The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.
Reducing Restraint Through Individualized Positive Behavioral Interventions and Supports in an Inpatient Psychiatric Setting: An Exploratory Study
Abstract
Traditional responses to aggressive behavior in inpatient psychiatric settings have relied heavily on aversive and restrictive practices, such as restraint, despite the fact that such practices demonstrate limited effectiveness and are at odds with a rehabilitative, patient-centered mission. In response to such concerns, a growing number of researchers and practitioners have moved toward proactive, person-centered approaches to addressing challenging behavior, such as Positive Behavioral Interventions and Supports (PBIS). Positive Behavioral Interventions and Supports is a multi-tiered framework for preventing and responding to challenging behavior by addressing environmental and contextual factors. This article describes an exploratory study examining the effect that implementation of individualized PBIS plans had on restraint events in an adult inpatient psychiatric hospital setting in the Northeastern United States. Results indicated a 76% reduction in restraints following implementation of individualized PBIS plans. Implications for future research and practice are explored as a means of improving clinical outcomes and quality of life of individuals in inpatient psychiatric settings.
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Research works printed but not linked: 3
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Metadata
- Authors
- Ronan, M., Therrien, F., Sears, S., Meyer, K., Depestre, S. C., Rhoads, C., & Simonsen, B.
- Affiliations
- University of Massachusetts Chan Medical School (US)
- Worcester Recovery Center and Hospital (US)
- University of Connecticut (US)
- Boston Medical Center (US)
- Corresponding author
- Ronan, Meredith
- ORCID
- Venue
- Journal of Positive Behavior Interventions
- Publisher
- SAGE Publications
- Published
- 2025-07-11
- Volume
- 28
- Issue
- 1
- Pages
- 3-12
- ISSN
- 1098-3007 (ISSN-L)
- 1538-4772
- OpenAlex
- W4412198137
- Semantic Scholar
- 2cf03a4335fc5c95c4a52c586058efad36cbe75d
- Cited by
- 0
- References
- 17
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Positive Behavior Interventions (publishedVersion)
- Funders
- Office of Elementary and Secondary Education (H326S190001)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- Positive Behavioral Interventions and Supports, restraint reduction, physical restraint, aggression, behavioral problems, individualized intervention plan, inpatient psychiatric hospitalization, de-escalation, person-centred care
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