Articlebronze2005

Correlates of restraint use in an institutional population: a replication

Julia D. Lott · Rinita B. Laud · Johnny L. Matson

46 citations0/0 files storedJournal of Intellectual Disability Research

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Behavioral and Psychological Studies Down syndrome and intellectual disability research Healthcare Decision-Making and Restraints

Abstract

BACKGROUND: Reducing inappropriate restraint is an important mission of services for people with intellectual disabilities (IDs). METHODS: In this study, 52 clients who had been restrained were compared with 52 other clients, individually matched on age, gender and level of IDs. Participants were mostly adults with severe and profound IDs in an institutional setting. RESULTS: The two groups differed on six Diagnostic Assessment for the Severely Handicapped-II (DASH-II) and three Aberrant Behaviour Checklist (ABC) scales. However, discriminant functional analysis demonstrated that only DASH-II Impulse control disorder and ABC Irritability and Elimination disorder scores predicted group membership but only moderately. CONCLUSIONS: Individual differences in maladaptive behaviours were only moderately predictive of restraint use.

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1985The aberrant behavior checklist: a behavior rating scale for the assessment of treatment effects.1997Meta-analytic study on treatment effectiveness for problem behaviors with individuals who have mental retardation.1978THE USE OF PHYSICAL RESTRAINT IN THE TREATMENT OF SELF‐INJURY AND AS POSITIVE REINFORCEMENT 2000Treatment and Management of Challenging Behaviours in Residential Settings 2003Deaths associated with restraint use in health and social care in the UK. The results of a preliminary survey 2001Factors Relating to the Use of Physical Restraints in Geriatric Care Settings 1996Physical restraint procedures for managing challenging behaviours presented by mentally retarded adults and children 1997Changing care staff approaches to the prevention and management of aggressive behaviour in a residential treatment unit for persons with mental retardation and challenging behaviour

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