Magazine article Behavioral Healthcare Executive

Why Restraint Is Completely Unnecessary in Treatment

Magazine article Behavioral Healthcare Executive

Why Restraint Is Completely Unnecessary in Treatment

Article excerpt

I recently had the honor of speaking with Elyn Saks. She was diagnosed with schizophrenia as a teenager, and now as a law scholar and writer, she speaks for the rights of people with mental illnesses. Saks has written several books, done a TED Talk, and many other things related to her commitment of improving the lives of people with mental illness. Speaking to her gave me a personal feeling for her brilliance, resilience and her commitment to her work.

In this interview, Saks provided me with intimate details of her journey through a series of treatments that were supposed to help her heal. Some of them did and some of them definitely didn't. As you listen to her story you'll hear her strength and resourcefulness shining through. She is definitely a rare and wonderful human being. Today, her condition is controlled by medication and therapy.

Risk sharing

I first met Saks a few years back when she invited me to join a symposium she was hosting related to the negative effects of restraint and seclusion. It's clear why this is such an important topic for her.

I am convinced that restraint is completely unnecessary and that a more therapeutic approach is to create relationships with people that promote risk sharing in place or risk management. I know this is a controversial topic, but I stand by my beliefs on this. Too many people have told me that being restrained is the worst thing that ever happened to them. Saks certainly is among those.

"Risk sharing" is what has worked for Saks since her last hospitalization in 1983. Since then, there have been times when she says, "I probably should have been hospitalized, but I just couldn't go there." Her treatment team has been willing to share the risk with her and treat her on an outpatient basis. Saks knows this has increased the anxiety level of her team, but their willingness to share the risk with her has allowed her healing to take place without retraumatizing her. …

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