Topic:
Can and should we end coercion in mental health settings? And if so, how could we achieve this in practice while keeping people safe?
Date and time:
Friday 5 December 2025, 9am-5pm
Venue:
City St. George’s University of London, Northampton Suite at University Building [B], Northampton Square, London EC1V 0HB (nearest Tube Station: Angel)
Registration:
Eventbrite: https://tinyurl.com/2knx623e
Abstract:
Both at the international and the national level, there is increasing momentum to reduce or even end the use of coercive measures in mental health settings, but significant challenges remain about how far this can and should go, and what it would mean in practice.
The aim of this one-day workshop is to advance the debate in the UK by providing a forum to identify the best ways forward. The first objective is equipping participants with a better understanding of the newest developments and good practice guidance and concrete examples in this area, both at the international level (notably the WHO guidance and good practice examples from abroad) and national level (NHS 24/7 community care pilots and the Mental Health Bill 2025).
A further objective is to provide a framework for navigating better the ethical and conceptual challenges in this terrain beset by risks and controversies.
A final objective is to reflect together about actual concrete cases and what it would mean to approach them without any or less coercive measure – and about whether this is always possible or desirable.
The event includes a mix of talks by experts by experience and leading international/national experts, an interactive review of challenging scenarios, and a final panel discussion.
Agenda:
| Time | Session Title | Speakers |
| 9:00 | Welcome and Introduction | Fabian Freyenhagen (University of Essex), Frank Röhricht (ELFT), Rose McCabe (City St George’s University) |
| 9:05-9:45 | Whose anxiety are we treating? Reflections on significant incidents and their impact on mental health policy and practice in the UK | Frank Röhricht (Medical Director ELFT) |
| 9:45-10:15 | Benefits of a systematic national QI programme to reduce coercive practices | Tom Ayers (Director, NCCMH), Brendan Stone (University of Sheffield) |
| 10:15-10:45 | Ethical and conceptual challenges in ending coercion | Fabian Freyenhagen (University of Essex) |
| 10:45-11:00 | Tea/coffee break | |
| 11:00-12:00 | Case study discussion led by expert-by-experience | Paul Binfield (Chair, ELFT), Sidney Millin, Brendan Stone, more TBC |
| 12:00-13:00 | Lunch break | |
| 13:00-13:30 | The Communication and Restraint Reduction (CaRR) study findings | Mary Lavelle (Queen's University Belfast) and Rose McCabe (City St. George's University) |
| 13:30-14:00 | What do we know from research about prevention of coercion in psychiatry? | Vicky Bird (University of Essex) |
| 14:00-14:30 | After coercion: How should mental health service users exposed to coercive practice be supported? Data from a study. | Lewys Beames (Institute of Psychiatry, Psychology and Neuroscience, King's College London) |
| 14:30-15:00 | Update on national 24/7 community mental health care pilots | Tim Kendall (NHSE National Clinical Director for Mental Health; Director of the National Collaborating Centre for Mental Health at the Royal College of Psychiatrists; Visiting Professor at University College London) |
| 15:00-15:30 | Tea/coffee break | |
| 15:30-16:00 | EDI and coercion – a particular challenge in mental health care | TBC |
| 16:00-17:00 | Panel discussion | All |