Recommendation R28: Restraint Reduction Network principles

The Restraint Reduction Network identifies six principles to avoid the use of restrictive practice. While there is evidence that some Trusts have adopted these principles, further action is needed to ensure the principles are fully embedded. These principles must be embedded in policies and practices. The principles are: i. Organisational commitment – led by executive directors ii. Performance monitoring – using metrics to track restrictive practices iii. Human rights-based education – comprehensive training for staff iv. Personalised reduction plans – tailored strategies for individual patients v. Service user involvement – engaging patients in shaping restraint reduction strategies vi. Post-incident support and learning – structured debriefing and reflection for both patients and staff