TY - JOUR PY - 2008// TI - Managing treatment resistant violent adolescents: a step forward by substituting seclusion for mechanical restraint? JO - Administration and policy in mental health A1 - Larson, Thomas C. A1 - Sheitman, Brian B. A1 - Kraus, John E. A1 - Mayo, James A1 - Leidy, LuAnn SP - 198 EP - 203 VL - 35 IS - 3 N2 - 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.
Language: en
LA - en SN - 0894-587X UR - http://dx.doi.org/10.1007/s10488-007-0156-5 ID - ref1 ER -