years, there has been a growing emphasis on reducing the use of restraints in various settings, particularly in mental health and rehabilitation facilities. This blog explores the benefits of occupational therapy in achieving this goal and enhancing patient care.


Understanding Restraints

Restraints are methods used to restrict a person's movement, often employed in healthcare settings to prevent harm to the patient or others. While they may be necessary in certain situations, their use can lead to negative physical and psychological effects, including trauma, loss of dignity, and increased agitation. Therefore, finding alternatives to restraints is crucial for promoting a more humane and effective approach to patient care.

The Role of Occupational Therapy

Occupational therapists are trained to assess and address the unique needs of individuals, focusing on their strengths and challenges. By employing a client-centered approach, OT can significantly reduce the need for restraints in several ways:

  1. Personalised Interventions: Occupational therapists develop tailored intervention plans that consider the individual’s preferences, interests, and goals. By engaging patients in meaningful activities, therapists can help reduce anxiety and agitation, which are often triggers for restraint use.
  2. Skill Development: OT focuses on enhancing daily living skills, social interactions, and coping strategies. By equipping patients with the tools they need to manage their emotions and behaviours, occupational therapists can help prevent situations that may lead to the use of restraints.
  3. Environmental Modifications: Occupational therapists assess the environment in which patients are situated and make necessary modifications to promote safety and comfort. This may include creating calming spaces, reducing sensory overload, or providing adaptive equipment that encourages independence.
  4. Collaboration and Communication: Occupational therapists work closely with other healthcare professionals, patients, and their families to ensure a holistic approach to care. By fostering open communication and collaboration, they can address concerns proactively and reduce the likelihood of restraint use.
  5. Education and Training: OT practitioners can provide education and training to staff on alternative strategies for managing challenging behaviours. This empowers healthcare teams to implement non-restrictive interventions and create a culture of support rather than control.

Positive Outcomes of Reducing Restraints

The integration of occupational therapy in reducing the use of restraints can lead to numerous positive outcomes:

  • Improved Patient Well-Being: Patients who are engaged in meaningful activities and supported in their autonomy experience greater satisfaction and improved mental health.
  • Enhanced Safety: Reducing restraints minimises the risk of physical injury and psychological trauma, creating a safer environment for both patients and staff.
  • Better Relationships: A focus on collaboration and communication fosters trust between patients and healthcare providers, leading to stronger therapeutic relationships.
  • Cost-Effectiveness: By decreasing the reliance on restraints, healthcare facilities can reduce associated costs, such as those related to injuries, legal issues, and staff turnover.

Seating Matters have proven in clinical studies that our chairs play a crucial role in reducing the use of patient restraints. By providing comfortable, supportive, and appropriately designed seating options, healthcare facilities can create an environment that promotes patient autonomy and engagement. When patients feel secure and at ease in their surroundings, they are less likely to exhibit behaviours that increase their risk of falls and injury. Additionally, well-designed seating can facilitate better communication between patients and healthcare providers, allowing for more effective monitoring and intervention when needed. This proactive approach not only enhances patient comfort but also fosters a culture of respect and dignity, ultimately leading to a significant decrease in the reliance on restraints in clinical practice.

Conclusion

Occupational therapy plays a crucial role in reducing the use of restraints in practice by promoting individualized care, skill development, and environmental modifications. By prioritising patient engagement and well-being, OT not only enhances the quality of care but also fosters a more compassionate and effective healthcare environment. As we continue to advocate for the reduction of restraints, the integration of occupational therapy will be essential in creating a more humane approach to patient care.

Visit our website www.seatingmatters.com to find results of our clinical studies and to view our range of chairs to provide improved health outcomes for patients and provide the means to care for caregivers.

References:

Health Information and Quality Assurance (HIQA) (2010) ‘Guidance on promoting a care environment that free from restrictive practice’ available: https://www.hiqa.ie/sites/default/files/2019-03/Restrictive-Practice-Guidance%20_DCOP.pdf

Mental Health Commission (2022) ‘Rules governing the use of mechanical means of bodily restraint’, available: https://www.mhcirl.ie/sites/default/files/2022-09/MHC_REVISED%20RULES_Mechanical%20restraint.pdf

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