[PURE_CAP I] Preventing the Use of Restrictive practices in Child and Adolescent mental health Patients. Part I: A Multiple case study and qualitative interview study

Data show that children and adolescents as mental health inpatients (CAP) are frequently subjected to restrictive practices (RP) when compared to the adult population of mental health inpatients. Furthermore, the episodes in CAP are elevated in terms of prevalence and duration. The staff report high prevalence as a result of particular violent episodes in CAP. However, not much is known about the use of RP in CAP and studies have not been conducted previously focusing on how CAP, relatives and staff characterizes the process of RP in CAP. This is important in order to ensure that patients receive timely, satisfactory and inclusive help with the aim of reducing mortality and promoting mental health. To prevent RP in CAP, three sequential studies are conducted, utilizing the framework of symbolic interactionism. 1) Systematic review of literature, following the JBI framework and PRISMA reporting guidelines. 2) multiple-case study of approximately 4000 medical records from CAP receiving more than 5 RP compared to CAP receiving maximum 2 RP during admission and what characterizes staff decision-making processes regarding RP triggers, prolonging factors and care provided after RP. 3) Individual interviews with CAP (n=10) and joint interviews with relative (n=20) combined with focus interviews with health care professionals (n=20). These studies will provide new knowledge about the characteristics of RP in CAP and how to prevent its use.