ABSTRACT Least restrictive practice is a key principle of mental health legislation. It seeks to minimize coercion and maximize the human rights of mental health service users. Coercive practice, with a focus on seclusion, is explored from a whole-of-mental-health-system perspective as distinct from the behavior of individual service users. Exemplar coercion-reducing strategies arising from the reviewed research and literature are outlined. The exemplars can strengthen the utility of the least restrictive principle by extending non-coercive practice options for mental health social workers. The strategies bring a focus to proactive trauma-informed systemic changes and community level alternatives to hospitalization, coercion and seclusion.

中文翻译：

---

在澳大利亚成人心理健康服务中实现无强迫，创伤知情的护理：社会工作者的策略

摘要最少限制实践是心理健康立法的重要原则。它力求最大程度地减少胁迫，并最大程度地提高心理健康服务使用者的人权。从整个心理健康系统的角度探讨了强制性实践，重点是隔离，这与个别服务用户的行为不同。概述了从回顾的研究和文献中得出的减少示例性胁迫的策略。示例可以通过为精神卫生社会工作者扩展非强制性实践选择，来增强最小限制性原则的效用。这些策略将重点放在主动的创伤信息化的全身改变以及住院，强制和隔离方面的社区替代方案。