RAPID ASSESSMENT OF THE EFFECTS OF RESTRAINT ON SELF‐INJURY AND ADAPTIVE BEHAVIOR

Michele D. Wallace · Brian A. Iwata · Liming Zhou · Gerald A. Goff

38 citations0/0 files storedJournal of Applied Behavior Analysis

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Behavioral and Psychological Studies Healthcare Decision-Making and Restraints Restraint-Related Deaths

Abstract

We evaluated the effects of restraint on occurrences of self-injurious behavior (SIB) and adaptive responses exhibited by 2 individuals across eight response-effort conditions: baseline (no restraints); restraint sleeves without stays; restraints with 5, 10, 15, 20, or 25 thin metal stays; and restraints with five thick metal stays. From this analysis, we identified a restraint level for each participant that reduced SIB but did not inhibit adaptive responding.

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1994TOWARD A FUNCTIONAL ANALYSIS OF SELF‐INJURY 1997DIRECT AND COLLATERAL EFFECTS OF RESTRAINTS AND RESTRAINT FADING 2000EFFECTS OF INCREASED RESPONSE EFFORT ON SELF‐INJURY AND OBJECT MANIPULATION AS COMPETING RESPONSES

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2011The association for behavior analysis international position statement on restraint and seclusion 2004Physical Restraint in School 2005Treatment of hand mouthing in individuals with severe to profound developmental disabilities: A review of the literature

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