Mental health providers should "avoid the use of dangerous or restrictive interventions" such as restraints and seclusion, according to the measures' definitions, because they increase the patient's risk of physical injury as well as psychological harm. They should only be used when the patient is in imminent danger to him or herself, or others, and only when less restrictive interventions have failed.
They are also specifically not to be used to address staff shortages or to be used as a form of discipline or coercion.
HBIPS 4 through 7 will be posted on Hospital Compare in April. Measures for seclusion and restraint await clarification before they will be reported, perhaps later this year.