Start:
Does a restrictive practice
need to be implemented?
If so, which restriction is
most appropriate?
Is it the least restrictive
option?
If not, what other
interventions could be
considered?
Have you agreed the
actions with the staff on
shift and updated a
manager?
Complete the Restrictive
Practice Record, Rec 10
and DATIX
Additional paperwork :
Seclusion : Observation
records
Environmental restrictions
should be reviewed by a Band
7 manager every 24 hours
Decision making chronology to
be completed by manager
Seclusion should be reviewed by a
Band 7 manager every 4 hours and
signed off by a Band 8A manager
Does the young person's behavior or
the level of risk warrant the restriction
to continue?
Can you opt out?
Is there a less restrictive option?
Does the young person
require a medical
assessment or support?
Ensure Multidisciplinary input to
decision making:
Environmental restriction - after 24
hours of restriction in place
Seclusion - after 4 hours of seclusion
starting
What action have you taken to
promote the young person's Human
Rights, Wellbeing and de-escalation?
For environmental restrictions over
24 hours, a support and
engagement must be completed
When the restriction has ended:
Has young person completed a
reflective discussion / YPRR
Have you had a debrief?
Please ensure recording is
completed and saved in young
person's e-file
Recording > Restrictive Practice
Does the young person's
MSSP need to be
updated?
End:
What could we do
differently next time to
prevent another similar
event?