Correlates of Restraint and Seclusion for Adults with Intellectual Disabilities in Community Services

Autor/inn/en	Merineau-Cote, J.; Morin, D.
Titel	Correlates of Restraint and Seclusion for Adults with Intellectual Disabilities in Community Services
Quelle	In: Journal of Intellectual Disability Research, 57 (2013) 2, S.182-190 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0964-2633
DOI	10.1111/j.1365-2788.2012.01601.x
Schlagwörter	Mental Retardation; Adults; Aggression; Behavior Problems; Discipline; Environmental Influences; Individual Characteristics; Mail Surveys; Physical Health; Drug Therapy; Mental Health; Residential Care; Caregivers; Functional Behavioral Assessment; Caregiver Role; Pervasive Developmental Disorders; Foreign Countries; Regression (Statistics); Canada; Aberrant Behavior Checklist + Suchen Sie Ihr Suchwort? Geistige Behinderung; Disziplin; Environmental influence; Umwelteinfluss; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Erhebungsinstrument; Gesundheitszustand; Psychohygiene; Caregiver; Carer; Betreuungsperson; Pfleger; Ausland; Regression; Regressionsanalyse; Kanada
Abstract	Background: Some individuals with intellectual disabilities (IDs) exhibit aggressive behaviour directed towards themselves, others or the environment. Displaying aggressive behaviour is associated with a number of negative consequences such as the exposure to restrictive interventions. This study aims to identify personal and environmental factors related to the use of restrictive measures among persons with IDs living in the community. Methods: Data for 81 adults with IDs were collected through a mail survey. The questionnaires acquired information on demographic variables, physical health and psychiatric diagnoses, medication, residential setting, support worker experience and prevalence of restraint and seclusion. The type and severity of aggressive behaviours were measured by the Modified Overt Aggression Scale. Results: The prevalence of restrictive measures was 63.0%: 44.4% seclusion, 42.0% physical restraint and 27.2% mechanical restraint. The mode of communication, anxiolytic medication, severity of the aggressive behaviours, presence of a functional assessment on aggressive behaviours, and support workers' experience with persons with IDs were predictors of restrictive measures. Conclusion: The results of this study have several clinical implications for practitioners working with persons with IDs who exhibit aggressive behaviours. More research is needed to expand our understanding of the use of restrictive measures and reduce its frequency. (Contains 3 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10