Patient restraint tool to transfer patient to the seclusion room in psychiatric unit

[@Spiderblaze-pw7bz]

That’s what changed my life forever

[@kayleesykes2739]

Seen countless kids get ribs/collarbones/arms broken in these types of holds when I was in residential. 90% of the time staff escalated the situation or restrained someone that could’ve been convinced to move if they’d give them more time. People get severe rug burn that leaves life long scars, someone punctured a lung with a broken rib while 4 staff restrained him, and the fact that’s it’s literally traumatizing to be restrained like this. This is disgusting. If you have to restrain clients like this because there’s no safe way to isolate them without having putting staff or clients at risk then you need to work on better safety plans or just shut down altogether. So tired of this shit. When will facilities see these holds are counterproductive and traumatize people.

[@TetconEindhoven]

Hi Kaylee - thank you for sharing your thoughts. Yes, this requires careful training by the crisis team to ensure the patient isn't harmed. The goal of this technique is to ensure there's no pressure on the torso to prevent any fractures. This technique is used to remove the strength of sweeping with arms or legs and reduce movement possibilities while not completely shutting down freedom of movement. Luckily, the facility that is educating their staff on this technique now, there hasn't been any accident. Of course, feel free to send any suggestions to us ([e-mail]) because we're always on the look for new ways to teach staff members and improve patients' well-being and safety.

[@bane3991]

In terms of people getting injured in these positions, not at all. They're not applying pressure to his upper body or torso. They're taking away his base, putting his arms in a position that gives them poor leverage to attack. The other guy is keeping the man's legs together which makes it harder for him to get up. This isn't inhumane or anything. You need to be careful with not using any intervention. There was a case of a man crippling a woman for life because she didn't know how to defend herself. This position will be much harder to pull off than people think. I wouldn't say it's optimal. But it wouldn't hurt them

[@rjr6274]

@@TetconEindhoven No way it's practic and humane. You just need 8 members and to bring him inside the room in a simple litter.

[@Johnantipsychiatry]

when I was in the hospital, they didn't care about these holds. they were simply circling me as 5-8 people(depending on the staff availability), and they were simply using their weights to hold me. when they sit on ur chest, arms, legs, stomach u can't move anyway. was it against the rules? I didn't know that time. but now, it feels like it must be against the rules because when 6-8 people sits on top of u, it is really hard to breath.

[@rjr6274]

@@bane3991 It's simply waste of staff and personal. You only need a bed, restraints and sedatives. I can't see any reason to lock a patient without sedation.

[@NFLStorylines]

Never lay on a person's upper body it can cause him to not be able to breathe also don't lay a person face down ,also a person could suufocate also don't lean on a person's neck with your body! You want to restrain a person not suffocate them saftey is number 1

[@TetconEindhoven]

You are 100% correct! The goal of this technique is to ensure there's no pressure on the torso to prevent any fractures. The ladies are putting against each other backs instead of the torso of the patient on the ground. This technique is used to remove the strength of sweeping with arms or legs and reduce movement possibilities while not completely shutting down freedom of movement. Luckily, the facility that is educating their staff on this technique now, there hasn't been any accident and transfers are much smoother now (and less injuries for patients and staff members). If you have any other suggestions, feel free to email us or give us a phone call =) Have an enjoyable day.

[@BuddyWinteTwo]

As a person that has spent over 3 years in a psychiatric hospital, I struggled from severe anxiety disorders, and mental discords, It got to a point were the hospital would just know when it is needed to restrain, (I was restrained a lot there, Like something over 200 or something), It got to a heavy point were breathing issues and my anxiety were getting worse, Luckily, I was released but with major breathing issues and worsened anxiety, They would give me my own padded room, they would never usually let me out, the experience was very traumatic.. Just am happy I am out of there..

[@alexandermorosjr3790]

Yes they do more mential harm then good. I still have night mares when I was in retrsits. Health care profesonials should never use restraits period. When I woke up from an induced coma and found out i was in restraits I almost had a nervous break down.

[@BuddyWinteOfficial]

@@alexandermorosjr3790 They have to some times due to safety though

[@swiitdoll]

@@alexandermorosjr3790we use restraints to protect you and us. It’s only used when needed to deescalate aggression

[@sheilatagg2699]

That looks absolutely horrific. Bad memories.

