Background. The practice of restraint mental patients is also evidently still being carried out in mental hospitals which should be a therapeutic environment. The retraint is often based on subjective reasons. There are no standard parameters to determine the restraint action decision. Patients who are restrained often complain that they do not understand the reason they are tied. Patients become vengeful and uncooperative when tied up, can even increase the level of agitation. The aim of this study was to create a standard instrument as a basis for making decisions regarding the restraint of mental patients in mental hospitals. The method used in research is a mixture of qualitative and quantitative methods. The results obtained in this study are found in 4 instruments that are valid, reliable, sensitive, and specific in determining binding actions for mental patients in mental hospitals. The study also obtained a total score as a cutoff point for determining restraint or non-restraint actions. Discussion: So far, restraint has only used patient behavioral assessments that have been proven valid and reliable. Components of human resources, policies, and facilities for binding infrastructure have never been used as a basis for determining restraint actions.

Keywords: mental disorders, restraint, instruments, valid, reliable, sensitive, specific