Coercive measures in disability and mental health care services: Mechanical restraints from a bioethical and legal perspective in Spain

Abstract

This article explores the use of coercive measures, particularly mechanical and pharmacological restraints, indisability care settings and mental health services from a bioethical perspective, focusing on how these practicesimpact the human rights of individuals with mental disorder, focusing on how these practices impact the humanrights of individuals with mental disorders. A robust bioethical framework is presented, advocating for principlesof autonomy, beneficence, non-maleficence, dignity, dialogical justice, distributive justice, and vulnerability.These principles are integrated to reframe interventions and promote respect for patient rights. The articleprovides a detailed account of the legal framework governing these practices in Spain, addressing both nationaland regional legislation, and emphasizing its significance in protecting human rights. Finally, practical recommendationsare offered, which have proven effective in significantly reducing the need for coercive interventions.The article concludes by advocating for a transformation in clinical practices, promoting dignifiedand respectful care in line with a human rights framework, and moving away from unnecessary coercivemeasures.