This review examined research on physical design features in mental health facilities that reduce the use of seclusion and restraint. Overall, the review found evidence that the physical environment can have a role in supporting better outcomes for consumers of inpatient mental health services, including reduction in the use of seclusion and restraint. Improvements to the physical environment are likely to be achieved through good design features; these include adequate space and privacy, no overcrowding, exposure to daylight and other appropriate lighting, reduced levels of unpleasant noise, access to gardens and a home-like environment.


Brophy L, Oostermeijer S, Minshall C, Harvey C, Hamilton B, Roper C, Martel A, Fletcher J. Designing mental health facilities that prevent the use of seclusion and restraint: an Evidence Check rapid review brokered by the Sax Institute for the NSW Ministry of Health

Download now