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Examining the therapeutic utility of restraints and seclusion with children and youth: The role of theory and research in practice.
Abstract
Restraining and secluding children living in residential facilities, though controversial, are commonly practiced by staff to manage disruptive behavior. In an effort to address some of the ongoing issues about the practice, this article examined the reasons for their use, their theoretical underpinnings, and extant empirical evidence in support of the theories. It is suggested that the current array of theories be updated and comprehensive research programs be encouraged to assess their clinical utility with various populations in a variety of settings.
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Behavioral incidents such as these can escalate into physical restraint or, in extreme cases, result in injury or death.
“Given that incidents such as these can escalate into physical restraint or, in extreme cases, result in injury or death (Day 2002; Nunno et al. 2006), the potential benefits of reducing behavioral incidents can be profound.”
From Intervening at the Setting Level to Prevent Behavioral Incidents in Residential Child Care: Efficacy of the CARE Program Model (2016) · cites this paper as Day 2002
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Cited by
Sorted by citations
Izzo, C. V., Smith, E. G., Holden, M. J., Norton, C. I., Nunno, M. A., & Sellers, D. E. (2016) · Prevention Science · doi:10.1007/s11121-016-0649-0 · Cited by 56
Metadata
- Authors
- Day, D. M.
- Affiliations
- Toronto Metropolitan University (CA)
- Corresponding author
- Day, David M.
- ORCID
- Day, David M.
- Venue
- American Journal of Orthopsychiatry
- Published
- 2002
- Volume
- 72
- Issue
- 2
- Pages
- 266-278
- ISSN
- 0002-9432 (ISSN-L)
- 1939-0025
- OpenAlex
- W1964335137
- Cited by
- 86
- References
- 0
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 9 · 2020: 6 · 2019: 1 · 2018: 1 · 2017: 5 · 2016: 3 · 2015: 4 · 2014: 7 · 2013: 3 · 2012: 3
- FWCI
- 1.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Orthopsychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Social Sciences › Sociology and Political Science › Child Welfare and Adoption
- Keywords
- physical restraint, seclusion, children, youth, care homes, disruptive behavior, behavior management, theory and practice, clinical utility
- MeSH terms
- Adolescent, Child, Humans, Psychological Theory, Restraint, Physical, Social Alienation
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