The impact of the Covid-19 pandemic and lockdown on restrictive practices

This short survey seeks to understand your experience of the impact of the pandemic and lock-down on restrictive practices. The survey results may be published.

The survey is anonymous and should take about 15 minutes to complete.

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* 1. Which sector do you work in?

Health services - Primary care

Health services - Inpatients

Health services - CAMHS Forensic services

Health services - Older people

Education services - Mainstream school or college

Education services - special school or college

Education services - adult education

Social care services - Community setting

Social care services - Residential setting

Social care services - Day service

I am an unpaid carer

Self-employed consultant with lived experience

Other (please specify)

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* 2. If applicable which type of setting do you work in?

Settings for people with mental health conditions

Settings for people with learning disabilities and autistic people

Settings for people living with dementia

Settings for children and young people

Not applicable

Other (please specify)

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* 3. My role is (tick the nearest to your current role )

Family member

Expert with lived experience

Senior manager

Manager

Team leader

Provider of direct care/ support or education

Allied health, education or social care professional

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* 4. There has been an increase in blanket restrictions for infection control. To what extent do you think this has this made it more challenging to maintain a culture of minimising restrictive practices and promoting human rights?

It has become significantly more challenging to maintain a culture of minimising restrictive practices and promoting human rights

It has become a little more challenging to maintain a culture of minimising restrictive practices and promoting human rights

There is no difference

It has become a little easier to maintain a culture of minimising restrictive practices and promoting human rights

It has become significantly easier to maintain a culture of minimising restrictive practices and promoting human rights

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* 5. Can you tell us why you think this is?

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* 6. In your opinion do you think there has been an increase or decrease in the use of physical restraint?

Increase

Decrease

No difference

Not applicable

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* 7. To what extent do you think social distancing has affected the use of physical restraint? Please tick one

It has resulted in a significant reduction in the use of physical restraint

It has resulted in some reduction in the use of physical restraint

There is no difference

It has resulted in some increase in the use of physical restraint

It has resulted in a significant increase in the use of physical restraint

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* 8. Can you tell us why you think this is?

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* 9. In your opinion do you think there has been an increase or decrease in the use of other restrictive practices. Please tick one in each category

	Increase	No difference	Decrease	Not applicable
Use of medication to manage potential or actual behaviours that are seen as challenging or concerning (chemical restraint)	Use of medication to manage potential or actual behaviours that are seen as challenging or concerning (chemical restraint) Increase	Use of medication to manage potential or actual behaviours that are seen as challenging or concerning (chemical restraint) No difference	Use of medication to manage potential or actual behaviours that are seen as challenging or concerning (chemical restraint) Decrease	Use of medication to manage potential or actual behaviours that are seen as challenging or concerning (chemical restraint) Not applicable
Use of seclusion	Use of seclusion Increase	Use of seclusion No difference	Use of seclusion Decrease	Use of seclusion Not applicable
Use of segregation	Use of segregation Increase	Use of segregation No difference	Use of segregation Decrease	Use of segregation Not applicable
Use of mechanical restraint	Use of mechanical restraint Increase	Use of mechanical restraint No difference	Use of mechanical restraint Decrease	Use of mechanical restraint Not applicable

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* 10. Balancing safety and best interests. The coronavirus pandemic has been challenging for both staff and patients. A number of restrictions have been introduced for infection control. In my opinion:

It has been more challenging to balance safety and best interests but the balance has been appropriate to manage the risk

It has been more challenging to balance safety and best interests but at times best interest decision making has been unnecessarily compromised

It has been more challenging to balance safety and best interests but at times the focus on best interests has significantly compromised safety

It has not been any more challenging than it usually is to balance safety and best interest decision making

Please tell us why you think this

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* 11. It has been suggested that there have been a number of health inequalities during the pandemic amongst different populations. Based on your experience, do you think that any of these groups have been subjected to an increase in the use of restrictive practices? Please tick all that apply.

People from black and minority ethnic (BAME) populations

People with disabilities

People with mental health conditions

Young people

Older people

People living with dementia

I am not concerned

Other (please specify)

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* 12. As we move to a potential recovery phase, what do you think are the priorities to ensure we re-focus on restraint reduction and human rights?

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* 13. Please share one example of restrictive practice that has caused you concern during lockdown

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* 14. Please share one example of good practice in reducing restrictive practices during lockdown. What interventions, actions, measures have been most effective in reducing behaviours of concern?

Thank you for your time.