5(F)(v). Training

English

Restraints and seclusion are used as a response to inadequate staffing levels and training of staff.51 The CRPD sets out the obligation on governments to “promote the training of professionals and staff working with persons with disabilities in the rights recognized in [the CRPD] so as to better provide the assistance and services guaranteed by those rights.”52

The European Committee for the Prevention of Torture (CPT) has found that use of restraints “appears to be substantially influenced by non-clinical factors such as staff perceptions of their role and patients’ awareness of their rights”.53 Indeed the CPT acknowledge that the frequency and use of restraints such as cage beds relates not only to staffing levels but also to the material conditions in the setting and to the “culture and attitudes of hospital staff”.54 In order to effectively combat the use of restraints and other forms of coercion, a transformation in the culture of Czech psychiatry is required, led by management.55


51 World Health Organization, Investing in Mental Health (Geneva: World Health Organization, 2003).

52 CRPD, Article 4(1)(i).

53 European Committee for the Prevention of Torture, Committee in the Prevention of Torture Standards, supra note 36, at p. 63.

54 Ibid.

55 Ibid.

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