Mostly covered in other notes: [[Violence in ED#Restraint| Violence in ED → restraint]], [[Delirium vs psychosis#treatment for geriatric delirium and agitation]], [[Capacity and consent]]
#incomplete
> [!references]-
> - [Cameron sedation and physical restraint](x-devonthink-item://10DC3BB1-027C-40D6-BDB3-4AF0C6B160E6?page=942&start=2609&length=37&search=Use%20of%20sedation%20or%20physical%20restraint)
> - [LITFL physical restraint](https://litfl.com/physical-restraint/)
> - [Guideline for Safe care for patients sedated in health care facilities for acute behavioural disturbance](x-devonthink-item://E23512C3-BDAE-474F-8BBC-CC5CE8B337E2)
> - [Bear - Geriatric sedation](bear://x-callback-url/open-note?id=9E5A56AB-8311-482F-AD97-2B40637F765B-94035-00001093D8490E17)
> - [MHWA principles for restrictive interventions (bear)](bear://x-callback-url/open-note?id=D3A5380B-A720-4352-8E12-9748DA872991-43360-0000148CA046510B&header=MHWA%20principles%20for%20restrictive%20interventions%20%28RMH%29)
# MHWA
## Decision-making principles for restrictive treatment and intervention
when determining if the compulsory treatment criteria apply, you must give proper consideration to these principles:
| Title | Principle |
| ------------------------------------------------------------------------------------------- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Care and transition to less restrictive support | Compulsory assessment and treatment is to be provided with the aim of promoting the person's recovery and transitioning them to less restrictive treatment, care and support. To this end, a person who is subject to compulsory assessment or treatment is to receive comprehensive, compassionate, safe and high-quality mental health and wellbeing services. |
| Consequences of compulsory assessment and treatment and restrictive interventions principle | The use of compulsory assessment and treatment or restrictive interventions significantly limits a person's human rights and may cause possible harm including— (a) serious distress experienced by the person; and (b) the disruption of the relationships, living arrangements, education or employment of the person. |
| No therapeutic benefit to restrictive interventions principle | The use of restrictive interventions on a person offers no inherent therapeutic benefit to the person. |
| Balancing of harm principle | Compulsory assessment and treatment or restrictive interventions are not to be used unless the serious harm or deterioration to be prevented is likely to be more significant than the harm to the person that may result from their use. |
| Autonomy principle | The will and preferences of a person are to be given effect to the greatest extent possible in all decisions about assessment, treatment, recovery and support, including when those decisions relate |