The use of ‘tie down’ in New Zealand prisons—what is the role of the health sector?
Julia Carr, Paula King
This paper draws on recent reports from the Chief Ombudsman that describe the prison management of several people who were at risk of self-harm or suicide, as cruel, inhumane or degrading treatment or punishment. People were mechanically restrained on tie-down beds by their legs, arms and chest or placed in waist restraints with their hands cuffed behind their backs over prolonged periods. This occurred at the direction of, or approved by, health professionals. This article raises questions about the responsibilities, scope of practice, standards and accountability of health professionals in prisons, and their role in upholding human rights and humane values. Moving forward, Government needs to ensure that people in prison at risk of suicide or self-harm, receive humane, evidence-based care, and that there is sufficient forensic mental health capacity and capability in the health sector for their timely access to equitable high-quality, and culturally safe services.
