Behavioral assessment and analysis of mechanical restraint utilization on a psychiatric, child and adolescent inpatient setting
✍ Scribed by James K. Luiselli; James S. Bastien; Robert F. Putnam
- Publisher
- John Wiley and Sons
- Year
- 1998
- Tongue
- English
- Weight
- 108 KB
- Volume
- 13
- Category
- Article
- ISSN
- 1072-0847
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✦ Synopsis
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 sta 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 sta-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-speci®c guidelines. Recommendations to reduce the use of mechanical restraint with child and adolescent inpatients by isolating functionally controlling variables are presented.