Reducing the use of restrictive practices by applying a human rights-based approach

restrictive practices

In 2021 the Welsh Government launched a new framework for reducing the use of restrictive practices in childcare, education, health and social care settings. A series of reports and guidelines have stressed the importance of ensuring that restrictive practices, if used at all, respect people’s human rights. Human rights that are particularly relevant in this context include the right to not be subjected to inhuman or degrading treatment, the right to have one’s autonomy and physical and psychological integrity respected, and the right to not be discriminated against in the application of the Human Rights Act 1998. This article explores how applying a human rights-based approach can support learning disability nurses to consider the legal and ethical aspects of restrictive practices, use a person-centred approach that respects service users’ dignity and autonomy, and recognise their role in reducing the use of restrictive practices.

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Why you should read this article

  • to enhance your understanding of the need to reduce the use of restrictive practices
  • to increase your knowledge of applying a human rights-based approach to the use of restrictive practices
  • to contribute towards revalidation as part of your 35 hours of CPD (UK readers)
  • to contribute towards your professional development and local registration renewal requirements (non-UK readers)

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Authors

James Ridley (Senior lecturer (learning disabilities) - Faculty of Health, Social Care & Medicine, Edge Hill University, Ormskirk, England)
Paula Hopes (Head of learning disability nursing - Swansea Bay University Health Board, Swansea, Wales)