Use of Seclusion and Restraint in Children and Adolescents

Restraint in paediatrics: A delicate balance

“…More research is generally required in this complex arena to assess the prevalence and potential physiological and psychological harms of various forms and levels of restraint in the paediatric setting Box 2 Case 2Jimmy, aged 16, has severe autism spectrum disorder and mild cerebral palsy.…”

Use of restraint for the management of challenging behaviour in children with intellectual disabilities

“…The American Medical Association's Council of Scientific Affairs defines seclusion as ''those actions that confine a patient to a defined area, usually a room, for a defined length of time'' (Brown et al, 2000). The term ''seclusion'' can be used to describe interventions that involve: B Placing the patient in a room with the door locked.…”

The Relationship Between Seclusion and Restraint Use and Childhood Abuse Among Psychiatric Inpatients

“…Seclusion involves the confinement of the inpatient alone in a locked room or area when the inpatient would normally be allowed to associate freely with others on the unit (Fryer, Beech, & Byrne, 2004), and restraint involves staff physically laying hands on a inpatient in the course of managing an untoward incident (Bonner, Lowe, Rawcliffe, & Wellman, 2002). More involved forms of restraint can include mechanical devices such as camisoles, restraining sheets, leather restraints, and chairs that restrict or confine movement (Brown, Genel, & Riggs, 2000). S/R is a controversial topic in the field of psychiatry, in part due to the high rates of childhood physical and sexual abuse found among psychiatric inpatients (Borckardt et al, 2007;Read & Fraser, 1998).…”