Alternatives to Coercion

Abstract

In this chapter, the authors critically examine the historical and contemporary use of restraint in mental health care and advocate for more humane, patient-centred alternatives. The authors consider the detrimental effects of coercive practices on patients’ autonomy, dignity, and recovery process, highlighting the intrinsic link between coercion and violence. The chapter examines a range of alternative approaches in both inpatient and community settings, including sensory rooms, open door policies, advance directives, patient-controlled admissions, recovery colleges, and peer support services. Each alternative is assessed in terms of its advantages, disadvantages, and the current evidence for its effectiveness. The authors emphasise the need for a paradigm shift towards practices that respect patient autonomy and promote shared decision-making, while acknowledging the need for further research and the challenges of implementing these alternatives. The chapter highlights the importance of transforming mental health care to be more compassionate, patient-centred, and respectful of human rights.