[@felicitytoad]

You are lying and people will find out who you are and do this to you , why don't you see you are causing trouble only for yourself

[@bradjohnson4190]

That sucks l. At least for him it does. Or anyone that has to be restrained like that. That's embarrassing, humiliating, mortifying. As far as I'm concerned I think they overdid it. Anyone that has to go through that, that poor person.

[@rbrtpongo]

that happened to me when i was at Montezuma and a few other schools in new mexico it was not good at all.

[@freddiemay1972]

I'm writing a paper about restraint and am keen to hear more from patients.

[@TetconEindhoven]

We'd love to see your work once you're finished, Freddie!

[@mrbritishguyesq2846]

I don’t know if you are still writing it but I absolutely can help with this. From a professional perspective.

[@Randomyoutuber0000]

What is that hold called? guaranteed positional asphyxia?

[@oddward5759]

No, because there's no pressure being applied to the chest.

[@Randomyoutuber0000]

@oddward5759 except the weight of the individuals own body and the weight of the people holding onto his arms. Add to that the fact that that his ribcage is directly on the ground, meaning his intercostal muscles, designed to expand his ribcage now have to lift his entire body and the two people holding his arms. His arms being positioned in that way will further impact his ability to breathe. This is a death waiting to happen, no to mention the psychological harm you are doing to a patient This is more barbaric than C&R training.

[@jamiesmith3211]

And this is why I urge people to avoid psychiatry like the plague. You get help at your own risk , these people have powers to do awful things to you oncr your in their control . You have been warned.

[@YOTSUBA_desu]

If a cop or wannabe cop (psych worker) ever has you face down, your goal is to get to get to your side. Next get your knees up to your chest and lastly start kicking/framing with your legs until you find an opportunity to stand. Don't let them take your back again. This is still a terrible position to be in but it's better than them having all the control with you face down.

[@michellegordon4211]

better yet, don't do the drugs or commit the crime that got you onto a forensic ward in the first place. don't be violent or violate OTHER PEOPLE'S rights and you won't ever be in that position. or had that not occured to you?

[@YOTSUBA_desu]

@@michellegordon4211 I want to help free thinkers fight back against the system that wants them to be sheep

[@ScarlettRoseWright]

​@michellegordon4211 never took drink or drugs but been to sa psych ward?? Ant answer to that one or you too sheepish to answer?

[@Connorlowwhistle]

as a sufferer from mental health this is not how it goes down i can assure you that

[@swiitdoll]

This is mechanical restraint. It’s rarely used.

[@nalhurst9042]

When I got arrested in 2017 it took 6 cops to get me out of my apartment

[@j.a.rathletics6883]

Dang how big are y

[@pbpanther93]

Who asked

[@michellegordon4211]

what a pathetic "achievement"

[@SurprisedBamboo-jr1tc]

Wow your super talented and cool bro

[@honeyharrison2896]

Team approaches are for safety, accountability, and possible behavioral deterrent

[@YOTSUBA_desu]

I commented here a year a go but upon coming back and reading the uploader's comments I have a different criticism. You say you don't want to put pressure on the person's back as to avoid injuries, but I can't think of any other way to get a resisting adult to lay flat and spread his arms out like that unless he had zero idea of what to do. I will say that this is a creative solution to a borderline unsolvable problem, but I also desperately want to see this pressure tested on an adult, and then for fun, on a grappler with minimal training.

[@TetconEindhoven]

Dear Yotsuba - We can assure you that there's limited to no pressure on the torso of the person lying on the ground. The two ladies are essentially 'locking' the elbows and shoulders without force. They press their backs to one another, so there's no force on the person's back, but it limits the person's ability to move up and down. I have lain down myself and tried to get out, but with this technique, you stop resisting because your motion is limited. I didn't feel any pressure on my back except for my legs, as we've observed that you need to lay down your ankles/knees due to the strength of those. And yes, of course, to get someone on the ground, some force might be needed, but if a person suffers from a severe meltdown, they can be a danger to other staff or patients, and in those cases, only force will allow you to start using this type of transfer. This technique is a last resort, and if that's the case, they try to do it in the least harmful way for the patient. We have tried many techniques, and this is by far the best way to make it as friendly as possible. Hope this explanation is helpful but feel free to give us a call if you like to discuss this in further detail: [phone]. KR, Bob

