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Behavioral assessment and analysis of mechanical restraint utilization on a psychiatric, child and adolescent inpatient setting
Author(s) -
Luiselli James K.,
Bastien James S.,
Putnam Robert F.
Publication year - 1998
Publication title -
behavioral interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.605
H-Index - 34
eISSN - 1099-078X
pISSN - 1072-0847
DOI - 10.1002/(sici)1099-078x(199808)13:3<147::aid-bin13>3.0.co;2-3
Subject(s) - antecedent (behavioral psychology) , psychology , intervention (counseling) , psychiatry , unit (ring theory) , quiet , clinical psychology , developmental psychology , physics , mathematics education , quantum mechanics
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.