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- Title
Behavioral assessment and analysis of mechanical restraint utilization on a psychiatric, child and adolescent inpatient setting.
- Authors
Luiselli, James K.; Bastien, James S.; Putnam, Robert F.
- Abstract
A behavioral assessment and analysis of mechanical restraint utilization on a child and adolescent psychiatric inpatient unit was performed to identify contextual variables associated with implementation. The most frequent antecedent conditions correlated with restraint were when staff initiated physical contact towards a patient and when a patient refused to go to, or remain in, the “quiet room” when instructed. These interactions were seen as staff-initiated encounters that elicited aggressive responses from patients and increased the likelihood of restraint because the physical intervention and “quiet room” procedures were implemented in the absence of a comprehensive treatment formulation, and without reference to behavior-specific guidelines. Recommendations to reduce the use of mechanical restraint with child and adolescent inpatients by isolating functionally controlling variables are presented. © 1998 John Wiley & Sons, Ltd.
- Subjects
BEHAVIORAL assessment; PSYCHOTHERAPY patients; CHILDREN; TEENAGERS; RESTRAINT of patients
- Publication
Behavioral Interventions, 1998, Vol 13, Issue 3, p147
- ISSN
1072-0847
- Publication type
Article
- DOI
10.1002/(SICI)1099-078X(199808)13:3<147::AID-BIN13>3.0.CO;2-3