[@YOTSUBA_desu]

​@@TetconEindhoven My criticism was targeted towards the lack of force. That shoulder lock (similar to a kimura) would be difficult to achieve on a resisting adult who has no pressure on his back. I also acknowledged that, since you don't want to put on any pressure on the torso to prevent injury, a noble goal, this becomes a difficult scenario. Maybe another solution would be to mount the belly down individual on the hips instead of the ribs while the other person controls the legs like in the video. Their arms wouldn't be particularly dangerous in this scenario and they wouldn't be able to buck you off thanks to the rear person's leg control, and despite this level of control their upper body wouldn't be endangered. Additionally, because you would be essentially sitting/ kneeling on the individuals hips and ground while the other person sprawls out on their legs, this hypothetical "technique" would require less fine motor skills and more gross motor skills, as nobody needs to remember any pseudo shoulder submissions in the heat of the moment.

[@strandedreil308]

The technique used in this video is not humane, we are working towards an court case regarding these issues, we wish you the best and hope that the court case will help in bringing humane treatments to your facility.

[@sheilatagg2699]

I can't see why that was necessary. The staff could have got the patient on to the bed without wrapping him up looks a Christmas package.

[@DK-cy5mt]

In what way is it not humane?

[@libetbrown728]

Horrendous way to treat anyone, trauma sufferers especially.

[@paulr9449]

1:23 why do i find this oddly arousing😅

[@parfumextraitfan7453]

Patient must be on their side or you can smother them. Also, there’s never this many staff when a restraint happens unless you’re incredibly lucky.

[@TetconEindhoven]

Yes, you are correct. This is a training performed by a crisis team that needs to answer to emergency calls in a psychiatric facility. This crisis team always consists of 6 people. Regarding smothering - the two persons sitting back-to-back actually don't put any pressure on the face or back of the patient while they're not sitting or laying on those body parts. Their goal is to remove the strength of the armsThe person that sits at the head should keep communicating with the patient and should inform the others if a patient has trouble breathing.

[@honeyharrison2896]

I teach de-escalation, take downs, and restraints. Prone positions are not permitted and considered too dangerous for our hospital.

[@TetconEindhoven]

Thanks for sharing Honey - do you have any instructions available how you teach this kind of restraints? We're always curious and eager to learn from others around the world.

[@mrbritishguyesq2846]

Jesus I’ve worked the highest secure units in my country and used equipment like this. And yet never seen it so brutally done…

[@swiitdoll]

This is mechanical restraint. It’s used in a few places and must be legally done.

[@TetconEindhoven]

Love to hear more about the practices you have learned. Feel free to send us an email to info(@)tetcon-ge.com. Always great to learn from one and other and improve from other's experiences. Have a wonderful day @mrbritishguyesq2846

[@codywright2654]

Once they wrap the legs, it's all over. You're not going to fight off a group of people at that point. You just have to relax.

[@tommarsee6319]

You talk about in the description how moving a patient to a seclusion room can difficult for staff. Well I hate to tell you, but that's not exactly true. Some staff find it as a way of getting rich off that shit as far as their paycheck goes. Some staff just get a power kick out of it. I mean I get that you guys are just practicing in this video and that's fine but after the training is over, and mental heath staff are fully familiar with this tool, that's when they start having fun with it at the expense of their patients.

[@TetconEindhoven]

Hi Tom, thanks for your sharing thoughts. Yes, there will be situations and cases where staff members have different reasoning for working in psychiatric units instead of promoting and taking care of patient well-being. I'm not sure where you are based though, but this is a technique taught in The Netherlands, where aggression from staff members to patients is very low luckily.

[@tommarsee6319]

@@TetconEindhoven Atlanta, Georgia. (USA). There's been a lot of forced closings of mental health hospitals here in the United States over the years. They claim it's due to budget cuts which I think is a load of crap. My theory is, is they're being shut down because there've been too many cases against 'em. There are still a few of institutions left here in the states though.

