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- Title
Factors associated with the use of intrusive measures at a tertiary care facility for children and youth with mental health and developmental disabilities.
- Authors
Stewart, Shannon L.; Baiden, Philip; Theall-Honey, Laura
- Abstract
ABSTRACT This study seeks to identify some of the explanatory factors associated with the use of intrusive measures among children with mental health and developmental disabilities in psychiatric facilities. Intrusive intervention data were collected using an organizational database that was developed internally at a tertiary care facility. The sample was composed of 338 children/youth aged between 6 and 18 years (mean = 12.33, standard deviation = 2.70) admitted within a 2-year period. Logistic regression was used to examine the relationship between chemical restraint, physical restraint and secure isolation, and programme type after controlling for demographic and other relevant client characteristics. The study found that the number of chemical restraints and secure isolations was higher for clients with developmental disabilities than for clients with mental health, whereas the number of physical restraints was lower for clients with developmental disabilities than clients with mental health issues. Demographic variables also predicted specific types of intrusive measures. The results of this study outline the differential factors associated with specific types of intrusive measures to control aggressive and self-harm behaviours. The paper also outlines cultural change initiatives, organizational interventions, and policy implications for best practice services for children/youth in psychiatric facilities to further reduce intrusive measures.
- Subjects
ONTARIO; ACADEMIC medical centers; ADOLESCENT psychiatry; CHI-squared test; CHILD psychiatry; CONFIDENCE intervals; DECISION making; DEVELOPMENTAL disabilities; LENGTH of stay in hospitals; ISOLATION (Hospital care); MANAGEMENT; MENTAL illness; METROPOLITAN areas; ORGANIZATIONAL change; PROBABILITY theory; PSYCHIATRIC hospitals; RESTRAINT of patients; RISK management in business; RURAL conditions; STATISTICAL sampling; SCALES (Weighing instruments); LOGISTIC regression analysis; DESCRIPTIVE statistics
- Publication
International Journal of Mental Health Nursing, 2013, Vol 22, Issue 1, p56
- ISSN
1445-8330
- Publication type
Journal Article
- DOI
10.1111/j.1447-0349.2012.00831.x