Catharsis, Containment and Physical Restraint in Residential Child care

Steckley, Laura

doi:10.1093/bjsw/bcx131

Cited by 17 publications

(20 citation statements)

References 21 publications

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“…They also tended to be triggered by feeling lonely and to have a perception that they should not be left alone for long periods of time (Thomann, 2009). Finally, in a qualitative study examining the perceptions of youth in RTCs (Steckley, 2017), participants reported that a loss of control, needing to be stopped by the staff, a buildup of strong emotions over time, and emotional “explosions” led to the use of R&S toward them. Some youth even reported deliberately asking staff for the use of R&S in order to manage their emotions and vent off anger.…”

Section: Resultsmentioning

confidence: 99%

The Use of Restraint and Seclusion in Residential Treatment Care for Youth: A Systematic Review of Related Factors and Interventions

Roy

Castonguay

Fortin

et al. 2019

Trauma, Violence, & Abuse

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Children placed in residential treatment centers (RTCs) typically present challenging behavior including aggression. In this context, restraint and seclusion (R&S) are seen as “last resort” strategies for educators to manage youth aggression. The use of R&S is controversial, as they can lead to psychological and physical consequences for both the client and the care provider and have yet to be empirically validated as therapeutic. The objectives of this systematic review are to identify the factors related to R&S use in RTCs for youth and to review the interventions aiming to reduce the use of R&S. The identification of these factors is the first step to gaining a better understanding of the decision-making process leading to the use of R&S and ultimately to reducing the use of these strategies to a minimum. Thus, the present systematic review was conducted by searching PubMed, CINAHL, ERIC, and PsycNET for articles published between 2002 and 2017. Key words used were synonyms of R&S, youth, and RTCs. Thirty-one studies met the inclusion criteria: must report on factors affecting the use of R&S in RTCs, must be conducted in RTCs for youth under the age of 21, and must report on original and empirical data. Factors related to the characteristics of the client, the care provider, and the environment, as well as to the implementation of programs for the reduction of R&S, were found to influence the use of R&S in RTCs. A conceptual model is presented. The implementation of programs to reduce R&S use is discussed.

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Section: Resultsmentioning

confidence: 99%

The Use of Restraint and Seclusion in Residential Treatment Care for Youth: A Systematic Review of Related Factors and Interventions

Roy

Castonguay

Fortin

et al. 2019

Trauma, Violence, & Abuse

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“…This is similar to what (Garfat et al, 2018) termed 'hanging in', referring to the need to still be there when things seem too difficult or intolerable. In relation to physical restraint, Steckley and Kendrick (2008) also highlighted the image of 'holding on' while 'hanging in' resonating with ideas linked to the need for difficult love to overcome moments of extreme challenge. From experience, we have both had to engage in moments of physical restraint and, while we do not at all advocate a pervasive positive image of such practice, we have on occasion experienced those in our care who have benefited from human containment and the perception, on behalf of the cared-for person, that we did not shy away from difficulty or the need to 'hang in'.…”

Section: Perceiving the Other We Encountermentioning

confidence: 99%

Human encounters: The core of everyday care practice

Monteux

2020

International Journal of Social Pedagogy

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Although there is increasing recognition within health and social care policy that relationships are central within ‘people work’, little attention is given to exploring the nature and purpose of these within everyday care practice. Social pedagogues appreciate that human relationships, in all their complexity, are intrinsically valuable and, therefore, central to everyday care practice. This article explores human encounters as the foundation of relational practice, and we discuss how the space for true encounter incorporates spiritual care and a movement from dependence to interdependence. It proposes that everyday care practice is best understood as a series of human encounters that requires courage to embrace the complexity and uncertainty of encountering the essential humanity of those we care for. In order to do so, practitioners need to develop moral integrity, enabling them to navigate situations of care without fixed recipes. Drawing on perspectives from care ethics and the Nordic care tradition, this article contextualises the discussion within the authors’ extensive care practice experience and, in focusing on human encounters as the basis of relational care, presents implications for practitioners in diverse everyday care contexts.

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“…Before I continue, I should address a reservation. The Scottish researchers Joan Shaw and Andrew Kendrick (2016; see also Steckley and Kendrick 2008) have studied residential institutions for children in protective care and have interviewed former social workers with experience from residential institutions. They worry that Scottish and English care practices in residential child protection institutions have lost, or are in danger of losing, the bodily aspects of the social workers' care practices (p. 13) due to recent disclosures of violence and abuse in residential institutions.…”

Section: Good Practice Knowing Bad Practices Occurmentioning

confidence: 99%

Embodied Care Practices and the Realization of the Best Interests of the Child in Residential Institutions for Young Children

Neumann

2018

Human Rights in Child Protection

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Catharsis, Containment and Physical Restraint in Residential Child care

Cited by 17 publications

References 21 publications

The Use of Restraint and Seclusion in Residential Treatment Care for Youth: A Systematic Review of Related Factors and Interventions

The Use of Restraint and Seclusion in Residential Treatment Care for Youth: A Systematic Review of Related Factors and Interventions

Human encounters: The core of everyday care practice

Embodied Care Practices and the Realization of the Best Interests of the Child in Residential Institutions for Young Children

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