Declining use of restrictive practices in approved centres in Ireland in 2023 and 2024 : Steps taken by the Mental Health Commission and by service providers to improve quality care through the adoption of a human rights-based approach : Thematic report 2025

Abstract

The use of restrictive practices (physical restraint and seclusion) (see Glossary) in approved centres in Ireland is declining. In this paper, we present data on the acceleration of this trend following the implementation of revised, human rights-based rules governing the use seclusion and mechanical restraint, and a Code of Practice on the use of physical restraint. These Rules and Code of Practice, developed by the Mental Health Commission (MHC), came into effect on 1 January 2023. We describe steps taken by the regulator and by approved centres to sustain this welcome trend.