Use of Seclusion and Restraint in Children and Adolescents

Brown, Roger; Genel, Myron; Riggs, Joseph A.

doi:10.1001/archpedi.154.7.653

Cited by 18 publications

(9 citation statements)

References 12 publications

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“…In 1998, the American Medical Association (AMA) Annual Meeting resolved to develop updated guidelines for the use of seclusion and restraint techniques with children and adolescents [1]. The AMA Council on Scientific Affairs adopted the following definitions which are used throughout this paper:…”

Section: Literature Reviewmentioning

confidence: 99%

Seclusion use with children and adolescents: an Australian experience

Fryer¹,

Beech²,

Byrne³

2004

Aust N Z J Psychiatry

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Section: Literature Reviewmentioning

confidence: 99%

Seclusion use with children and adolescents: an Australian experience

Fryer¹,

Beech²,

Byrne³

2004

Aust N Z J Psychiatry

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“…It has been noted that there is very little published material regarding the use of restraint in children and adolescents. 5 The few studies to date have examined aspects of restraint use in pediatric inpatient psychiatric facilities. Troutman et al 6 reported that 20% to 60% of child and adolescent psychiatric inpatients will experience locked seclusion or restraint during their hospitalization.…”

mentioning

confidence: 99%

“…[h]owever, the literature on seclusion and restraint is far too limited, particularly on its use in children and adolescents, to establish scientific guidelines on its use, on the training necessary for administering these methods, and on the methods most appropriate for individual patients and particular situations.'' 5 The purpose of this study was 2-fold. First, we wished to delineate current practices regarding the use of restraint, both physical and chemical, for children in emergency department settings.…”

mentioning

confidence: 99%

The Use of Restraint for Pediatric Psychiatric Patients in Emergency Departments

Dorfman

Kastner

2004

Pediatric Emergency Care

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“…The American Medical Association's Council of Scientific Affairs defines seclusion as ''those actions that confine a patient to a defined area, usually a room, for a defined length of time'' (Brown et al, 2000). The term ''seclusion'' can be used to describe interventions that involve: B Placing the patient in a room with the door locked.…”

Section: Physical Restraintmentioning

confidence: 99%

Use of restraint for the management of challenging behaviour in children with intellectual disabilities

Menon

Baburaj

Bernard

2012

Advances in Mental Health and Intellectual Disabilities

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Purpose -This review seeks to provide an overview of the current research evidence on the use of restraint as an intervention in managing challenging behaviours in relation to children with intellectual disabilities. It also aims to discuss legal frameworks and ethical considerations that underpin the use of restraint in intellectually disabled children who present with challenging behaviours.Design/methodology/approach -The authors conducted a search of existing literature primarily pertaining to the management of challenging behaviours in intellectual disability on PubMed, PsycInfo and Google Scholar using combinations of the following key words -children, intellectual disabilities, learning disability, mental retardation, challenging behaviour, restraint, seclusion, physical restraint, mechanical restraint, personal restraint, and chemical restraint. Since research on the use of such interventions in children has been hitherto scant, literature relating to their use in intellectually disabled adult populations as well as cognitively able children was also examined to ascertain whether the broad principles informing the use of restraint interventions could be generalised to their use in intellectually disabled children. Findings -The review finds evidence to suggest that restraint interventions in their myriad forms are widely used to manage challenging behaviours in children with intellectual disabilities and outlines the evidence base, clinical scope, and the risks associated with the use of such interventions in children. It also helps highlight the current absence of comprehensive evidence based guidance that incorporates clinical, ethical, and legal aspects of the use of restraint interventions in children with intellectual disabilities and raises relevant questions in relation to their judicious use in this patient group.Originality/value -The authors believe that the review completes the first in depth evaluation of the use of restraint interventions in children with intellectual disabilities and are confident that this would serve as useful guidance for professionals working with this patient group who may be considering using restraint interventions in their everyday clinical practice.

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Use of Seclusion and Restraint in Children and Adolescents

Cited by 18 publications

References 12 publications

Seclusion use with children and adolescents: an Australian experience

Seclusion use with children and adolescents: an Australian experience

The Use of Restraint for Pediatric Psychiatric Patients in Emergency Departments

Use of restraint for the management of challenging behaviour in children with intellectual disabilities

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