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Physical Restraint of People with Intellectual Disability: A Review of Implementation Reduction and Elimination Procedures

Physical Restraint of People with Intellectual Disability: A Review of Implementation Reduction... Background This review describes procedures to reduce and eliminate physical restraint of people with intellectual disability. One approach is to assess antecedent conditions associated with restraint and change them so that they no longer produce restraint‐provoking behaviour. A second approach is to decrease the duration of restraint by establishing a fixed‐time release (FTR) criterion. Methods Research supporting these approaches within community‐based service settings are presented. Results Physical restraint can be effectively reduced and eliminated using antecedent intervention procedures and FTR contingencies. Conclusions Future research on physical restraint reduction and elimination should be conducted among people with intellectual disability. Intervention should include explicit therapeutic goals and methods that are acceptable to service providers. Outcome evaluation should focus on long‐term follow‐up over months and years. Finally, organizations serving people who have intellectual disability should approach physical restraint reduction and elimination by dedicating sufficient resources and adopting evidence‐based practices. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Applied Research in Intellectual Disabilities Wiley

Physical Restraint of People with Intellectual Disability: A Review of Implementation Reduction and Elimination Procedures

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References (36)

Publisher
Wiley
Copyright
© 2009 The Author. Journal compilation © 2009 Blackwell Publishing Ltd
ISSN
1360-2322
eISSN
1468-3148
DOI
10.1111/j.1468-3148.2008.00479.x
Publisher site
See Article on Publisher Site

Abstract

Background This review describes procedures to reduce and eliminate physical restraint of people with intellectual disability. One approach is to assess antecedent conditions associated with restraint and change them so that they no longer produce restraint‐provoking behaviour. A second approach is to decrease the duration of restraint by establishing a fixed‐time release (FTR) criterion. Methods Research supporting these approaches within community‐based service settings are presented. Results Physical restraint can be effectively reduced and eliminated using antecedent intervention procedures and FTR contingencies. Conclusions Future research on physical restraint reduction and elimination should be conducted among people with intellectual disability. Intervention should include explicit therapeutic goals and methods that are acceptable to service providers. Outcome evaluation should focus on long‐term follow‐up over months and years. Finally, organizations serving people who have intellectual disability should approach physical restraint reduction and elimination by dedicating sufficient resources and adopting evidence‐based practices.

Journal

Journal of Applied Research in Intellectual DisabilitiesWiley

Published: Mar 1, 2009

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