
@article{ref1,
title="Managing treatment resistant violent adolescents: a step forward by substituting seclusion for mechanical restraint?",
journal="Administration and policy in mental health",
year="2008",
author="Larson, Thomas C. and Sheitman, Brian B. and Kraus, John E. and Mayo, James and Leidy, LuAnn",
volume="35",
number="3",
pages="198-203",
abstract="Despite a growing consensus that seclusion or restraint should never be used with children or adolescents, there are a few patients who are resistant to treatment, and are persistently violent. The purpose of this study was to measure the efficacy of installing a padded seclusion room to decrease the use of mechanical restraints, a potentially more emotionally traumatic and dangerous intervention than seclusion. After padded room installation, the number of monthly mechanical restraint events per 1000 patient days decreased by 93.7%, from 21.2 to 1.3. A padded seclusion room may offer a safer, albeit a less than desirable alternative to mechanical restraint.<p /> <p>Language: en</p>",
language="en",
issn="0894-587X",
doi="10.1007/s10488-007-0156-5",
url="http://dx.doi.org/10.1007/s10488-007-0156-5"
}