[@sandruki]

I work in a psych hospital with elderly patients (mostly) after years of working in a carehome. In the carehome you can't stop the aggression and some residents can really be violent and dangerous. In hospital we have training to prevent, stop or manage aggression as the patients are usually younger and stronger. No one that I know likes to be involved in this type of interaction. It has to be a really weird or nasty person to enjoy such stuff and needing someone else to do it with you, there is always a second person to challenge someone who is too keen on restraining when it is not needed. I don't like being in such close contact with patients for any reason at all. I rather take them to the toilet with a severe episode of loose stools than having to restrain them.

[@bethmcnichols844]

you should NEVER have anyone face down in a restraint!! Your technique is B-A-D and dangerous.

[@TetconEindhoven]

Thank you for sharing your thoughts, Beth. Feel free to send us any suggestions on how this can be improved and we will share this with the facility that trains like this. You can send your suggestions to [e-mail] please. Face down might not work for all situations indeed. Considering the aggressive behaviour that this facility comes across, face down seems to be the best option to ensure safety of patient and staff. Of course, we're very open to learn from other people on how things can be improved finding the right balance between patient and staff safety. Happy holidays, Beth.

[@paulfrost8895]

I witnessed a care worker do that once in a care home ' and drop kicked him in the back ' he then threatened to beat my ass ' fortunatly someone intervened ' I just hate dick heads where power goes to their heads.

[@kayleesykes2739]

@@paulfrost8895 And unfortunately with the type of staff at work in these places power goes to their heads way too often. I did 14 months in a residential. Staff lied on our paperwork we’re extremely aggressive with clients some sexually assaulted clients and they remained open for 3 more years. Took them years to shut down.

[@larrymcjones]

@@kayleesykes2739 sorry to hear that. Where I work there are cameras everywhere someone would ever end up being restrained. And we lay on their backs while holding them physically for our own safety briefly until we can transport them to a restraint bed where they are put in mechanical restraints laying on their back and have someone in the room constantly monitoring them.

[@jarule275]

Face up can cause choking hazards. I don't think there's any good or "b-a-d" way, just methods of dealing with bad situations. If you're gonna claim something is wrong at least back it up... keyboard warrior.

[@raheen.sectioned-Mr5150]

with me all it took was one cop

[@paulfrost8895]

Assault charge the cop.

[@raheen.sectioned-Mr5150]

@@paulfrost8895 i only blame the petitioner, my horrible mother.

[@raheen.sectioned-Mr5150]

was he if he was following court orders?@@thedestroyer5332

[@felicitytoad]

😊

[@X_CHILLer_X]

Lets see them try this crap in a understaffed facility. It will not happen, I guarantee it.

[@kayleesykes2739]

And 99% of facilities are understaffed or staffed with poorly trained young people who are emotional. I’ve seen staff really hurt residents in golds like this before. Many times it was unnecessary. If they have to restrain people like this it’s a major reflection of how poor the facility is. They need better safety plans to evac other residents and staff so the people can simmer down safely without being injured or isolated in a locked/padded cell.

[@coreyhodges8589]

the face down approach is completely wrong. 1.the pt can die from breathing difficulties. the majority if cases where someone has died or broken bone is due to this method. 2. how the hell thoese to females where actually doing anything useful is beyond me

[@TetconEindhoven]

Hi Corey - thank you for sharing your thoughts and concerns. The two females sitting back-to-back actually don't put any pressure on the face or back of the patient while they're not sitting or laying on those body parts. Their goal is to remove the strength and limit the movement of the arms. The person that sits at the head should keep communicating with the patient and should inform the others if a patient has trouble breathing. Of course, the goal of this technique is to provide the safest transfer without harming the patient or staff members.

[@DaveWalker-o3q]

I've worked with many very dangerous people in crisis. This is an appalling and very dangerous way of restraining a person in crisis. It comes right out of police and security service manuals. Face down is a complete non starter. People have died. The trainers make this look so easy. It's not, it's dangerous and people get hurt.

