Restrictive Practice Use in People with Neurodevelopmental Disorders: A Systematic Review

Younan, Ben; Jorgensen, Mikaela; Chan, Jeffrey; Winata, Teresa; Gillies, Donna

doi:10.1007/s41252-023-00367-w

Cited by 3 publications

(1 citation statement)

References 39 publications

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“…The use of restrictive practices on individuals in situations of dependency, such as those with disabilities, older adults, or individuals with mental or degenerative illnesses, is a timely and increasingly pertinent topic, e.g., [45,46]. An increasing evidence base for this topic indicates that restrictive practices negatively affect the well-being of individuals who receive the restrictions, as well as the well-being of the staff who implement them [1,13,45].…”

Section: Discussionmentioning

confidence: 99%

A Pioneer Tool to Reduce Restrictive Practices toward People with Intellectual and Developmental Disabilities

Sánchez-Gómez,

Verdugo,

Crespo

et al. 2024

Behavioral Sciences

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Reducing restrictive practices toward individuals with intellectual and developmental disabilities is a globally recognized imperative and human rights priority. This paper presents a novel tool called LibRe for assessing and reducing restrictive practices. This tool involves an instrumental multistage design and collaboration between professionals, individuals with disabilities, family members, and experts from different fields. It addresses diverse restrictive practices in five key domains: physical or mechanical, chemical or pharmacological, structural, relational, and practices related to contexts and supports. It addresses practices that are pertinent to the Spanish context and that existing tools have not covered. Embedded as a step within an organizational approach, LibRe fosters organizational transformation and provides resources to achieve outcomes within reduction plans for restrictive practices. In total, 156 teams comprising 585 professionals, 64 people with disabilities, and 44 family members responded to the tool. In terms of evidence for internal structure validity, the oblique five-factor model exhibited an adequate fit through confirmatory factor analysis, along with satisfactory reliability indices, according to ordinal alpha and omega. Users positively appraised the tool’s usefulness and identified its strengths and challenges. Although further research is needed, preliminary evidence frames LibRe as a useful resource for practice and research.

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