Mechanical Restraint Confounder Risk Alliance (MR‑CRAS) — a tool designed to reduce the duration of mechanical restraint in psychiatry.

MR‑CRAS is a new, clinically and construct‑validated structured short‑term risk assessment instrument called Mechanical Restraint–Confounders, Risk, Alliance Score (MR-CRAS). The purpose is to support the clinician’s observation and assessment of the patient’s readiness to be released from mechanical restraint.
MR‑CRAS is currently undergoing further development so that the individual elements can be linked to strategies for managing conflict and risk, which clinicians can use to support decisions about ending mechanical restraint. The current version does not include such strategies and has therefore not been effectiveness‑tested regarding its ability to reduce the time patients spend in mechanical restraint. Future improvements and developments will be made available on this website.
Collaboration contacts.
Frederik A. Gildberg: fgildberg[a]health.sdu.dk
Forskningsenheden for Retspsykiatri Middelfart (RFM), Institut for Regional Sundhedsforskning, Det Sundhedsvidenskabelige Fakultet, Syddansk Universitet & Psykiatrisk Afdeling Middelfart, Psykiatrien i Region Syddanmark.
Explore MR‑CRAS as clinically validated tools.
Usermanual
Find detailed instructions for the correct use of the assessment tool.
Research
Dive into validation studies and the evidence base for MR‑CRAS.
MR-CRAS for download:
User manual (ENG version)
MR-CRAS (ENG version)
User manual (DK version 2.0: Updated to fit danish legislation)
MR-CRAS (DK version 2.0: Updated to fit danish legislation)
Older versions : User manual and MR-CRAS Danish v01