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Important, upsetting study showing trauma & retraumatization caused by restraints (more likely to be used in pts already vulnerable or marginalized). Vast majority of pts had substance use +/- mental health dx. “You people are hateful the way you treat me”https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2759276 …
“Patients described developing distrust & avoidance of health care interactions... leaving w/ lasting physical & psychological consequences from their restraint experience. Repeated exposure to similar experiences led patients to a feeling of inevitability or futility.” #DoNoHarm
As a recent patient this retraumtized me because I have a fear of being stuck in positions that I don’t want to be in. It exasperated the trauma by inducing anxiety, frustration and irritability that lead to a false diagnosis. They drugged me even though I was not violent.
I’m so sorry Brittany 
Compelling results about the trauma of being restrained in medical settings. Now imagine the trauma of being pregnant or giving birth restrained, as many incarcerated pregnant folks are forced to do. @ARRWIP
Live broadcast @JAMANetworkOpen today 4pm ET about our study, would love everyone's comments and input #JNOLive http://www.youtube.com/user/thejamanetwork/live … @yaleem2 @JAMAPsych @JAMA_current
We'll also be broadcasting on Facebook live and Periscope, looking forward to chatting with you all online on #JNOLive
A limbic system that’s already on full long-term throttle is never going to be helped by any procedure that ignores the biology of our fight/flight/freeze/fold responses.
Well. There’s a surprise. Hitting an already-bruised banana does nothing to improve its texture.
The issue now should be enabling such evidence to change frontline practice and the policies of any Govt and every responsible organisation. A beleaguered/exhausted workforce with low/zero ‘tolerance’ is no help either.
Training #healthcare #staff to communicate clearly with patients and families and to deal with individuals who are #agitated can help. Also, reasonable workloads and #burnout reduction programs for healthcare staff can help, too.
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