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Restraint use in residential programs: why are best practices ignored?
Janice LeBel1, Kevin Ann Huckshorn, Beth Caldwell
1Massachusetts Department of Mental Health, USA.
Child Welfare
|September 23, 2010
Summary
Residential programs are reducing the use of restraint and seclusion. These methods harm youth and staff, but successful prevention strategies have been identified and implemented, leading to positive outcomes.
Area of Science:
- Child and Adolescent Psychiatry
- Healthcare Management
- Residential Treatment
Background:
- Restraint and seclusion in residential programs are linked to negative outcomes.
- These practices harm youth and staff, increase costs, and reduce care quality.
- Youth and family engagement are negatively impacted by restraint and seclusion.
Purpose of the Study:
- To review initiatives aimed at reducing restraint and seclusion in residential settings.
- To identify and report on successful reduction and prevention strategies.
- To share experiences and positive outcomes from states and providers.
Main Methods:
- Review of state and provider initiatives.
- Identification of implemented reduction/prevention strategies.
- Reporting of experiences and outcomes.
Main Results:
- States and providers have actively pursued restraint and seclusion reduction.
- Prevention approaches have been implemented, leading to significant changes.
- Reduced use of restraint and seclusion has been achieved.
Conclusions:
- Successful strategies for reducing restraint and seclusion exist.
- Implementation of these strategies yields positive outcomes in residential programs.
- Sharing experiences facilitates wider adoption of best practices.
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