Client factors as predictors of restraint and seclusion in people with intellectual disability

Abstract

The fact that actual aggressiveness plays a minor role in predicting restraint is a new finding and should be further examined in future research.

Restraint of adults with intellectual disabilities: A critical review of the prevalence and characteristics associated with its use

“…Participants with lower activity of daily living scores experienced more restraint (Lundström et al, 2011), and lower adaptive functioning scores (specifically related to social interaction) predicted more severe restraint (Scheirs et al, 2012). Higher levels of intellectual functioning predicted more severe types of restraint (Scheirs et al, 2012), and higher developmental ages were associated with restraint use (Sturmey, 1999). Scheirs et al (2012) identified a relationship between pervasive developmental disorders and restraint, but this was not found to predict the severity of restraint.…”

“…Two studies excluded some forms of restraint such as bedrails (Lundström et al, 2011) and restraint used for therapeutic care or transport. Scheirs et al (2012) categorized the types of restraint by severity.…”

“…Restraint was used more often with participants who communicated via signs (Merineau-Cote and Morin, 2013) and had impaired speech (Lundström et al, 2011;Webber et al, 2011). Participants with lower activity of daily living scores experienced more restraint (Lundström et al, 2011), and lower adaptive functioning scores (specifically related to social interaction) predicted more severe restraint (Scheirs et al, 2012). Higher levels of intellectual functioning predicted more severe types of restraint (Scheirs et al, 2012), and higher developmental ages were associated with restraint use (Sturmey, 1999).…”

Modèles D’intervention Médical Et Environnemental Auprès Des Personnes Manifestant Un Trouble Grave Du Comportement, Quelles Sont Les Divergences?

“…Cette catégorie compte plus d'articles associés au modèle médical (7,5 %) qu'au modèle environnemental (4,3 %). Le modèle médical regroupe des articles sur les facteurs qui contribuent à l'application des mesures de contrôle et sur ceux qui les prédisent Larue, Goulet, Prevost, Dumais et Bellavance, 2016;Scheirs, Blok, Tolhoek, Aouat et Glimmerveen, 2012;Stewart, Baiden et Theall-Honey, 2013). Une autre étude associée au modèle médical compare les fréquences des périodes d'isolement entre les personnes présentant une DI et celles ne présentant pas de DI (Turner et Mooney, 2016).…”

Gendered experiences of physical restraint on locked wards for women

“…However, these studies have not routinely included gender analyses and have tended to conclude that gender differences are relatively minor. Studies of restraint, seclusion and use of PRN (pro re nata or 'as needed') psychoactive medication used with people with intellectual disabilities in inpatient services have also rarely included gender analyses (Scheirs et al 2012;Sturmey 2009;Tilli and Spreat 2009). A recent systematic review of the research literature concerning how people with intellectual disabilities and staff members experienced restraint also did not consider gender (Heyvaert et al 2014).…”