SA Health – Mental Health – Member Feedback Sought - Review of the Restraint and Seclusion in Mental Health Services Policy Guideline and Associated Documents

20 March 2018

SA Health’s Cheif Psychiatrist has written to the Public Service Association (PSA) seeking feedback in relation to a review of the current Restraint and Seclusion in Mental Health Services Policy Guideline which is formally due for review from 31 May 2018. The Chief Psychiatrist advises that this review will include the Tool Kit and fact sheets associated with this policy guideline:

  •     Activity Programs for Mental Health Units and the Activity Sheet form.
  •     Agitation Scales and the Agitated Behaviour Scale (ABS) Rating form.
  •     Effective Limit Setting.
  •     Personal Prevention Plan.
  •     Guide to Review of Restraint and Seclusion.
  •     Sensory Modulation.
  •     Debriefing Following an Incident of Restraint or Seclusion.
  •     Restraint and Seclusion Reporting.


The Chief Psychiatrist advises that additionally there are two Chief Psychiatrist Standards which have been developed under the Mental Health Act 2009 that will be reviewed at the same time:

  •     Restraint and Seclusion – Recording and Reporting.
  •     Restraint and Seclusion – Application and Observation Requirements.


The Chief Psychiatrist also advises that this review does not affect the SA Health Minimising Restrictive Practices in Health Care Policy Directive.

The Chief Psychiatrist has stated in his letter that “In the first instance I would like to have your views on:

  •     what information needs to or should be updated;
  •     any new, recent evidence of importance/relevance that needs to be taken into account;
  •     what other issues or matters should be included in the Tool Kit as fact sheets and any advice about experts in these fields to assist in their development;
  •     any learnings or advice arising from practical application of the Policy Guideline and associated documents; and
  •     any other information you wish to provide.


I will also be looking at the implications of the outcomes of various reviews (e.g. the Oakden Review) that may have implications for this Policy Guideline and associated documents. I welcome your views on any issues arising from these reviews that you feel need to be taken into consideration when redrafting the Policy Guideline and its associated documents.”

The PSA is seeking feedback by email from members regarding the documents in line with the above criteria to include in the PSA's response to the employer.

The Restraint and Seclusion in Mental Health Services Policy Guideline and its associated documents can be accessed here.

Please forward any comments to PSA by close of business Friday 6 April 2018 to allow them to be included in a collated and non-identifying manner in the PSA's response.