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Dr. Carlson et al. Reply.

Gabrielle A Carlson1, Jaclyn Chua1, Katherine Pan1

  • 1Renaissance School of Medicine at Stony Brook University, New York.

Journal of the American Academy of Child and Adolescent Psychiatry
|May 31, 2020
PubMed
Summary

Reducing seclusion and restraint in child psychiatric hospitalizations is crucial. However, this must be paired with effective treatments for severe aggression, not just prohibition of methods.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Behavioral Psychology
  • Pediatric Healthcare

Background:

  • Coercive parent-child dynamics are frequently addressed during psychiatric hospitalizations.
  • Prohibiting seclusion and restraint without addressing underlying aggression is ineffective.

Discussion:

  • The focus should be on developing and implementing evidence-based treatments for severe aggression in children.
  • Hospitalization outcomes are improved by modifying coercive relationships and addressing destructive outbursts.

Key Insights:

  • Lowering seclusion and restraint rates requires more than prohibition; it necessitates effective behavioral interventions.
  • Severe and destructive outbursts in young children often lead to psychiatric hospitalization, highlighting a treatment gap.

Outlook:

  • Further research is needed to develop and validate treatments for severe aggression in hospitalized children.
  • Future strategies should integrate the reduction of restrictive measures with the enhancement of targeted therapeutic interventions.