Factors associated with long-term use of restrictive interventions.
Saved in:
| Title: | Factors associated with long-term use of restrictive interventions. |
|---|---|
| Authors: | Richardson, Ben, Webber, Lynne S., Lambrick, Frank |
| Source: | Journal of Intellectual & Developmental Disability. Jun2020, Vol. 45 Issue 2, p159-166. 8p. 1 Diagram, 3 Charts, 1 Graph. |
| Subjects: | Antipsychotic agents, Autism, Longitudinal method, People with intellectual disabilities, Restraint of patients, Self-evaluation, Positive psychology |
| Geographic Terms: | Australia |
| Abstract: | Despite agreement that restrictive intervention (RI) should only be used as a last resort and for as long as required, little is known about long-term RI among individuals with a disability. This study examines long-term RI use. From the Restrictive Intervention Data System dataset from Victoria, Australia, a cohort of 1,414 people reported to be restrained or secluded between July 2008 and June 2010 were identified. The primary outcome was restraint during the follow-up period (July 2013–June 2015). Measures of the secondary outcome, reasons for restraint cessation, were assessed via a self-report survey completed by 54 service providers. At follow up, 74% of the cohort was still subject to RI. Antipsychotic medication use, a diagnosis of autism, and communication difficulties were associated with the use of restrictive interventions at follow up. Long-term RI is prevalent, but can be minimised by positive behaviour support. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Intellectual & Developmental Disability is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
|
Full text is not displayed to guests.
Login for full access.
|
|
| Abstract: | Despite agreement that restrictive intervention (RI) should only be used as a last resort and for as long as required, little is known about long-term RI among individuals with a disability. This study examines long-term RI use. From the Restrictive Intervention Data System dataset from Victoria, Australia, a cohort of 1,414 people reported to be restrained or secluded between July 2008 and June 2010 were identified. The primary outcome was restraint during the follow-up period (July 2013–June 2015). Measures of the secondary outcome, reasons for restraint cessation, were assessed via a self-report survey completed by 54 service providers. At follow up, 74% of the cohort was still subject to RI. Antipsychotic medication use, a diagnosis of autism, and communication difficulties were associated with the use of restrictive interventions at follow up. Long-term RI is prevalent, but can be minimised by positive behaviour support. [ABSTRACT FROM AUTHOR] |
|---|---|
| ISSN: | 13668250 |
| DOI: | 10.3109/13668250.2019.1639895 |
