Restrictive Physical Intervention reduction programme

Since 2012, the Selden Centre has been running a comprehensive Restrictive Physical Intervention (RPI) reduction programme. This multi-faceted initiative focuses on addressing the underlying causes of restraint and other restrictive practices, with the goal of reducing their use as much as possible.

Key elements of the programme include:

• Staff induction and training
• Review of every restraint incident on the ward
• Quarterly RPI audits
• Embedding personalised support planning
• Providing debriefs for patients involved in a restraint

Patient debriefs

Patient debriefs create opportunities for individuals to share insights into what could have been done to prevent the restraint. This process supports collaborative co-production and helps rebuild relationships between patients and staff after incidents.

We also recognise that witnessing restraint can be distressing. In response, we have introduced debrief processes for those who see restraint taking place. These sessions give patients the chance to express concerns, receive reassurance, and access support—while maintaining the confidentiality of those directly involved.

The accompanying resources - My Restraint Story and Seeing Restraint Story - have been designed in accessible formats to support people with learning disabilities.

Sussex Partnership NHS Foundation Trust supports the work of the Restraint Reduction Network, a network of organisations and individuals committed to eliminating the unnecessary use of restrictive practices.