Early Identification of Seclusion and Restraint Patterns During Adolescents' Course of Residential Treatment

• NCJ Number: 232036
• Journal: Residential Treatment for Children & Youth Volume: 27 Issue: 3 Dated: July-September 2010 Pages: 160-174
• Author(s): Susan dosReis, Ph.D.; Jill R. McCulloch, Ph.D.; Elizabeth Colantuoni, Ph.D.; Shannon R. Barnett, M.D.; David Pruitt, M.D.; Albert Zachik, M.D.; Mark A. Riddle, M.D.
• Date Published: July 2010
• Length: 15 pages
• Sponsoring Agency: Maryland Mental Hygiene Admin
• Publication Format: Article
• Language: English
• Country: United States of America

Annotation

This study examined seclusion/restraint procedures for youth in two residential facilities.

Abstract

Early identification of youth who will exhibit the most challenging behavior during the course of a residential stay would allow clinicians to allocate limited resources to best manage these youth. Seclusion/restraint procedures were examined for 156 youth in two public residential facilities from July 2000-September 2005. Few seclusion/restraints occurred in the first month, but this peaked in months two and three. Youth subgroups with different trajectories for the frequency of seclusion/restraint use were distinguishable by the first 60 days. By the second month in residence clinicians can identify youth who will continue to exhibit challenging behavior. 2 figures, 2 tables, and 27 references (Published Abstract)