[@Alprtngakrc]

The problem with psychiatric facilities is that the aim isn't really to help people. It's rather to take measures against liability suits. Those hospitals all develop their own cultures and never play by the book. In such places it's impossible to create a therapeutic environment. There should be better alternatives than fully restraining patients. The aim actually in such facilities is to show the patients who the boss is and to put them into a certain line rather than helping them or prevent them to hurt themselves or others. Involuntary treatments should be abolished as soon as possible. Such places are the blatant violations of the international conventions which aim to prevent torture and degrading treatments.

[@TetconEindhoven]

You are correct and thanks for sharing your thoughts and concerns. Complete restraints are often out of the question in The Netherlands. This is a technique to simply transfer the patient from point A to point B if they suffer from a severe meltdown and cause a danger to either themselves or to their surroundings. The goal of this type of this restraint is to use as little force as possible, but use the person's body to restrict movements (e.g. lock the elbow instead of the cuffing it). Also, the ladies press their backs against each other and lock the elbows without putting any pressure to the person's torso. These are techniques that are trained to actually improve the well-being of the patients compared to full restraints and using force and pressure which could harm the patients.

[@dogshowish]

I don’t remember much but remember sleeping on a mattress

[@jennhill8681]

I’m no pro, but I’d love to see this in action with a kicking screaming fighting patient.

[@TetconEindhoven]

Hi Jenn - thanks for sharing your thoughts. Yes, indeed, there will be incidents that this might be extremely difficult to perform, however, the technique is basically pretty clear: 1. The ladies try to limit arm movement without putting pressure on the torso. 2. The guy tries to limit knee movement 3. The person at the head end keeps communicating with the person on the floor 4. Two other guys will fixate the straps that can easily be removed once you've entered the place of seclusion or calm down zone. The end goal is to make the transfer to a place of rest or seclusion as safe as possible for the patient and staff members without physical harm.

[@phpprogrammer]

This is mostly not needed. And when you need this for someone try to do it and take it in consideration.

[@TetconEindhoven]

Absolutely, the chance that you would need to use this technique is very unlikely, but if it does, it's important that staff knows how to handle such a situation in the least harmful way for the patient. It's a matter of consistent training that could make a difference in crisis situations and that's also the goal of this training program. Please let us know if you have any further thoughts or need other help.

[@bajodah1847]

A big no, he’s faced down and you almost broke his arm and the walls aren’t padded. Screw you all.

[@alexandermorosjr3790]

Retraits are bad period restraits do more mential harm then you relize.

[@riolu157]

Crime against humanity

[@michellegordon4211]

have you ever worked in a psych hospital? maybe you should try it first, before you spew that ignorant garbage. Patients ATTACK staff and their peers, and then must be subdued and put in seclusion for the safety of everyone else.

[@namunya]

Where in the world is this bollocks happening.

[@TetconEindhoven]

In The Netherlands and Belgium ;)

[@ElBritanicoBoricua.]

most if this does not work in reality

[@TetconEindhoven]

Thanks for sharing your thoughts @Elbritanyico. Yes there are many different scenarios where this technique might not be applicable, however, it is important that staff members are trained for occassions like this. In The Netherlands, they call this training technique 'Safely In Contact'. It is a way to protect the patient, staff members and other patients in the facility, when the patient suffers from a severe meltdown and needs to be transferred to an area to calm down.

[@whenindoubtmutemyownmouth5180]

I've never been restrained in this manner in a hospital before they always just had four great big assholes slam me to a bed then the strap me to the bed.

[@Anonymousgamer-gi7kj]

Why are they feeling round his body, that is violation of his privacy rights

[@TetconEindhoven]

Hi @Anonymousgamer-gi7kj - this is to check if the person doesn't have anything in their pockets or socks that could be used as a weapon to harm himself when they are inside the seclusion room. Hope this explains.

[@Anonymousgamer-gi7kj]

it's illegal only police can do that@@TetconEindhoven

[@rjr6274]

@@TetconEindhoven He will use the bed to harm himself. It's no sense seclude a patient limbs free without any sedation. It's fatally dangerous, indeed.

[@weliwwhnfwejhk5j]

Uheeui33iih

[@9aguirre]

Bring back the straight jacket, it is more efficient and less hazardous to staff.