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Related Experiment Video

Updated: May 26, 2026

A Familiarization Protocol Facilitates the Participation of Children with ASD in Electrophysiological Research
08:42

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Published on: July 31, 2017

Commentary: Interventions based on learning principles can supplant seclusion and restraint.

Robert Paul Liberman1

  • 1Semel Institute of Neuroscience and Human Behavior, 760 Westwood Plaza, Los Angeles, CA 90024, USA. rpl@ucla.edu

The Journal of the American Academy of Psychiatry and the Law
|December 14, 2011
PubMed
Summary

Implementing behavior therapies alongside medication can reduce patient aggression and self-injury. This approach, focusing on learning principles, improves clinical outcomes and decreases seclusion and restraint use in psychiatric settings.

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Area of Science:

  • Psychiatry
  • Behavioral Science
  • Clinical Psychology

Background:

  • Staff training in verbal interventions can reduce seclusion and restraint but may increase staff injuries.
  • Aggression and self-injury may persist or increase despite patient-centered de-escalation programs.
  • Administrative pressures can lead to underreporting of incidents, negatively impacting staff morale and the unit environment.

Purpose of the Study:

  • To explore effective behavioral interventions for managing aggression and self-injury in patients with developmental and psychiatric disorders.
  • To investigate the integration of behavioral therapies with pharmacotherapy for improved patient outcomes.
  • To identify strategies for reducing the use of seclusion and restraint in inpatient psychiatric settings.

Main Methods:

  • Review of evidence-based behavior therapies such as differential reinforcement, social skills training, and time out.
  • Emphasis on applying learning principles to teach alternative behaviors.
  • Integration of these therapies with pharmacotherapy and person-centered care.

Main Results:

  • Behavior therapies, including differential reinforcement of other behavior and social skills training, are effective in reducing aggression and self-injury.
  • Superimposing evidence-based behavioral interventions on pharmacotherapy is crucial.
  • Person-centered, recovery-oriented biobehavioral interventions are linked to favorable clinical outcomes.

Conclusions:

  • Behavioral interventions are essential for managing challenging behaviors in patients with developmental and psychiatric disorders.
  • A combined approach of pharmacotherapy and evidence-based biobehavioral strategies can reduce seclusion and restraint.
  • Implementing these interventions promotes positive clinical outcomes and a better treatment environment.